A 10-month-old previously healthy infant presents with fever 39.2°C for 8 hours but looks well, has good perfusion and normal examination. Immunisatio...

Question

A 10-month-old previously healthy infant presents with fever 39.2°C for 8 hours but looks well, has good perfusion and normal examination. Immunisations are up to date. According to CPS guidance on febrile infants 90 days to 3 years, what is the most appropriate management?

Accepted Answer

Urinalysis and urine culture, with observation if otherwise well

Answer

Routine full sepsis work-up and admission for IV antibiotics

Answer

Blood and CSF cultures for all infants under 12 months

Answer

Routine chest radiograph in all febrile infants

Answer

Start empiric oral antibiotics for 10 days without investigations

ca-mccqe1 MCQ (SBA): Fever without source in infants

A 10-month-old previously healthy infant presents with fever 39.2°C for 8 hours but looks well, has good perfusion and normal examination. Immunisations are up to date. According to CPS guidance on febrile infants 90 days to 3 years, what is the most appropriate management?