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06:59

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[Fever without a recognizable cause in general practice: what should be done?]

J G Gubler1, R M Lüthy

  • 1Departement für Innere Medizin, Universitätsspital Zürich.

Therapeutische Umschau. Revue Therapeutique
|April 1, 1992
PubMed

Insights

Fever is a common symptom, often without a clear cause. This study offers a management algorithm for febrile adults to identify dangerous infections early and prevent unnecessary antibiotic use.

Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • General Practice

Context:

  • Fever is a frequent reason for medical consultations.
  • Many febrile cases lack a specific diagnosis.
  • Spontaneous resolution is common for unexplained fevers.

Purpose:

  • To provide a structured approach for managing febrile adult patients.
  • To aid in the early detection of serious infections.
  • To reduce the incidence of inappropriate antibiotic prescriptions.

Summary:

  • Presents a clinical algorithm for evaluating febrile adults.
  • Focuses on differentiating benign fever from potentially severe infections.
  • Aims to guide clinicians toward appropriate diagnostic and therapeutic decisions.

Impact:

  • Facilitates earlier identification of critical febrile illnesses.
  • Promotes judicious antibiotic stewardship in primary care.
  • Improves patient outcomes by targeting infections effectively.

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