[log in to unmask] wrote:
> A 6 week old presented to our ER with fever (102F) a day after getting his
> first DPT.
> The baby looked well and had a normal perinatal history and had reliable
> appearing parents
> This is a fairly routine situation yet I was surprised to find out, asking
> pediatricians, our infectious disease people and other Emergency attending
> physicians that management plan varied.
> Some said they would simply discharge the baby with a 24 hour follow up.
> Some would do a partial sepsis w/u (in other words, would treat it as any
> other febrile 6 week old with fever).
> Others said they would do a FULL sepsis w/u (do the tap)
> This particular baby had his bladder catheterized (normal UA)...had a CBC
> ("normal") and was discharged without any antibiotics. The parents were told to
> report tot heir doctor if there was fever the next day.
> is anyone aware of any recent study that looked into this issue ?
> Giora Winnik MD
> Maimonides Med Ctr
> Brooklyn NY
As a GP (primary care physician) I would have to send half my paediatric
cases for full septic work ups if these rules were followed. It again
falls back to treating the patient not the fever.
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