A 2-week-old term infant presents with poor feeding, lethargy, and rectal temperature 38.3 °C. According to Canadian Paediatric Society guidance, what...

Question

A 2-week-old term infant presents with poor feeding, lethargy, and rectal temperature 38.3 °C. According to Canadian Paediatric Society guidance, what is the most appropriate initial management?

Accepted Answer

Full sepsis evaluation including blood, urine, and CSF cultures and empiric intravenous antibiotics

Answer

Outpatient observation with oral antibiotics

Answer

Urine dipstick only and discharge if normal

Answer

Treat with oral amoxicillin-clavulanate at home

Answer

Wait until fever persists for 48 hours before investigation

ca-mccqe1 MCQ (SBA): Neonatal sepsis evaluation

A 2-week-old term infant presents with poor feeding, lethargy, and rectal temperature 38.3 °C. According to Canadian Paediatric Society guidance, what is the most appropriate initial management?