The Febrile Infant
Resources to Review Prior to Conference
Goals and Objectives
Goals
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Trainee will demonstrate competence in the initial evaluation and management of the febrile infant (<= 60 days old)
Objectives
Trainee will be able to:
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Apply prediction rules for risk stratifying infants 60 days old or younger
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Explain when to utilize certain diagnostic tests for febrile infants, including:
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Urinalysis and culture (including appropriate method of collection)
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Peripheral blood diagnostic studies (e.g., CBC, procalcitonin)
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Blood cultures
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CSF analysis
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Respiratory viral panels
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Chest x-ray (limited indications)
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Describe the indications for, appropriate timing of (relative to diagnostic studies), and choice of agent in empiric antibiotic therapy for febrile infants
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Name the appropriate disposition for infants age 28 days or younger with fever
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Describe which febrile children age 60 days or younger may be eligible for discharge
Additional Resources
General
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Evaluation and Management of the Febrile Infant (Ped EM Practice 2019) (Free resident access)
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Pediatric Fever (EM:RAP 2018)
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Pediatric Fever (CDEM 2015)
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Clinical Guidelines
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Febrile Infant Pathway (CHOP 2019)
Consensus Statements
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Fever in Well-Appearing Infants and Children Younger Than 2 Years (ACEP Clinical Policy 2016) (pdf)