Management and Outcomes of Care of Fever in Early Infancy

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Abstract
Febrile infants often lack suggestive clinical symptoms or findings, making it difficult to distinguish between a minor febrile illness and one that is life-threatening. To avoid the consequences of failing to detect serious bacterial illness (SBI), such as bacteremia and bacterial meningitis, a variety of clinical strategies have been developed to identify infants at high and low risk, including policies that require extensive laboratory testing, hospitalization, and treatment with intravenous antibiotics.1-10 Although these strategies guarantee treatment of all infants with SBI, the costs are high, including considerable iatrogenic morbidity for some infants.10

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