RT Book, Section A1 Avner, Jeffrey R. A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105679855 T1 The Febrile- or Septic-Appearing Infant or Child T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105679855 RD 2024/10/07 AB Children typically have four to six febrile illnesses in the first two years of life with most of these being nonspecific viral illnesses.Widespread vaccination for Haemophilus influenzae type b and Streptococcus pneumoniae has had a profound impact on the incidence of occult bacteremia and serious bacterial illness (SBI).Meticulous history and physical examination, most notably the initial visual inspection of the febrile infant or child is the foundation of accurate diagnosis.In the 28- to 56-day-old febrile infant, risk stratification criteria can be used to identify those at risk for SBI.Focusing parental attention to “controlling the fever” is generally impractical and misguided and contributes to fever phobia.