Fever Burden in Patients With Subarachnoid Hemorrhage and the Increased Use of Antibiotics

Magee, Carolyn; Bastin, Melissa L. Thompson; Graves, Katelyn Y.; Burgess, Donna; Nestor, Melissa; Lamm, John Richard; Cook, Aaron M.

doi:10.1016/j.jstrokecerebrovasdis.2019.104313

Cited by 7 publications

(7 citation statements)

References 11 publications

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“… 15 , 16 Pneumonia is the most common reason for infectious fever. 5 , 17 Lung injuries were exacerbated by increased intracranial pressure through the brain–lung cross talk mechanism. 18 …”

Section: Discussionmentioning

confidence: 99%

The Perioperative Management of Subarachnoid Hemorrhage During the Coronavirus Disease 2019 Pandemic in China

Zeng

et al. 2020

World Neurosurgery

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Background For most of the international community outside the epicenter, coronavirus disease 2019 (COVID-19) containment is normalizing, and daily medical practice runs parallel to preventing and treating COVID-19. This experience of simultaneously conducting emergent surgery and infection control for COVID-19 disease is useful outside the epicenter during the pandemic. Case Description In this single-center retrospective observational study, we enrolled patients with subarachnoid hemorrhage (SAH) who were emergently admitted from January 23 to April 8, 2020. Based on the COVID-19 triage, patients with SAH were divided into 3 categories: positive, negative, and under investigation. During 77 days, 90 patients with SAH were admitted at the center. The median age was 55 years (range, 18–80 years) and 40 patients (44.4%) were male. None was positive, 42 patients were negative, and 48 patients were under investigation for COVID-19 before surgery. During the same period, 9 patients were diagnosed with COVID-19 without nosocomial infection. Conclusions Rescuing patients with SAH and containment of COVID-19 benefit from joint prevention and control, a centralized system of equipment distribution and personnel assignment, and quick workflow establishment.

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Section: Discussionmentioning

confidence: 99%

The Perioperative Management of Subarachnoid Hemorrhage During the Coronavirus Disease 2019 Pandemic in China

Zeng

et al. 2020

World Neurosurgery

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“…Frequently, fever is not the result of bacterial infections, and distinction between infection-related fever and fever secondary to brain injury (also referred as central fever. Sin embargo, la hipertermia ha demostrado ser un factor de mal pronóstico que aumenta la morbilidad y la mortalidad de los pacientes, en especial cuando se produce más tempranamente o cuando perdura tiempos prolongados, porque ello causa un daño de carácter secundario (15,23,24,(26)(27)(28).…”

Section: Fiebre Y Hemorragia Intracerebralunclassified

“…Existen reportes de episodios febriles en el contexto de la hemorragia intracerebral, en particular con HSA, en los cuales a la fiebre se le atribuye un origen central y su incidencia varía entre el 70 % y el 80 % de los casos (12,25,26,28). El origen de estos episodios de hipertermia neurogénica está dado por un daño en el hipotálamo, al aumentar la vasoconstricción con la disminución del flujo sanguíneo junto con un incremento en la producción de prostaglandinas y citocinas proinflamatorias, que ocasionan un daño hemotóxico con posterior muerte axonal (12,15,23).…”

Section: Fiebre Y Hemorragia Intracerebralunclassified

“…De igual forma, es preciso recordar que se pueden hacer presentes otras causas de fiebre en el paciente con hemorragia intracerebral, dadas por infecciones, las cuales, en su gran mayoría, aparecerán luego de los tres primeros días del inicio del sangrado (26). Las infecciones con la fiebre como su primer síntoma se relacionan con mayor estancia hospitalaria (24).…”

Section: Fiebre Y Hemorragia Intracerebralunclassified

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Fiebre y sus implicaciones en el diagnóstico del paciente neurológico, revisión narrativa de la literatura

