A 21-day-old term infant is brought to the ED with a rectal temperature of 38.3°C documented at home. He is feeding slightly less but appears well on ...

Question

A 21-day-old term infant is brought to the ED with a rectal temperature of 38.3°C documented at home. He is feeding slightly less but appears well on examination. According to CPS febrile infant recommendations, what is the most appropriate management?

Accepted Answer

Full septic work-up including blood, urine and CSF cultures and start empiric IV antibiotics

Answer

Discharge with antipyretics and close outpatient follow-up

Answer

Urinalysis only; no blood work

Answer

Observe in ED for 4 hours without investigations

Answer

Chest radiograph and oral amoxicillin

ca-mccqe1 MCQ (SBA): Fever in neonates and young infants

A 21-day-old term infant is brought to the ED with a rectal temperature of 38.3°C documented at home. He is feeding slightly less but appears well on examination. According to CPS febrile infant recommendations, what is the most appropriate management?