A 3-week-old term infant presents with fever 38.6 °C, poor feeding, and lethargy. Examination is otherwise non-focal. According to Canadian paediatric...

Question

A 3-week-old term infant presents with fever 38.6 °C, poor feeding, and lethargy. Examination is otherwise non-focal. According to Canadian paediatric sepsis guidance, what is the most appropriate initial management?

Accepted Answer

Perform full septic workup including blood, urine, and CSF cultures and start empiric intravenous antibiotics

Answer

Reassure parents and arrange outpatient follow-up in 24 hours

Answer

Obtain urine culture only and send the infant home

Answer

Give oral antibiotics and no investigations

Answer

Wait for a rash to appear before investigating

ca-mccqe1 MCQ (SBA): Neonatal sepsis

A 3-week-old term infant presents with fever 38.6 °C, poor feeding, and lethargy. Examination is otherwise non-focal. According to Canadian paediatric sepsis guidance, what is the most appropriate initial management?