Gutiérrez-Torres¹,

Hernández-Cubides²,

Sánchez-Neira

2021

Revista Investig. Salud Univ. Boyacá

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Introducción. La fiebre, se considera uno de los primeros síntomas registrados en pacientes hospitalizados, convirtiéndose en un importante marcador de enfermedad. La presente revisión buscó recopilar evidencia, en torno a la fiebre y su importancia en los diferentes escenarios clínicos que se presentan en el paciente neurológico, ya que en los últimos años se ha logrado comprender mejor el papel que desempeña el sistema nervioso central dentro de la termorregulación. Metodología. Se realizó una búsqueda de la literatura en bases de datos como Pubmed, Ovid, Epistemonikos, Scielo y Google Scholar durante los años 2009 al 2019 en idiomas español e inglés, sobre fiebre e implicaciones en pacientes neurológicos, usando palabras clave como fiebre, sensibilidad, especificidad, likelihood ratio, enfermedades del sistema nervioso, neurología, encefalitis, neuritis y traumatismo del sistema nervioso. Resultados. Se encontraron un total de 374 artículos, de los cuales 48 artículos cumplieron los criterios de inclusión, para la construcción del presente artículo de revisión. Se incluyeron libros de texto, como metaanálisis, revisiones sistemáticas, revisiones scoping, artículos de revisión y estudios observacionales. se analizaron y subdivieron en 8 apartados con temáticas en común para su estudio. Conclusiones. En etapas tempranas de ECV isquémicos o hemorrágicos la fiebre se comporta como una respuesta sistémica secundaria a la injuria de base, siendo crucial corregirla tempranamente. Al mismo tiempo en traumatismo del SNC la fiebre en las primeras 72 horas se identifica como un marcador de mal pronóstico.

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“…Several inflammatory cytokines, adhesion molecules, factors leading to platelet activation, leucocytes, fever and the presence of a systemic inflammatory response syndrome (SIRS) have all been linked to development of DCI and poor outcome. 52,[100][101][102][103][104][105][106][107][108][109][110][111][112][113] The prevalence of infection in aSAH patients, both in and outside the ICU, ranges from 26 to 41% 114 with the most common infections being pneumonia (17 -20%) and urinary tract infections (9 -13%) 115,116 . The presence of an infection during hospital stay was found to be an independent predictor of DCI in a recent prospective cohort study.…”

Section: Prevention Of DCI Inflammation: Antibiotic Treatment To Prevmentioning

confidence: 99%

Strategies for prevention and treatment of delayed cerebral ischaemia after aneurysmal subarachnoid haemorrhage

Gathier¹

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any means, electronic or mechanical, including photocopying, recording or any information storage or retrieval system, without prior permission in writing from the author. The copyright of articles that have been published or accepted for publication has been transferred TABLE OF CONTENTS PART I INTRODUCTION Chapter 1 General introduction PART II FACTORS ASSOCIATED WITH THE DEVELOPMENT OF DCI Chapter 2 Association of automatically quantified total blood volume with delayed cerebral ischaemia Chapter 3 Blood pressure and the risk of delayed cerebral ischaemia and rebleeding Chapter 4 Association of preventive antibiotics with delayed cerebral ischaemia PART III INDUCED HYPERTENSION FOR TREATMENT OF DCI Chapter 5 HIMALAIA (Hypertension Induction in the Management of AneurysmaL subArachnoid haemorrhage with secondary IschaemiA): a randomised single-blind controlled trial of induced hypertension vs. no induced hypertension in the treatment of delayed cerebral ischaemia after subarachnoid haemorrhage Chapter 6 Effects of induced hypertension on cerebral perfusion in delayed cerebral ischaemia Chapter 7 Effects of induced hypertension on functional outcome in delayed cerebral ischaemia Chapter 8 Slow recruitment in the HIMALAIA Study: lessons for future clinical trials in patients with delayed cerebral ischaemia PART IV GENERAL DISCUSSION Chapter 9 General discussion and future directions

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Fever Burden in Patients With Subarachnoid Hemorrhage and the Increased Use of Antibiotics

Cited by 7 publications

References 11 publications

The Perioperative Management of Subarachnoid Hemorrhage During the Coronavirus Disease 2019 Pandemic in China

The Perioperative Management of Subarachnoid Hemorrhage During the Coronavirus Disease 2019 Pandemic in China

Fiebre y sus implicaciones en el diagnóstico del paciente neurológico, revisión narrativa de la literatura

Strategies for prevention and treatment of delayed cerebral ischaemia after aneurysmal subarachnoid haemorrhage

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