Journal article
Neonatal Fever in the Term Infant: Evaluation and Management Strategies
Current pediatric reviews, Vol.4(2), pp.84-95
05/2008
DOI: 10.2174/157339608784462052
Abstract
The presence of fever in the neonatal period demands urgent evaluation from healthcare providers since signs and symptoms of a serious bacterial infection in this age group can be nonspecific. Current practice guidelines recommend that febrile neonates should be presumed to have a serious bacterial infection and undergo a sepsis evaluation and hospitalization until the results of diagnostic testing are known. However, less than 50% of outpatient practitioners in a recent study followed these recommendations without apparent adverse outcomes even though the rate of serious bacterial infections in the neonatal period is higher than febrile infants 1-3 months of age. In this article we examine various clinical scenarios that healthcare providers confront when caring for febrile neonates, including whether febrile neonates with respiratory syncytial virus are at increased risk for developing a serious bacterial infection and whether diagnostic testing and empiric antiviral therapy for herpes simplex virus should be part of the standard evaluation of febrile neonates. Although the discovery of inflammatory mediators that are elevated during the early stages of infection has the potential to improve diagnostic capabilities in this age group, there is enough evidence to support international guidelines recommending hospitalization and sepsis evaluations in febrile neonates.
Details
- Title: Subtitle
- Neonatal Fever in the Term Infant: Evaluation and Management Strategies
- Creators
- Joseph M. Geskey - Pennsylvania State UniversityMichael J. Beck - Pennsylvania State UniversityGretchen L. Brummel - Pennsylvania State University
- Resource Type
- Journal article
- Publication Details
- Current pediatric reviews, Vol.4(2), pp.84-95
- Publisher
- Bentham Science Publ Ltd
- DOI
- 10.2174/157339608784462052
- ISSN
- 1573-3963
- eISSN
- 1875-6336
- Number of pages
- 12
- Language
- English
- Date published
- 05/2008
- Academic Unit
- Pharmacy Practice and Science
- Record Identifier
- 9984772259102771
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