Pediatric Infectious Pathway Router
Clinical decision support only. Does not replace clinician judgment.

Patient Intake

Computed age_days: 365

Clinical Findings by System

Constitutional
Neurologic
Eye
Head, Ear, Nose & Throat
Respiratory
Gastrointestinal
Genitourinary
Skin & Soft Tissue
Musculoskeletal
Open OpenEvidence ↗
Preview prompt
I am evaluating a febrile 12-month-old female patient in the pediatric emergency department. Please give an evidence-based, guideline-referenced answer with citations.

PRESENTATION
- Age: 365 days
- Tmax: 38.5°C for 1 day(s)
- Immunization status: Up To Date
- Appearance: well-appearing
- Findings: no additional findings selected
- UTICalc pretest probability of UTI: 2.82%

PROPOSED ISOLATION PRECAUTIONS
- No transmission-based precautions triggered: Standard

QUESTIONS
1. What is the most likely diagnosis and what else must not be missed?
2. What diagnostic workup is recommended for this age and presentation?
3. What empiric therapy and disposition are supported by current guidelines?
4. Are the proposed isolation precautions appropriate?

Activated pathways

UTICalc pretest: 2.82%

No pathways activated yet. Select findings to populate the differential.

Recommended precautions

UCSF isolation table ↗

No transmission-based precautions triggered

Standard
Trigger: Default
Standard precautions apply to every patient encounter.

Empiric guidance derived from the UCSF Health Infection Prevention isolation table. Confirm with your infection prevention team; Standard precautions always apply.

Rule trace (23)
  • ○ infant_split: Age >= 60 days
  • ○ sepsis_rule: No sepsis trigger flags
  • ○ onc_fever_rule: No onc trigger
  • ○ seizure_rule: No seizure
  • ○ meningitis_rules: No meningitis direct/consider trigger
  • ○ ili_rule: No influenza-like illness
  • ○ pharyngitis_rule: Centor module not triggered
  • ○ broad_finding_alignment: No broad alignment additions
  • ○ rash_module: No rash selected
  • ○ bronchiolitis_rule: No bronchiolitis trigger
  • ○ neck_space_rule: No neck-space trigger
  • ○ pneumonia_rule: No pneumonia trigger
  • ○ croup_rule: No croup trigger
  • ○ orbital_preseptal_rule: No orbital/preseptal trigger
  • ○ gastro_rule: No gastro trigger or severe focal abdominal pain present
  • ○ cellulitis_abscess_rule: No cellulitis/abscess trigger pattern
  • ○ osteomyelitis_rule: No osteomyelitis trigger
  • ○ kawasaki_rule: No Kawasaki activation/consider criteria met
  • ○ uti_dysuria_rule: No dysuria trigger
  • ○ uti_flank_pain_rule: No flank pain trigger
  • ○ uti_fever_without_source_rule: No fever_without_source trigger
  • ○ uticalc_rule: UTICalc 2.82% < 2%
  • ○ critical_overrides: No critical override flags set