A 21-day-old term infant presents with fever 38.6 °C but no localising signs. He is feeding slightly less but remains alert. According to Canadian pae...

Question

A 21-day-old term infant presents with fever 38.6 °C but no localising signs. He is feeding slightly less but remains alert. According to Canadian paediatric practice, what is the most appropriate management?

Accepted Answer

Full sepsis evaluation including blood, urine and cerebrospinal fluid cultures and admission for IV antibiotics

Answer

Reassure and manage at home with antipyretics

Answer

Outpatient urine culture only

Answer

Chest radiograph only

Answer

Delay lumbar puncture until culture results return

ca-mccqe1 MCQ (SBA): Neonatal fever and sepsis workup

A 21-day-old term infant presents with fever 38.6 °C but no localising signs. He is feeding slightly less but remains alert. According to Canadian paediatric practice, what is the most appropriate management?