A 4-week-old term infant presents with fever 38.5 °C and decreased feeding but appears well. There is no focus on examination. What is the most approp...

Question

A 4-week-old term infant presents with fever 38.5 °C and decreased feeding but appears well. There is no focus on examination. What is the most appropriate management strategy?

Accepted Answer

Full septic work-up including blood, urine and CSF cultures and start empiric intravenous antibiotics

Answer

Reassure and send home without investigations

Answer

Obtain urine only and treat if positive

Answer

Give oral antibiotics and review in 48 hours

Answer

Observe in the emergency department for 6 hours without tests

ca-mccqe1 MCQ (SBA): Fever in young infant

A 4-week-old term infant presents with fever 38.5 °C and decreased feeding but appears well. There is no focus on examination. What is the most appropriate management strategy?