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[Transient fever after fiberoptic bronchoscopy--a prospective study].
Marta Drummond1, Adriana Magalhães, Venceslau Hespanhol
1Serviço de Pneumologia do Hospital de São João, Porto.
Revista Portuguesa De Pneumologia
|June 11, 2004
Summary
Transient fever after fiberoptic bronchoscopy (BRF) is common but rarely linked to bacteremia. This study found no specific factors predict fever post-BRF, suggesting it
Area of Science:
- Pulmonology
- Infectious Diseases
- Medical Procedures
Context:
- Fiberoptic bronchoscopy (BRF) is a key diagnostic and therapeutic tool for respiratory diseases.
- Post-BRF fever is a known phenomenon, but its clinical significance and predictors remain unclear.
Purpose:
- To determine the incidence of fever and bacteremia within 24 hours after BRF.
- To identify potential predictive factors associated with fever following BRF.
Summary:
- A prospective study of 131 patients (91 outpatients, 40 hospitalized) undergoing BRF assessed fever (T>38°C) and positive blood cultures.
- Transient fever occurred in 12-12.5% of patients, with bacteremia found in only 4 cases.
- No statistically significant association was found between fever and age, smoking, systemic disease, or endoscopic findings.
Impact:
- Transient fever post-BRF is a frequent, generally benign occurrence.
- Current findings indicate that fever following BRF is not reliably predicted by common patient or procedural factors.
- This underscores the need for careful clinical evaluation rather than relying on predictive markers for post-BRF fever.