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Febrile infant with suspected sepsis — RCPSC EM MCQ

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ModeratePaediatric emergenciesFebrile infant with suspected sepsisRCPSC EM

A 6-week-old infant presents with fever 38.6°C and poor feeding. Heart rate is 188/min, capillary refill is four seconds and the infant is mottled. Urinalysis is positive for nitrites and leukocytes; glucose is 3.1 mmol/L. What is the most appropriate next step?

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Correct answer: E — Obtain cultures promptly, give empiric IV antibiotics and admit for neonatal sepsis management

Young febrile infants with poor perfusion require full sepsis assessment, empiric parenteral antibiotics and admission. A positive urinalysis does not exclude bacteraemia or meningitis in this age group.

Reference: Canadian Paediatric Society febrile infant guidance; PALS