A 4-month-old infant presents with fever 38.7 °C and irritability for 6 hours. He is feeding poorly but has no focal symptoms. On examination he is ta...

Question

A 4-month-old infant presents with fever 38.7 °C and irritability for 6 hours. He is feeding poorly but has no focal symptoms. On examination he is tachycardic and pale with cool peripheries and delayed capillary refill. According to Australian paediatric sepsis guidance, what is the most appropriate immediate management?

Accepted Answer

Administer broad-spectrum IV antibiotics and fluid resuscitation

Answer

Observe for 4 hours to see if fever settles

Answer

Give oral paracetamol only

Answer

Arrange outpatient follow-up the next day

Answer

Start oral amoxicillin and send home

au-amc MCQ (SBA): Paediatric sepsis