Curbside Consults Podcast

By Clement Lee, MD, MSc

Published July 20, 2022

In this episode of Curbside Consults, we examine the latest guidelines on the evaluation and management of well-appearing febrile infants 8-60 days old by the American Academy of Pediatrics (AAP). We are joined by Dr. Benard Dreyer, a Professor of Pediatrics at NYU, the past president of the AAP, who is one of the guideline authors.

00:05 – Intro
00:40 – Epidemiology of neonatal fever
02:33 – Challenges in developing this guideline
05:17 – Infants 8-21 days old
07:37 – Infants 22-28 days old
09:42 – Summary of infants 22-28 days old
10:32 – Infants ≥28 days old: historical criteria
12:18 – Infants ≥28 days old: lumbar puncture
13:25 – Children excluded from the guideline
15:45 – Anticipatory guidance for parents
17:13 – Concluding remarks

Articles discussed in this episode:

1. Pantell RH et al. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics 2021.

The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

Benard Dreyer, MD, is Professor of Pediatrics at NYU and the past president of the AAP.
Clement is a 2021–2022 NEJM Editorial Fellow. He is currently an internal medicine hospitalist at Beth Israel Deaconess Medical Center and a pediatric hospitalist at Lowell General Hospital. He completed his internal medicine-pediatrics residency at Penn-CHOP.