Management of fever in young infants

M. Douglas Baker, Jeffrey R. Avner

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Management of the febrile young infant remains a source of consternation for parent and practitioner alike. Although the risk of serious bacterial illness in well-appearing febrile infants younger than 2 months old without a source of infection on physical examination is small, the absence of reliable clinical signs makes diagnosis difficult. For many years, a sepsis evaluation, routine hospitalization, and empiric antibiotic therapy was the rule. However, recent prospective studies have shown that a select group of febrile infants who meet low-risk criteria consisting of clinical and laboratory parameters, may be managed a as outpatients. This article reviews the epidemiology of febrile illness in infants younger than 2 months old. Recent prospective research is reviewed with an emphasis on differences in screening criteria and the subsequent effect on outcome. A management strategy based on these data is proposed. Copyright copy; 2000 by W.B. Saunders Company.

Original languageEnglish (US)
Pages (from-to)102-108
Number of pages7
JournalClinical Pediatric Emergency Medicine
Volume1
Issue number2
DOIs
StatePublished - 2000

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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