Question

A 10-month-old girl is brought with a fever of 39.2°C for 6 hours and mild coryzal symptoms. She is feeding reasonably, alert but irritable, with no rash, no focal signs and normal observations. According to the NICE traffic light system for fever in under 5s, how should she be managed?

Accepted Answer

Manage at home with safety-netting advice and review if she worsens

Answer

Admit urgently for IV antibiotics

Answer

Arrange urgent same-day paediatric review in hospital

Answer

Mandatory lumbar puncture to exclude meningitis

Answer

Start oral antibiotics immediately for presumed serious bacterial infection

Practice question

A 10-month-old girl is brought with a fever of 39.2°C for 6 hours and mild coryzal symptoms. She is feeding reasonably, alert but irritable, with no rash, no focal signs and normal observations. According to the NICE traffic light system for fever in under 5s, how should she be managed?