Management

The appropriate management of young febrile infants presents another area of disagreement.21 There appears to be no "community standard of practice" regarding the need for hospitalization; some physicians hospitalize all febrile infants younger than age 3 months, and others hospitalize only those under age 1 month. Because the differentiation between sick and well infants is so difficult, all such febrile infants need extensive septic workups. The decision not to hospitalize a small febrile infant must be made after careful clinical and appropriate laboratory assessment and after ensuring the reliability of follow-up.

Current management strategies include the administration of ceftriaxone at a dose of 50 mg/kg to febrile infants between 1 and 3 months of age who are judged to be at low risk for serious bacterial infection when the above criteria are used. 22 A caretaker with a telephone is an additional criterion for such outpatient management. Similarly, Baskin and colleagues23 proposed inpatient management of febrile infants who are between 2 and 4 weeks of age and also judged to be at low risk, using parenteral ceftriaxone and only 24 h of observation. Infants could be discharged if cultures were negative after 24 h.

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook


Post a comment