A 10-day-old term neonate is brought to the emergency department with a rectal temperature of 38.4 °C. He is feeding slightly less but has no focal si...

Question

A 10-day-old term neonate is brought to the emergency department with a rectal temperature of 38.4 °C. He is feeding slightly less but has no focal signs of infection. What is the most appropriate management?

Accepted Answer

Full septic workup with blood, urine and CSF cultures and start empiric intravenous antibiotics

Answer

Discharge home with oral antipyretics and review in 24 hours

Answer

Observe in the emergency department without investigations

Answer

Urine dipstick only and oral antibiotics if positive

Answer

Chest X-ray only and oral amoxicillin

au-acem MCQ (SBA): Neonatal sepsis risk

A 10-day-old term neonate is brought to the emergency department with a rectal temperature of 38.4 °C. He is feeding slightly less but has no focal signs of infection. What is the most appropriate management?