A 25-day-old term infant is brought to a rural emergency department with a rectal temperature of 38.4°C at home confirmed in triage. The baby appears ...

Question

A 25-day-old term infant is brought to a rural emergency department with a rectal temperature of 38.4°C at home confirmed in triage. The baby appears well, is feeding normally and has normal vital signs. According to Canadian paediatric guidance, what is the most appropriate management?

Accepted Answer

Perform full sepsis evaluation including blood, urine and cerebrospinal fluid cultures and start intravenous antibiotics

Answer

Discharge home with return precautions because the infant looks well

Answer

Obtain a urine sample only and treat if positive

Answer

Give a single intramuscular dose of long-acting antibiotic and review in 24 hours

Answer

Observe in the emergency department for 6 hours without investigations

ca-mccqe1 MCQ (SBA): Febrile neonate

A 25-day-old term infant is brought to a rural emergency department with a rectal temperature of 38.4°C at home confirmed in triage. The baby appears well, is feeding normally and has normal vital signs. According to Canadian paediatric guidance, what is the most appropriate management?