Septic W/up in febrile infants
BC, CBC with diff, CSF (cc & diff, C&S, glu&protein); CXR, stool for C&S, focal leucocytes; UA, Urine C&S, HSV if mother is HSV positive.
Tx: Febrile infant inpatient. <29 days old.
Ampicillin + Cefotaxime or Gentamicin.
Febrile infant IP. >29 - <90 days old.
Ampicillin or Vanco (if MRSA) + Ceftriaxone
Febrile infant OP: Ceftriaxone IM, f/up 18 - 24 hrs later. Give 2nd dose of Ceftriaxone if needed.