Managing fever in infants and toddlers: toward a standard of care.
Fever in infants and toddlers can portend a serious bacterial illness requiring a prompt medical response. When dealing with a febrile child between 1 and 36 months of age, physicians should consider toxicity, focal infections, age, and the results of a sepsis workup and then use a strategy based on the Rochester criteria to assess whether the patient is at low risk for a serious bacterial illness. On the basis of that determination, a plan for inpatient or outpatient management can be selected. Variations in treatment can reasonably be based on clinical judgment and physician and parent preferences.
Lopez
J A
JA
Santa Rosa Family Practice Residency Program, San Antonio, TX 78207-3198, USA.
McMillin
K J
KJ
Tobias-Merrill
E A
EA
Chop
W M
WM
D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D002675:Child, Preschool; D005334:Fever / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010347:Patient Care Planning / Q000592:standards; D012307:Risk Factors; D018805:Sepsis / Q000150:complications / Q000175:diagnosis
D000900:Anti-Bacterial Agents