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Paediatricians develop new guidelines for treating feverish infants – WHIO TV 7 and WHIO Radio


This is one of the hardest parts of being a new parent – your baby has a fever and you don’t know what to do.

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But the American Academy of Pediatrics has tried to reduce the confusion to help determine when a feverish infant needs to be hospitalized or when a baby doesn’t, “Today” reported.

The new guidelines were recently published in the medical journal Pediatrics and the AAP called it “a plan for clinicians who want to ‘do less safely’. ”

They hope to reduce the number of invasive tests a newborn baby could undergo when he has a fever.

The guidelines were developed by examining infants in “General Pediatrics, Infectious Diseases, Pediatric Emergency Medicine, General Emergency Medicine, and Hospital Medicine”. The AAP also worked with experts in epidemiology and algorithms to develop the plan.

Now, if an infant under 60 days of age has a fever, parents should call a doctor. For babies over 60 days of age, parents can wait a day or two to see if the fever subsides.

Dr Eric Biondi, associate professor of pediatrics at the Johns Hopkins School of Medicine and director of pediatric hospital medicine at the Johns Hopkins Children’s Center in Baltimore, said “Today” that the guidelines are for infants with a fever. . “

He said fever can signal many conditions like a bad bacterial infection.

“For a long time, because of this, we probably over-diagnosed, over-treated, over-punctured and over-hospitalized,” Biondi said “Today.”

It all depended on where the baby was being treated.

“At one site, they could undergo a lumbar puncture, undergo invasive tests and be hospitalized. The same infant in another hospital might just have a few hours of observation in the emergency room, ”he explained.

But he recalls that there will be infants who will have to undergo all the tests available, but not all babies will need them.

The new recommendations also call on parents and doctors to work together when it comes to making treatment decisions.

Some parents will accept the risk of not testing while others will want their babies admitted to rule out illnesses, “Today” reported.

To learn more about the details of the guidelines, click here.


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