Question

A 28-day-old well-appearing term infant is brought to a rural emergency department with rectal temperature 38.4 °C. There is no localising source on examination. According to CPS guidance on febrile infants ≤90 days, what is the most appropriate management?

Accepted Answer

Full septic workup including blood, urine, CSF cultures and parenteral antibiotics with admission

Answer

Reassure parents and discharge with antipyretics only

Answer

Urine dipstick only and discharge if negative

Answer

Chest radiograph and viral swabs only, no antibiotics

Answer

Oral amoxicillin and outpatient review in 24 hours

Practice question

A 28-day-old well-appearing term infant is brought to a rural emergency department with rectal temperature 38.4 °C. There is no localising source on examination. According to CPS guidance on febrile infants ≤90 days, what is the most appropriate management?