Question

A 7-week-old febrile infant (rectal temperature 38.3 °C) is brought to a community emergency department. He is well appearing with normal perfusion and feeding slightly less than usual. According to the 2024 CPS position statement on well-appearing febrile infants ≤90 days, what is the most appropriate general management approach?

Accepted Answer

Perform appropriate sepsis evaluation and manage in a setting where investigations and close monitoring are possible, with risk-stratified decisions about admission

Answer

Reassure and discharge without investigations

Answer

Start oral antibiotics and review in one week

Answer

Avoid lumbar puncture in all infants under 90 days

Answer

Admit all infants ≤90 days to intensive care unit regardless of appearance

Practice question