The Febrile Infant

This episode of the Pediatric Emergency Playbook, hosted by Tim Horeckio, focuses on the evaluation and management of well-appearing febrile infants aged 8 to 60 days, based on the American Academy of Pediatrics' clinical policy. Tim discusses the changes in bacteriology and technology that have led to improvements in care, emphasizing the importance of age-based risk assessment and the use of inflammatory markers. He outlines different approaches to working up and treating febrile infants, dividing them into three age groups: 8-21 days, 22-28 days, and 29-60 days, providing detailed guidance, illustrative cases, and potential management scenarios for each group, including when to perform lumbar punctures, administer antibiotics, and admit patients, while also considering parental concerns and preferences.