Febrile infants

April 06, 2022

Listen up! Today we talk about the management of well-appearing febrile infants aged 8-60 days old including work-up algorithms and treatment. It's a lot of information so pay close attention and you might even want to pull up the AAP guideline diagrams to follow along! 


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This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Nathan Kuppermann, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation. 

Key points: 

-New strategies for management of febrile infants depending on age (1-3 weeks, 3-4 weeks, or 4-8 weeks) 

-Inflammatory markers like CRP and procalcitonin help to determine if LP is needed in older patients. 

-Learn about common bugs that cause infection in infants and the antibiotics we use to treat them 

-Observation of febrile infants is now reduced from 48 hours to 24-36 hours 


Supplemental information: 

AAP guidelines 2020: 

Yale Observation Scale Score in febrile infants 60 days and younger: