34 - fever in infants and children

Question 1

fever # in child

Answer 1

> 38.0

Question 2

what are serious bact. infections

Answer 2

• meningitis
• sepsis
• bone and joint infection
• UTI
• pneumo

Question 3

rochester crit for febrile infants UNLIKELY to have serious bact. illness

Answer 3

• 37wks
• no abx therapy past or present
• no unexplained hyperbili
• no prev. hosp.
• no chronic or underlying illness
• no evidence of infection
• ## WBC 5-10

Question 4

mgmt of febrile infant 0-1month

Answer 4

1. full sepsis workup
   - CBC and diff
   - urinalysis
   - cultures
   - CXR
2. dispo
   - hosp. with ABx

Question 5

mgmt of letharic/toxic infant 1-3month

Answer 5

1. full sepsis workup

2. hosp. with paraenteral ABx

Question 6

mgmt of non-letharic/toxic infant 1-3month

Answer 6

1. investigate
   - CBC/diff
   - blood and urin cultures
2. dispo
   - high risk - hosp and ABx
   - low risk - discharge or admit

Question 7

mgmt of letharic/toxic infant 3-36 month

Answer 7

1. full sepsis workup

2. hosp with ABx

Question 8

mgmt of non- letharic/toxic infant 3-36 month

Answer 8

T39.5
- observe
or
-CBC/diff
- blood/urin culture
low risk no ABx
high risk amox  until cultures