A 3-week-old term infant presents with fever 38.6 °C, poor feeding, and lethargy. He was born vaginally without complications and had an unremarkable ...

Question

A 3-week-old term infant presents with fever 38.6 °C, poor feeding, and lethargy. He was born vaginally without complications and had an unremarkable neonatal course. According to Canadian guidelines for young infants with fever, what is the most appropriate management?

Accepted Answer

Full septic workup including blood, urine, and CSF cultures and admission for empiric intravenous antibiotics

Answer

Observation at home with antipyretics and no investigations

Answer

Outpatient urine dipstick only

Answer

Chest radiograph only and oral antibiotics

Answer

Urgent viral swab only and discharge

ca-mccqe1 MCQ (SBA): Fever in neonate

A 3-week-old term infant presents with fever 38.6 °C, poor feeding, and lethargy. He was born vaginally without complications and had an unremarkable neonatal course. According to Canadian guidelines for young infants with fever, what is the most appropriate management?