A 5-week-old previously well infant is brought to the emergency department with a rectal temperature measured at home of 38.4 °C. On arrival, he appea...

Question

A 5-week-old previously well infant is brought to the emergency department with a rectal temperature measured at home of 38.4 °C. On arrival, he appears well, with normal vital signs and examination. According to recent Canadian guidance on febrile infants, what is the most appropriate management?

Accepted Answer

Perform a full septic workup including blood, urine and CSF cultures and admit for empirical intravenous antibiotics

Answer

Discharge home with antipyretics and no investigations because he looks well

Answer

Obtain limited blood work only and review in 48 hours

Answer

Arrange an outpatient urine culture and follow-up by phone

Answer

Give one dose of intramuscular antibiotics and discharge

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

A 5-week-old previously well infant is brought to the emergency department with a rectal temperature measured at home of 38.4 °C. On arrival, he appears well, with normal vital signs and examination. According to recent Canadian guidance on febrile infants, what is the most appropriate management?