Practice Guidelines for the Management of Febrile Infants Less Than 90 Days of Age at the Ambulatory Network of a Large Pediatric Health Care System in the United States: Summary of New Evidence

Kourtis et al review and summarize the evidence and controversies surrounding management of infants less than 3 months of age with fever but no evidence of infection after history and physical examination in the US. Given established guidelines, infants traditionally have been managed with empiric l...

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Bibliographic Details
Published in:Clinical pediatrics 2004-01, Vol.43 (1), p.11-16
Main Authors: Kourtis, A. P., Sullivan, Dennis T., Sathian, U.
Format: Article
Language:English
Subjects:
Age Factors
Ambulatory Care - standards
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Babies
Bacteria
Biological and medical sciences
Child Health Services - standards
Delivery of Health Care - standards
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Fever
Fever of Unknown Origin - etiology
Fever of Unknown Origin - therapy
Guidelines
Humans
Infant
Infant, Newborn
Infections
Intensive care medicine
Medical sciences
Pediatrics
Physical examinations
Pneumonia
Practice Guidelines as Topic
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Specific populations (family, woman, child, elderly...)
United States
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Summary:Kourtis et al review and summarize the evidence and controversies surrounding management of infants less than 3 months of age with fever but no evidence of infection after history and physical examination in the US. Given established guidelines, infants traditionally have been managed with empiric laboratory testing, antibiotic treatment, and hospitalization, according to whether they fulfill certain high-risk criteria. However, there appears to be variable compliance among pediatric practitioners to the published guidelines.
ISSN:0009-9228
1938-2707
DOI:10.1177/000992280404300102