This guideline addresses the evaluation and management of well-appearing, term infants, 8 to 60 days of age, with fever ≥38.0°C. Exclusions are noted. After a commissioned evidence-based review by ...the Agency for Healthcare Research and Quality, an additional extensive and ongoing review of the literature, and supplemental data from published, peer-reviewed studies provided by active investigators, 21 key action statements were derived. For each key action statement, the quality of evidence and benefit-harm relationship were assessed and graded to determine the strength of recommendations. When appropriate, parents' values and preferences should be incorporated as part of shared decision-making. For diagnostic testing, the committee has attempted to develop numbers needed to test, and for antimicrobial administration, the committee provided numbers needed to treat. Three algorithms summarize the recommendations for infants 8 to 21 days of age, 22 to 28 days of age, and 29 to 60 days of age. The recommendations in this guideline do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
The National Action Plan to Improve Health Literacy of 20102 set the stage for widespread adoption of health literacy goals. It calls for both organizations and professionals to participate in a ...multi-sector effort to improve health literacy and suggests concrete strategies to achieve that end. Recognizing that addressing health literacy requires more than behavior change on the part of dedicated professionals, a 2012 paper published by the Institute of Medicine (IOM) makes it clear that health care organizations have to tackle system-level factors to ensure that consumers can easily access health care and make informed decisions. The paper identifies ten attributes of health literate organizations, that is, organizations that make it easier for people to navigate, understand, and use information and services to take care of their health.
PDF
