Mace SE, Gemme SR, Valente JH, et al. American College of Emergency Physicians. Clinical Policy for Well-Appearing Infants and Children Younger Than 2 Years of Age Presenting to the Emergency Department With Fever. Ann Emerg Med. 2016;67(5):625-639.e13.

Pantell RH, Roberts KB, Adams WG, et al. Evaluation and management of well-appearing febrile infants 8 to 60 days old. Pediatrics. 2021;148(2):e2021052228.

Kuppermann N, Mahajan P, Dayan PS. Fever, absolute neutrophil count, procalcitonin, and the aap febrile infant guidelines. Pediatrics. 2023;151(2):e2022059862.

Kuppermann N, Dayan PS, Levine DA, et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019.

Dr. Nathan Kuppermann

PECARN Rule for Low Risk Febrile Infants 29-60 Days Old

urine

Predicts risk of urinary tract infection, bacteremia, or bacterial meningitis in febrile infants age 29-60 days old.

Serious bacterial infection risk in febrile infants 29-60 days old.

PECARN Febrile Infants (29-60 Days Old)

Christopher Tainter, MD, RDMS, is an intensivist and emergency physician at the University of California, San Diego. Raised in Seattle, Dr. Tainter received his medical degree from the University of Washington School of Medicine. He then completed an emergency medicine residency at the Mount Sinai Hospital in New York City, and a fellowship in anesthesia critical care medicine at the Massachusetts General Hospital. He is the fellowship director for UCSD's emergency medicine/anesthesia critical care medicine fellowship program.

Christopher Tainter, MD, RDMS

Derek Tam, MD, MPH, is a pediatric resident at Maimonides Children's Hospital in Brooklyn, NY. Dr. Tam completed an undergraduate degree in cognitive science at Northwestern University in Chicago, IL, and received his MD and MPH from the Northwestern University Feinberg School of Medicine. He will serve as chief resident for the pediatric residency program at Maimonides for the academic year 2019-2020 and plans to pursue a fellowship in pediatric emergency medicine. His academic interests include emergency medicine, pediatric resuscitation, antibiotic stewardship, and epidemiology.

Derek Tam, MD, MPH

The PECARN Rule for Low Risk Febrile Infants predicts risk of urinary tract infection, bacteremia, or bacterial meningitis in febrile infants ≤60 days old.

Rochester Criteria

Bacterial Meningitis Score

Step-by-Step Approach to Fever

EB Medicine is the premier provider of evidence-based clinical content and CME resources for emergency medicine practitioners.

Listen to the VACO co-creators break down how to use VACO\, what it does\, and what it doesn’t.

Calc Function