Neonates (less than or equal to 28 days of age) and young infants (29-60 days of age) with fever account for a significant number of emergency department (ED) visits. At this age, there is an increased risk of serious bacterial infection (SBI) in urine, blood or the central nervous system. Most of these infants have self-limited viral illnesses, however up to 10-13% of febrile young infants have SBI (of which greater than 90% are urinary tract infections (UTIs). Clinical examination can be unreliable in determining the source or severity of infection. The difficulty lies in differentiating the infant with SBI from those without, while minimizing the risks of investigating and/or treating a febrile infant with no SBI. Additionally, young febrile infants are at risk of poor outcomes if SBI is not diagnosed and treated promptly. For further management tools, see the TREKK Sepsis and Critically Ill Neonate PedsPacs.
BROWSE INFORMATION REPOSITORY
Key Resources
Evidence Repository: Fever Infants (2023)
Evidence Repository: Fever Infants (2023)
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Dr. Brett Burstein, Liza Bialy
Dr. Brett Burstein, Liza Bialy
Evidence Repository: Fever Older (2023)
Evidence Repository: Fever Older (2023)
- Download
Dr. Brett Burstein, Liza Bialy
Dr. Brett Burstein, Liza Bialy
Bottom Line Recommendations: Fever in Young infants (2019)
Bottom Line Recommendations: Fever in Young infants
- Download
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants. Published online: June 2019, Version 2.0.
Recommandations de Base: Fievre - Nouveau-ns et nourrissons (2019)
Recommandations de Base: Fievre - Nouveau-ns et nourrissons
- Download
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants (French). Published online: June 2019, Version 2.0.
Evidence Repository: Fever Infants (2023)
Evidence Repository: Fever Infants (2023)
- Download
Dr. Brett Burstein, Liza Bialy
Dr. Brett Burstein, Liza Bialy
Evidence Repository: Fever Older (2023)
Evidence Repository: Fever Older (2023)
- Download
Dr. Brett Burstein, Liza Bialy
Dr. Brett Burstein, Liza Bialy
Bottom Line Recommendations: Fever in Young infants (2019)
Bottom Line Recommendations: Fever in Young infants
- Download
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants. Published online: June 2019, Version 2.0.
Recommandations de Base: Fievre - Nouveau-ns et nourrissons (2019)
Recommandations de Base: Fievre - Nouveau-ns et nourrissons
- Download
Beer, D and TREKK Network
Beer, D and TREKK Network
Bottom line recommendations for the treatment and management of fever in neonates and infants (French). Published online: June 2019, Version 2.0.
Other
Video: How to manage your childs fever (2023)
Video: How to manage your childs fever
Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This video provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek health care.
This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.
How to manage your child's fever (2004)
How to manage your child's fever
Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This infographic provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek medical care.
This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.
Video: How to manage your childs fever (2023)
Video: How to manage your childs fever
Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This video provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek health care.
This video was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.
How to manage your child's fever (2004)
How to manage your child's fever
Fevers are the body’s natural response to infection. It can be scary when your child has a fever, but fevers will not hurt your child. This infographic provides information about how to take your child’s temperature, how to manage their symptoms, and when to seek medical care.
This infographic was created through a collaboration between ECHO Research (University of Alberta), TREKK, and ARCHE (University of Alberta). Funding was provided by the Networks of Centres of Excellence and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute.
