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Evaluation and Management of Febrile, Well-appearing Young Infants

Eric A Biondi1, Carrie L Byington2

  • 1Department of Pediatrics, University of Rochester Medical Center, 601 Elmwood Avenue, Box #667, Rochester, NY 14642, USA.

Infectious Disease Clinics of North America
|July 20, 2015
PubMed

Insights

Managing febrile infants under 3 months presents a challenge. This review covers infection epidemiology, evidence-based diagnostics, and treatment to standardize care for these young patients.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neonatal Care

Background:

  • Febrile infants under 3 months pose a diagnostic challenge.
  • Varied clinical approaches exist for managing these infants.
  • Standardized evidence-based guidelines are needed.

Purpose of the Study:

  • To review the epidemiology of infections in febrile infants.
  • To discuss evidence-based diagnostic and treatment strategies.
  • To highlight variations in care and propose standardization.

Main Methods:

  • Literature review of epidemiology.
  • Analysis of diagnostic and treatment strategies.
  • Examination of practice variations.

Main Results:

  • Bacterial and viral infection epidemiology discussed.
  • Evidence-based testing, admission, antibiotic, and discharge strategies presented.
  • Significant variation in current care practices identified.

Conclusions:

  • Standardizing care for febrile infants is crucial.
  • Evidence-based strategies can improve management.
  • Further research may refine best practices.

Keywords:
FeverInfantManagementSerious bacterial infectionViral illness

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