Chorioamnionitis, neonatal infection, and omphalitis practice

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Paediatricscommon

A 24-day-old girl is brought to the emergency department after her mother measured an axillary temperature of 38.3°C at home. She was born at term after an uncomplicated pregnancy and delivery and has been breastfeeding slightly less than usual today. On examination she is alert with normal tone, temperature 38.1°C, heart rate 168/min, respiratory rate 48/min and capillary refill under two seconds. The anterior fontanelle is soft and examination of the chest, abdomen, skin and umbilicus is unremarkable. Which one of the following is the most appropriate next step in management?