A 4-month-old boy is brought to the emergency department with fever and poor feeding for 6 hours. His temperature is 38.5°C, heart rate 180 bpm, he is...

Question

A 4-month-old boy is brought to the emergency department with fever and poor feeding for 6 hours. His temperature is 38.5°C, heart rate 180 bpm, he is irritable but consolable and has no localising signs. According to Australian paediatric fever guidelines, what is the most appropriate management?

Accepted Answer

Full septic screen and commence IV antibiotics with hospital admission

Answer

Reassure and discharge with no investigations

Answer

Oral antibiotics and discharge

Answer

Lumbar puncture only, without blood or urine tests

Answer

Observe in ED for 12 hours without treatment

au-amc MCQ (SBA): Fever in young infants

A 4-month-old boy is brought to the emergency department with fever and poor feeding for 6 hours. His temperature is 38.5°C, heart rate 180 bpm, he is irritable but consolable and has no localising signs. According to Australian paediatric fever guidelines, what is the most appropriate management?