Abstract
Background Fever is a common presenting sign in children and infants. However, the management of febrile neonates (< 30 days) could be particularly challenging, mainly due to the paucity of specific signs and symptoms to discriminate “simple, self-limited infections”, mostly of viral origin, from serious, life-threatening infections, mostly of bacterial aetiology. Despite several strategies and protocols have been proposed in the medical literature, management of fever do remain a complex issue in the neonatal patient.
Highlights
Fever is a common presenting sign in children and infants
Contents Evaluation of febrile newborns is primarily based on the clinical assessment, even though a combination of history, physical examination findings, and diagnostic screening tests is often required to exclude a serious illness reliably
In this high-risk group of patients, an adequate balance should be maintained, in order to appropriately identify and treat all sick newborns, while minimizing the risks associated with unnecessary invasive testing, hospitalization, and antibiotic treatment
Summary
Paolo Biban*, Simona Spada, Davide Silvagni, Silvia Perlini, Giovanna La Fauci, Chiara Ghizzi. From 71st Congress of the Italian Society of Pediatrics. Joint National Meeting SIP, SIMGePeD, Study Group on Pediatric Ultrasound, SUP Study Group on Hypertension Rome, Italy. Joint National Meeting SIP, SIMGePeD, Study Group on Pediatric Ultrasound, SUP Study Group on Hypertension Rome, Italy. 4-6 June 2015
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