Early postoperative fever and the "routine" fever work-up: results of a prospective study

The Journal of Surgical Research
Richard LesperanceMatthew Martin

Abstract

Fever in the postoperative period frequently results in a battery of diagnostic tests in search of an etiology. We sought to evaluate the incidence and utility of extensive postoperative fever evaluations in a teaching hospital setting. Prospective observational study of all adult patients undergoing in-patient general surgical procedures during a 13-mo period. Patients experiencing an early postoperative fever (>100.4° F in the first 72 h) had data collected on their evaluation, the yield of the diagnostic studies, and whether an infectious diagnosis was made. Of 1032 surgical procedures, 245 (23.7%) patients experienced an early postoperative fever. One hundred patients (9.7%) underwent documented fever evaluation. Thirty-five (35%) had blood cultures with no positive results among elective surgery patients. Forty-six patients (46%) had urine cultures sent, of which four infections were diagnosed (8.9%). Fifty chest radiographs were performed, but the diagnosis of pneumonia was made by only three (6.0%). Ultimately, 18 febrile patients (18%) were diagnosed with an infectious source, in nine of these patients the physical exam and clinical picture accurately diagnosed the infection without need for further testing. Early posto...Continue Reading

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Citations

Feb 18, 2016·Critical Care : the Official Journal of the Critical Care Forum·Xin WanChangchun Cao
Jun 2, 2015·Journal of Maxillofacial and Oral Surgery·Amelia ChristabelPramod Subash
Aug 19, 2014·Journal of Surgical Education·Elizabeth M SonnenbergRachel R Kelz
Apr 5, 2017·Dimensions of Critical Care Nursing : DCCN·Susan K O'Mara
Jul 19, 2018·Journal of the American Veterinary Medical Association·Erica J SecorAlastair T Kay
Mar 16, 2019·Diagnosis·Jessica Howard-AndersonRoswell Quinn
Jul 12, 2018·Neurospine·Benjamin C MayoKern Singh
Jan 15, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Hua ChenYan Wang
Jan 17, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Valeria FabreSara E Cosgrove
Feb 6, 2017·Internal Medicine·Xiangcheng XieChangchun Cao
Sep 15, 2020·Journal of Pediatric Gastroenterology and Nutrition·Julia M BosterRobert E Kramer
Feb 13, 2018·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Saad UsmaniRajesh V Lalla
Feb 10, 2021·Clinical Spine Surgery : a Spine Publication·Geoffrey P StricsekJames Harrop

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