Applying the American Academy of Pediatrics guideline to a cohort of febrile infants attending emergency departments in the UK and Ireland

Umana, Etimbuk; Norman-Bruce, Hannah; Mills, Clare; Mitchell, Hannah; McFetridge, Lisa; Waterfield, Thomas

doi:10.1097/mej.0000000000001023

Cited by 1 publication

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References 8 publications

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“…In the UK, Ireland, and Australia, the assessment and management of febrile infants goes up to the 12th week of life. This is in part due to the risk of IBI being similar in those aged 29-60 days (2.2%) and 61-90 days (2.0%) according to UK and Irish data, with urine and blood inflammatory markers recommended as a minimum in this cohort [26,27]. It should be noted that preterm infants and infants with comorbidities were excluded from the studies, and management of these infants should be individualised.…”

Section: The Variation In Invasive Bacterial Infection Rate According...mentioning

confidence: 99%

Conundrums in the Management of Febrile Infants under Three Months of Age and Future Research

Wilcox,

Umana,

Fauteux-Lamarre

et al. 2024

Antibiotics

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Febrile infants under three months of age pose a diagnostic challenge to clinicians. Unlike in older children, the rates of invasive bacterial infections (IBIs), such as bacteraemia or meningitis, are high. This greater risk of IBI combined with the practical challenges of assessing young infants results in a cautious approach with many febrile infants receiving parenteral antibiotics “just in case”. However, there is a range of validated tailored care guidelines that support targeted investigation and management of febrile infants, with a cohort identified as lower risk suitable for fewer invasive procedures and observation without parenteral antibiotics. This manuscript outlines five common conundrums related to the safe application of tailored-care guidelines for the assessment and management of febrile infants under three months of age. It also explores future research which aims to further refine the management of febrile infants.

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Section: The Variation In Invasive Bacterial Infection Rate According...mentioning

confidence: 99%

Conundrums in the Management of Febrile Infants under Three Months of Age and Future Research

Wilcox,

Umana,

Fauteux-Lamarre

et al. 2024

Antibiotics

Self Cite

View full text Add to dashboard Cite

show abstract

Applying the American Academy of Pediatrics guideline to a cohort of febrile infants attending emergency departments in the UK and Ireland

Cited by 1 publication

References 8 publications

Conundrums in the Management of Febrile Infants under Three Months of Age and Future Research

Conundrums in the Management of Febrile Infants under Three Months of Age and Future Research

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