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Published on: November 9, 2016
Reducing the Risk: An Evidence-Based Approach to the Febrile Infant Less Than 60 Days of Age in the Emergency
Kathleen S Jordan1, Sara H Steelman, Elizabeth C McInnis
1Author Affiliations: Mid-Atlantic Emergency Medical Associates, Charlotte, North Carolina (Dr Jordan, Dr Steelman, and Ms McInnis); and UNC Charlotte School of Nursing, Charlotte, North Carolina (Dr Jordan).
Feverish infants under 60 days old require careful evaluation for serious bacterial infections. Early diagnosis and treatment of conditions like Streptococcus B meningitis are crucial to prevent severe infant outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Emergency Medicine
Background:
- Fever is a common pediatric emergency department (ED) complaint.
- Infants under 60 days with fever are at higher risk for serious bacterial infections (SBI) and invasive bacterial infections (IBI).
- These infections can include urinary tract infections, bacteremia, and bacterial meningitis.
Purpose of the Study:
- To highlight the critical importance of vigilance in evaluating febrile infants.
- To discuss a case of Streptococcus B meningitis in a high-risk infant.
- To emphasize adherence to clinical practice guidelines for timely diagnosis and treatment.
Main Methods:
- Case report discussion.
- Review of clinical practice guidelines for febrile infants.
- Emergency department evaluation of a high-risk febrile infant.
Main Results:
- The case involved an infant diagnosed with Streptococcus B meningitis.
- Heightened vigilance is essential for this high-risk age group.
- Strict adherence to clinical guidelines is critical.
Conclusions:
- Prompt and accurate diagnosis of serious infections in febrile infants is paramount.
- Adherence to clinical practice guidelines can prevent mortality and long-term morbidities.
- Early and appropriate treatment is vital for positive infant outcomes.
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