Evaluation and Management of Febrile Neonates with Dr. Benard Dreyer
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
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.