Contributor: Neil Cella, MD

Educational Pearls:

• • 10% of patients 100.4) have an serious bacterial infection
  • Most of these are UTIs, but also consider pneumonia and meningitis
  • Requires CXR, LP, labs, and UA to work up cause of fever
• 29-60 day old well-appearing febrile infant:
• • Can discharge without abx if CXR, lumbar puncture, labs and UA without signs of bacterial infection
• If UA is positive for UTI a LP is still indicated for febrile infants

References

Hamilton JL, Evans SG, Bakshi M. Management of Fever in Infants and Young Children. Am Fam Physician. 2020;101(12):721-729.

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD