title: Managing fever in infants and toddlers: toward a standard of care.
abstract: 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.
authors.affiliation: Santa Rosa Family Practice Residency Program, San Antonio, TX 78207-3198, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Lopez
authors.forename: K J
authors.initials: KJ
authors.lastname: McMillin
authors.forename: E A
authors.initials: EA
authors.lastname: Tobias-Merrill
authors.forename: W M
authors.initials: WM
authors.lastname: Chop
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents