Sep 28, 2026 · 52 min · 11 segments
**https://gofund.me/3e82dcf43** **Incomplete Workup for Infants Under 60 days of Life- What to do?** **Target Audience:** This activity is directed to physicians…
Zachary WillisGuest
Tony TarchichiHost
It's incomplete evaluation for sepsis or rule-out serious bacterial infection in an infant under two months of age.

So this is an infant you get who is 60 days or younger, and they have a fever, and you're doing the rule-out serious bacterial infection workup, which includes a lumbar puncture.

And what we're seeing more and more of is lumbar punctures are being missed in the emergency department, partially because we're doing less of them because our guidelines are working.

So our colleagues are getting less practice, right? I mean, if you're old enough, you remember when you were in the ER, you would do one or two LPs per shift every time.

So we've been thinking about how to go about this, and I came across this great paper from the Journal of Pediatric Infectious Disease Society in 2026, Volume 15, Number 3, Management of Young Infants with Incomplete Evaluation for Meningitis.

And the authors are Dr. Zachary Willis and Dr. Danilo, I'm going to butcher this name, Buasenso.

Dr. Zachary Willis is an associate professor of pediatrics and division of infectious diseases at UNC, University of North Carolina School of Medicine and UNC Children's Hospital.

He completed pediatric residency at Cincinnati Children's in 2013 and then pediatric ID fellowship at Vanderbilt in 2016.

He joined UNC in 2016 as served as the director of the Pediatric Antimicrobial Stewardship Program there ever since.

And his academic interests include COVID-19 management and diagnostic stewardship in infectious diseases.

It's incomplete evaluation for sepsis or rule-out serious bacterial infection in an infant under two months of age.

So this is an infant you get who is 60 days or younger, and they have a fever, and you're doing the rule-out serious bacterial infection workup, which includes a lumbar puncture.

And what we're seeing more and more of is lumbar punctures are being missed in the emergency department, partially because we're doing less of them because our guidelines are working.

So our colleagues are getting less practice, right? I mean, if you're old enough, you remember when you were in the ER, you would do one or two LPs per shift every time.

So we've been thinking about how to go about this, and I came across this great paper from the Journal of Pediatric Infectious Disease Society in 2026, Volume 15, Number 3, Management of Young Infants with Incomplete Evaluation for Meningitis.

And the authors are Dr. Zachary Willis and Dr. Danilo, I'm going to butcher this name, Buasenso.

Dr. Zachary Willis is an associate professor of pediatrics and division of infectious diseases at UNC, University of North Carolina School of Medicine and UNC Children's Hospital.

He completed pediatric residency at Cincinnati Children's in 2013 and then pediatric ID fellowship at Vanderbilt in 2016.

He joined UNC in 2016 as served as the director of the Pediatric Antimicrobial Stewardship Program there ever since.

And his academic interests include COVID-19 management and diagnostic stewardship in infectious diseases.
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