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Fever in infants ages 8 to 60 days: An updated guideline for evaluation
1Jared M. Files practices in emergency medicine at Marian Regional Medical Center in Santa Maria, Calif., and at the Southern Arizona VA Healthcare System in Tucson Ariz., and in urgent care at Cottage Health in Santa Barbara, Calif. The author has disclosed no potential conflicts of interest, financial or otherwise.
Insights
Fever in young infants requires careful evaluation. An updated American Academy of Pediatrics guideline offers a foundation for managing these vulnerable children, considering evolving medical practices.
Area of Science:
- Pediatrics
- Infectious Disease Management
Background:
- Fever in infants under 60 days old is a common reason for emergency, urgent, and primary care visits.
- Management guidelines have evolved due to changes in testing, accuracy, and bacterial prevalence.
- Many existing guidelines are outdated, necessitating updated recommendations.
Purpose of the Study:
- To provide an updated guideline for the evaluation and management of febrile infants under 60 days.
- To establish a foundation for clinicians caring for this high-risk population.
Main Methods:
- Review and synthesis of current medical literature and expert consensus.
- Development of evidence-based recommendations by the American Academy of Pediatrics.
Main Results:
- The guideline addresses the workup and management of febrile infants.
- It incorporates current knowledge on testing and epidemiology.
Conclusions:
- An updated guideline is crucial for the appropriate care of febrile infants.
- The American Academy of Pediatrics guideline serves as a vital resource for clinicians.
Abstract:
Fever in infants under age 60 days is a leading cause of ED, urgent care, and primary care visits. Most infants present as well-appearing, and guidelines for the workup and appropriate management of these children have varied over the decades. Additionally, testing availability, accuracy, and changing bacterial prevalence patterns have rendered many guidelines obsolete. An updated guideline from the American Academy of Pediatrics provides a foundation for clinician evaluation of patients in this vulnerable age group.
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