Fever

Question 1

Fever definition

Answer 1

Rectal temp > 38

Question 2

Standard fever measurement infants

Answer 2

Rectal

Question 3

Causes of fever

Answer 3

Viral - most common

Bacterial

Question 4

Most common viral causes

Answer 4

HSV
VZV
Influenza
Adenovirus
RSV

Question 5

Most common bacterial causes

Answer 5

E.Coli

Group B strep (Strep agalactiae)

Question 6

Neonatal infection usually:

Answer 6

Vertical or nosocomial

Question 7

Bacterial infections focus on:

Answer 7

UTI
Meningitis
Bacteremia

Question 8

Full sepsis evaluation for:

Answer 8

Neonates
All ill appearing infants
Infants with risk factors for bacterial infection (genetic or congenital disorder, on oxygen/ventilator or parentetal nutrition)
Infants with abnormal WBC count
Infants with elevated inflammatory markers
Infants with abnormal urinalysis

Question 9

Additional clinical features:

Answer 9

Underlying infection features
Irritability, poor tone, lethargy
Signs of sepsis, cardiopulmonary compromsie

Question 10

Management

Answer 10

Stabilize

Treat underlying infection