SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

Last Reviewed: January 15, 2026 by SymptomDX Medical Team

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

← Management Protocols

Home Management Protocolspediatric fever 61 to 90 days

Pediatric fever 61 to 90 days

Clinical Assessment Checklist

Browse categories and answer follow-up questions to refine your symptom profile.

Triage and immediate risks

Initial risk sorting

Ill appearance

Lethargy

Poor perfusion

Respiratory distress

Persistent tachycardia

Hypotension

Apnea

Cyanosis

Seizure

High risk context

Prematurity

Significant comorbidity

Immunodeficiency

Indwelling device

Recent antibiotics

Focal bacterial infection

Fever definition

Rectal temperature >=38.0 C at home or clinical setting

Reported fever with reliable measurement treated as fever

Stabilization and sepsis pathway

Time critical stabilization

If shock physiology, activate pediatric sepsis pathway

IV or IO access

Blood culture before antibiotics if no delay

Broad spectrum antibiotics within 60 minutes of shock recognition

If respiratory failure, airway escalation

Bag mask ventilation readiness

High flow nasal cannula or CPAP per local capability

If septic shock, fluid and vasoactives

Isotonic crystalloid bolus 10 to 20 mL/kg

Reassess after each bolus

Additional boluses to total 40 to 60 mL/kg in first hour if no fluid overload and ICU available

If ongoing shock after fluids, initiate vasoactive infusion

Epinephrine or norepinephrine as first line based on physiology and local practice

Avoid dopamine when norepinephrine available

Age band framing for 61 to 90 days

Risk framing

Invasive bacterial infection prevalence reported <1.5% bacteremia

Bacterial meningitis prevalence reported <0.25%

Minimum evaluation threshold

Urinalysis

Urine culture

Option for expanded risk stratification

Same approach as 29 to 60 days pathway when desired

Shared decision making when multiple safe options exist

Medical Disclaimer

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

Last Reviewed: January 15, 2026 by SymptomDX Medical Team

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

← Management Protocols

Home Management Protocolspediatric fever 61 to 90 days