A 25-day-old well-appearing term infant presents with rectal temp 101.9°F (38.8°C). UA is positive for leukocyte esterase; inflammatory markers low. A...

Question

A 25-day-old well-appearing term infant presents with rectal temp 101.9°F (38.8°C). UA is positive for leukocyte esterase; inflammatory markers low. According to AAP 2021, which approach is acceptable?

Accepted Answer

Obtain blood and urine cultures, consider LP based on labs/SDM, and treat with parenteral antibiotics with close follow-up

Answer

Discharge without antibiotics or testing

Answer

Full sepsis workup with mandatory LP and IV antibiotics for 48 hours

Answer

No cultures; oral antibiotics only

Answer

Lumbar puncture only if fever persists >72 hours

us-abem MCQ (SBA): Febrile Infant (22-28 d)

A 25-day-old well-appearing term infant presents with rectal temp 101.9°F (38.8°C). UA is positive for leukocyte esterase; inflammatory markers low. According to AAP 2021, which approach is acceptable?