{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:15:20Z","timestamp":1793639720267,"version":"4.5.1"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The evaluation and management of young infants presenting with fever remains an area of significant practice variation. While most well-appearing febrile young infants have a viral illness, identifying those at risk for invasive bacterial infections, specifically bacteremia and bacterial meningitis, is critical. This statement considers infants aged \u226490 days who present with a rectal temperature \u226538.0\u00b0C but appear well otherwise. Applying recent risk-stratification criteria to guide management and incorporating diagnostic testing with procalcitonin are advised. Management decisions for infants meeting low-risk criteria should reflect the probability of disease, consider the balance of risks and potential harm, and include parents\/caregivers in shared decision-making when options exist. Optimal management may also be influenced by pragmatic considerations, such as access to diagnostic investigations, observation units, tertiary care, and follow-up. Special considerations such as temperature measurement, risk for invasive herpes simplex infection, and post-immunization fever are also discussed.<\/jats:p>","DOI":"10.1093\/pch\/pxad085","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T09:37:33Z","timestamp":1707298653000},"page":"50-57","source":"Crossref","is-referenced-by-count":21,"title":["Management of well-appearing febrile young infants aged \u226490 days"],"prefix":"10.1093","volume":"29","author":[{"given":"Brett","family":"Burstein","sequence":"first","affiliation":[{"name":"Canadian Paediatric Society, Acute Care Committee , Ottawa, Ontario , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Pier","family":"Lirette","sequence":"additional","affiliation":[{"name":"Canadian Paediatric Society, Acute Care Committee , Ottawa, Ontario , 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