| Guideline | Resources |
| Fever in Well-Appearing Children 1 mo-2 yo in the ED: ACEP 2016 Clinical Policy | epocrates Synopsis |
Key Points
In infants ages 1-3 mo, consider LP unless obvious viral illness. In children 2 mo-2 yo, consider tests for UTI, esp if high risk, and use clinical features to decide if CXR warranted. This guidance applies to fever (T ≥38.0°C) in previously healthy, term infants and children appropriately immunized for age.
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Mace SE, et al. Clinical Policy for Well-Appearing Infants and Children Younger Than 2 Years of Age Presenting to the Emergency Department With Fever. Ann Emerg Med. 2016 May;67(5):625-639.e13.
Epocrates Guideline Synopsis Last Update:
Mar 12, 2018
Publication Year:
2016
Source:
ACEP
- American College of Emergency Physicians
Recommendation Level
| [A] | Generally accepted principles for pt care that reflect a high degree of clinical certainty (Class I/multiple Class II studies) |
| [B] | Recommendations that reflect moderate clinical certainty (Class II or strong Class III studies) |
| [C] | Recommendations based on Class III studies or expert consensus |
Abbreviations
| abx | antibiotics |
| ACEP | American College of Emergency Physicians |
| CSF | cerebrospinal fluid |
| cx | culture |
| CXR | chest radiograph |
| LP | lumbar puncture |
| OM | otitis media |
| UA | urinalysis |
| URI | upper respiratory infection |
| UTI | urinary tract infection |
Recommendation Level
| A | = | Generally accepted principles for pt care that reflect a high degree of clinical certainty (Class I/multiple Class II studies) |
| B | = | Recommendations that reflect moderate clinical certainty (Class II or strong Class III studies) |
| C | = | Recommendations based on Class III studies or expert consensus |