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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).

Advanced Emergency Nursing Journal
|December 5, 2024
PubMed

Insights

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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