A 3-week-old infant has a temperature of 38.4 C and is feeding well. What is appropriate?
Answer and explanation
Correct answer: A. A full sepsis workup with blood, urine and cerebrospinal fluid tests and empiric antibiotics
- Step 1: Neonates cannot localize serious infection and look well even with meningitis. Step 2. Fever at this age needs cultures and early antibiotics. Answer: a full sepsis workup. Why not the others: the remaining options describe a different concept, measure or action and are not supported by Canadian guidance or law.
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