Question

A 21-day-old term infant presents with fever 38.5 °C but is otherwise relatively well. According to the Royal Children's Hospital guideline, what is the most appropriate management?

Accepted Answer

Admit for full septic work-up and empiric intravenous antibiotics

Answer

Treat with oral antibiotics and review in 24 hours

Answer

Discharge with paracetamol and safety-net advice

Answer

Observe in the ED for 6 hours then discharge if afebrile

Answer

Perform chest X-ray only and review as outpatient

Practice question

A 21-day-old term infant presents with fever 38.5 °C but is otherwise relatively well. According to the Royal Children's Hospital guideline, what is the most appropriate management?