A new set of guidelines will help doctors decide which babies will need to be hospitalized and get extensive testing and which will not.
For decades, the care of infants with a fever who were between eight and 60 days old has varied wildly, with some being observed for a just a few hours in the emergency room and others getting a full workup, including a lumbar puncture and other invasive tests and hospitalization that could potentially go on for as long as five days.will help doctors decide which of these extremely fragile babies will need to be hospitalized and get extensive testing and which will not.
“Most of these infants never get a fever, but when one does it can be pretty scary,” said Dr. Sean O’Leary, a coauthor of the guidelines, vice chair of the Committee on Infectious Diseases for the American Academy of Pediatrics, and a professor of pediatrics at the University of Colorado, Anschutz Medical Campus. “What is good about these guidelines from the perspective of a parent is they are based on all the science accumulated over the decades on how to manage an infant with a fever.
Any time an infant younger than 60 days develops a fever, even though the baby looks healthy otherwise, parents should reach out to their pediatrician for guidance, O’Leary said. With older babies, the parents wait a day or so to see if the fever clears. This is the first attempt to standardize care for babies with a fever in this age group, said Dr. Eric Biondi, an associate professor of pediatrics at the Johns Hopkins School of Medicine and director of pediatric hospital medicine at the Johns Hopkins Children's Center in Baltimore.“The problem is these babies can’t tell us much and their immune systems are not as strong as they will be when they get a little older,” he added.
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