Contraindications to acetaminophen
Diarrhea?
Discharge criteria
Consider pediatric or neonatal consult
Contraindications to acetaminophen?
Follow up within 24 hours
Toxic appearing?
UTI?
Respiratory symptoms?
UTI?
Focal skin bacterial infection (ex. cellulits)?
Meets discharge criteria?
Start abx immediatly if ill-appearing, otherwise after CSF Cx is obtained
Respiratory Symptoms
If LP attempted and unsuccessful
If caregivers refuse LP
If patient is well appearing after a period of observation it may be reasonable to give IV or IM ceftriaxone and consider discharge.
Clinically well-appearing features
If testing for RSV or Influenza is positive
Stool Cx/Gastroenteritis PCR, contact isolation
Meets ALL low risk criteria?
CSF WBC >10/mm3?
If patient on prophylactic antibiotics