A 21-day-old term infant is brought to the emergency department with a rectal temperature of 38.3°C. The infant looks well, feeds adequately, and has ...

Question

A 21-day-old term infant is brought to the emergency department with a rectal temperature of 38.3°C. The infant looks well, feeds adequately, and has normal examination findings. According to the CPS guideline on well-appearing febrile infants ≤90 days, what is the most appropriate management strategy?

Accepted Answer

Full septic work-up including blood, urine, CSF cultures and hospital admission with empiric IV antibiotics

Answer

Reassure and discharge without investigations

Answer

Urine dipstick only and discharge if normal

Answer

Outpatient follow-up in 48 hours without testing

Answer

Chest radiograph and oral antibiotics

ca-mccqe1 MCQ (SBA): Febrile neonate - sepsis work-up