Curbside Health

Neonatal Fever (0 - 29 days)

Contribute Edits Sign In Sign up

Neonatal Fever (0 - 29 days)

Ceftriaxone and bilirubin

Ceftriaxone may interfere with bilirubin excretion and should be avoided in neonates < 30 days or at high risk of hyperbilirubinemia

If LP attempted and unsuccessful

Send any CSF obtained for Cx
Admit
Start empiric antibiotics

Gastroenteritis PCR, Stool

Replace Ampicillin with Vancomycin

Vancomycin injection

Respiratory Symptoms

Respiratory rate >50
Rales
Rhonchi
Retractions
Wheezing
Coryza
Grunting
Stridor
Nasal flaring
Cough

Acetaminophen suspension

Contraindications to acetaminophen

Allergy or hypersensitivity
Hepatic impairment
Severe hypovolemia
PKU or other liver disease
Chronic malnutrition

CSF WBC >20/mm3?

X-ray Chest, 1 view

Respiratory Viral Panel, Nasopharyngeal

Admit to ICU

Diarrhea?

Abscess, umbilical or other cellulitis?

Toxic appearing?

Respiratory symptoms?

Gentamicin injection

Ampicillin injection

HSV risk factors

Vesicular rash
Hepatosplenomegaly
Thrombocytopenia
CSF pleocytosis (>20/mm3)
Postnatal HSV contact
Maternal history of genital HSV infection
Interstitial pneumonitis
Seizures

If patient on prophylactic antibiotics

Full septic workup including LP, admission and empiric antibiotics

Inclusion Criteria

Fever > 38.0 C (100.4 F) x1 at home, OSH or in ED
Hypothermia < 36.0 (96.8 F) x1 at home, OSH or in ED

Exclusion Criteria

Immunosuppressed, cancer
Central venous catheter
Ventriculoperitoneal shuts

If testing for RSV or Influenza is positive

Full septic workup including LP, admission and empiric antibiotics

Contraindications to acetaminophen?

Type:

Pathway

Visibility:

Any public visitor to Curbside

Created:

7 months

(2020-06-14)

Last published:

(2020-10-31)

Current Editors:

Dan Imler, MD

ntd

Version:

(2020-10-31)

view older

(2020-06-14)

(2020-05-04)

Citation:

Admin, C. Imler, D. Neonatal Fever (0 - 29 days). Curbside Health. January 28,2021. Available from: curbsidehealth.com/content_pathways/78

Curbside Disclaimer

Medicine is a personal and ever changing science where providers of medical care have a responsibility to use the most recent and reliable information to guide their patients. Curbside allows medical providers to create and distribute clinical pathways to improve the care provided at their institutions. However, there is the constant potential for human error, changes in medical sciences or patient specific variables that may not be taken into account in these pathways. Therefore, Curbside cannot warrant that the information contained in these resources is accurate or complete and are not responsible for any errors or omissions or for the results obtained from the use of this information. All users of Curbside should confirm the information provided here with other trusted sources and consult with expert health providers before making any health care decision. Please see

Terms & Conditions for more information

Type:

Pathway

Visibility:

Any public visitor to Curbside

Created:

7 months

(2020-06-14)

Last published:

(2020-10-31)

Current Editors:

Dan Imler, MD

ntd

Version:

(2020-10-31)

view older

(2020-06-14)

(2020-05-04)

Citation:

Admin, C. Imler, D. Neonatal Fever (0 - 29 days). Curbside Health. January 28,2021. Available from: curbsidehealth.com/content_pathways/78

Curbside Disclaimer

Terms & Conditions for more information

Share a suggestion with the pathway's editors:

The editor of this pathway appreciates your feedback and will try to address this issue as soon as possible.Thanks

Node Data

Sign In

Video Resource

Select Pathway

Save Template

Save as a Template

Session

Tracking:

Current Activity:

Patient Data

Sex

Age

Accumulated Orders

Details

Share Feedback