- Fever Without Focus
- Fever Without Focus Management Birth to 3 Months
- Fever Without Focus Management 3 to 36 months
- Rochester Criteria for Febrile Infant 0 to 60 days
- Boston Criteria for Febrile Infant 28-89 days
- Yale Scale for Febrile Child 3 to 36 months
- Pediatric Sepsis
- Neonatal Sepsis
- Fever Without Focus Red Flags
- Assessment of febrile child (>38.2 C) aged 29-60 days
- Reassures against serious infection (Occult Bacteremia)
- Reassuring if all criteria are present
- Well appearing infant
- Reassuring examination
- Labs
- White blood count (WBC) <15,000/mm3
- Band to Neutrophil ratio <0.2
- Urinalysis <10 WBC/hpf
- Urine Gram Stain Negative
- CSF <8 WBC/mm3
- CSF Gram Stain Negative
- Chest XRay no infiltrate (if obtained)
- Stool without blood and few to no Fecal Leukocytes on smear (if indicated)
- Higher risk
- Admit and start empiric Antibiotics
- Lower risk (all reassuring criteria met)
- Supports discharge with Antibiotics and with close interval follow-up
- Test Sensitivity: 98%
- Test Specificity: 42%
- Positive Predictive Value: 14%
- Negative Predictive Value: 99.7%