Ill-appearing febrile 5-week-old infant: the rule of empiric treatment

Efraim Bilavsky*, Dana Singer-Harel, Havatzelet Yarden-Bilavsky, Yehezkel Waisman, Jacob Amir

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


This is a case study of a 5-week-old child, after prolonged hospitalization in the Neonatal Intensive Care Unit, with fever and urinary tract infection caused by extended-spectrum beta-lactamase (ESBL)-producing, gentamicin-resistant, Escherichia coli. This case highlights the importance of taking risk factors for resistant bacterial infection into account in young, ill-appearing infants, and suggests that in some cases empirical antibiotic treatment should be even broader than recommended by current guidelines.

Original languageEnglish
Pages (from-to)759-760, 794
Issue number11
StatePublished - Nov 2009


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