Fever in hospitalized patients

McGowan, John E.; Rose, Richard C.; Jacobs, Norman; Schaberg, Dennis R.; Haley, Robert W.

doi:10.1016/0002-9343(87)90103-3

Cited by 53 publications

(11 citation statements)

References 28 publications

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“…Using these criteria, only 4 % developed fever. In contrast, a study of more than 4000 patients admitted to the general medical service of a large urban hospital found that 31 % were febrile at some time [10] , and this figure is representative of other prevalence studies that have been done. In these two papers, infection was the commonest cause of fever, causing 67 and 61 % of cases, respectively.…”

Section: Discussionmentioning

confidence: 66%

A prospective study of fever in the intensive care unit

Cîrciumaru¹,

Baldock

Cohen³

1999

Intensive Care Medicine

193

121

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Section: Discussionmentioning

confidence: 66%

A prospective study of fever in the intensive care unit

Cîrciumaru¹,

Baldock

Cohen³

1999

Intensive Care Medicine

193

121

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“…Similarly, the definition of fever within the nursing and medical literature varies widely. In numerous articles, it is defined or operationalized as simply an elevation of body temperature (McGowan et al. 1987, Cunha & Tu 1988, Lohmann 1988, Roberts et al.…”

Section: Introductionmentioning

confidence: 99%

Fever: a concept analysis

Thompson

2005

Journal of Advanced Nursing

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“…2) A febrile episode was considered solved after 72 or 96 hours of apyrexia, depending on the type of patient (non-neutropenic or neutropenic, respectively) [4].…”

Section: Methodsmentioning

confidence: 99%

“…A study of 1987 about fever incidence, prevalence and causes in patients admitted to a municipal hospital of Atlanta, United States, documented 29% of febrile episodes. Proved or suspected infection comprised 74% of all cases, while the remaining 26% were caused by neurological diseases (mainly intracranial, subdural or subarachnoid hemorrhage), malignancy, cardiac and pulmonary diseases, drug-associated reactions, thrombophlebitis or blood/blood-derived products transfusion reactions [4].…”

Section: Introductionmentioning

confidence: 99%

Fever and Infection Prevalence in Hematology-Oncology Hospitalized Patients: A Single-Center Retrospective Study

Costa¹,

Chacim²,

Mariz³

2018

JCT

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Fever is prevalent in hospitalized patients. In hematology-oncology patients, it is related with infection, a disease manifestation or a consequence of immunological dysfunction. This single-center retrospective study aims to determine fever prevalence, describe its causes and evaluate the impact of infection on mortality. We reviewed clinical records of 222 patients admitted to the hospital in three random months of 2015. Around 35% of all hospitalizations were complicated by fever, 42.5% of unknown origin. 90.4% were under treatment. Around 81% did antibiotics, most commonly piperacillin/tazobactam, for around 11 days. 41% changed antibiotics due to fever persistence or microbiological results. The diagnostic yield of microbiological tests was 25%; in 66.7%, a Gram-negative microorganism was isolated. We didn't find an association between infection and mortality. We conclude that fever is common in our hematology-oncology clinic and that the team is trained to assume infection; empirical treatment is in accordance with international recommendations.

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Fever in hospitalized patients

Cited by 53 publications

References 28 publications

A prospective study of fever in the intensive care unit

A prospective study of fever in the intensive care unit

Fever: a concept analysis

Fever and Infection Prevalence in Hematology-Oncology Hospitalized Patients: A Single-Center Retrospective Study

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