Fever without source in children less than 2 years of age
#peds
Approach to the well-appearing febrile infant ≤ 28 days old
•Full septic workup
▫CBC with differential and blood culture
▫CSF for WBC & diff., protein, glucose, gram stain, culture
▫Urine microscopy/urinalysis and culture
▫Stool culture (if diarrhea present)
▫Chest x-ray (if respiratory symptoms/signs)
•Empiric therapy
▫Ampicillin and gentamicin if no evidence of meningitis
▫Ampicillin and cefotaxime with meningitis
▫Acyclovir added if risk factors or clinical finding suggestive of HSV
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Details