A 42-day-old well-appearing infant presents with fever 38.6°C (101.5°F). UA positive for leukocyte esterase; ANC and procalcitonin normal. According t...

Question

A 42-day-old well-appearing infant presents with fever 38.6°C (101.5°F). UA positive for leukocyte esterase; ANC and procalcitonin normal. According to AAP, which management is reasonable?

Accepted Answer

Outpatient oral antibiotics for UTI and close follow-up without LP

Answer

Routine LP and admit all 29-60 day infants

Answer

No antibiotics and no cultures

Answer

Admit for 48 h IV antibiotics and LP regardless of labs

Answer

Blood culture unnecessary if UA positive

us-abfm MCQ (SBA): Febrile Infant (29-60 days)

A 42-day-old well-appearing infant presents with fever 38.6°C (101.5°F). UA positive for leukocyte esterase; ANC and procalcitonin normal. According to AAP, which management is reasonable?