A 21-day-old term infant presents with a rectal temperature of 38.3 °C noted at home. He is feeding but slightly less than usual. Examination reveals ...

Question

A 21-day-old term infant presents with a rectal temperature of 38.3 °C noted at home. He is feeding but slightly less than usual. Examination reveals no localising signs and he appears only mildly irritable. According to Australian paediatric guidelines, what is the most appropriate management?

Accepted Answer

Admit to hospital, perform a full septic workup and commence empirical intravenous antibiotics

Answer

Reassure parents and review in 24-48 hours

Answer

Commence oral antibiotics and manage at home

Answer

Give paracetamol and arrange community nurse follow-up

Answer

Order a chest X-ray only

au-amc MCQ (SBA): Febrile neonate

A 21-day-old term infant presents with a rectal temperature of 38.3 °C noted at home. He is feeding but slightly less than usual. Examination reveals no localising signs and he appears only mildly irritable. According to Australian paediatric guidelines, what is the most appropriate management?