Febrile Infants Swedish Study
NCT07134751 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 2000
Last updated 2026-04-02
Summary
Approximately one million febrile infants aged ≤60 days present annually to pediatric emergency departments (PEDs) in Europe and the United States. Although fewer than 5% are diagnosed with meningitis or bacteremia (invasive bacterial infections - IBIs), and 10-15% with urinary tract infections (UTIs), current guidelines recommend extensive diagnostic evaluations, hospitalization, and empirical treatment with broad-spectrum parenteral antibiotics. This approach may contribute to medical overuse, with implications for patient care, healthcare resource utilization, and environmental sustainability.
The Febrile Infants Swedish Study (FISS) is a prospective observational study conducted across 11 PEDs in Sweden. All febrile infants aged ≤60 days presenting to participating sites will be eligible. A new clinical guideline for the management of infants with fever without source (FWS) will be implemented in 7 PEDs, while 4 PEDs will continue with current standard practice and serve as a comparison group.
The study is expected to run for approximately two years and aims to recruit a minimum of 2,500 febrile infants
Conditions
- Febrile Illness Acute
- Meningitis, Bacterial
- Urinary Tract Infection (Diagnosis)
- Invasive Bacterial Infection
- Serious Bacterial Infection
- Bacteremia
- Sepsis
Sponsors & Collaborators
-
Region Skane
lead OTHER
Eligibility
- Max Age
- 60 Days
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-01
- Primary Completion
- 2027-12-31
- Completion
- 2028-09-30
Countries
- Sweden
Study Locations
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