Skip to main content

Table 3 Diagnostic tests and their utility in the well‐appearing febrile young infant. Data from references [22, 25, 49, 50]

From: Facing the ongoing challenge of the febrile young infant

Test

Indications

Potential role in management

RSV testing

Infants with respiratory symptoms

If positive, may safely avoid LPs, antibiotic exposure, and hospitalizations

EV testing

Infants undergoing LP and CSF studies

If positive, may consider discontinuing antibiotics, discharge home if bacterial cultures negative at 24–36 h

Influenza testing

Infants with respiratory symptoms, especially during high regional prevalence

If positive, may consider discontinuing antibiotics, discharge home if bacterial cultures negative at 24–36 h

Procalcitonin

Otherwise low‐risk infants with negative virological testing

If normal/minimal elevation: may consider initial inpatient observation off antibiotics, avoidance of LP, or outpatient management

  1. LP lumbar puncture, CSF cerebrospinal fluid, RSV respiratory syncytial virus, EV enterovirus