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Podcast 703: Fever in Infants

Podcast 703: Fever in Infants

Emergency Medical Minute · medicalminute

August 10, 20215m 7s

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Show Notes

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