对发烧的自我报告评估的探索性和定性分析
Patrick T Delaplain1, Jeffrey Santos2, Justin Dvorak3
1Boston Children's Hospital, Harvard Medical System, Boston, Massachusetts, USA.
Surgical infections
|February 7, 2024
概括
术后发烧评估缺乏一致的实践. 只有体检和常规实验室 (如CBC) 才有共识;其他测试和治疗方法在临床医生之间存在很大差异,突出需要更明确的指导方针.
科学领域:
- 传染性疾病 传染性疾病
- 外科手术的结果
- 临床实践指南 临床实践指南
背景情况:
- 手术后发烧很常见,但评估和管理缺乏标准化的方法.
- 在决定何时评估发烧和启动实证抗生素治疗时存在变化.
- 缺乏共识会影响患者护理和资源利用.
研究的目的:
- 调查外科感染学会成员关于评估术后发烧的当前做法.
- 在发烧工作和管理中确定共识和平衡的领域.
- 为开发基于证据的指导方针提供信息,用于术后发烧评估.
主要方法:
- 对外科感染学会会员的调查,使用8种用于发烧术后患者的临床情景.
- 包括19个工作组件 (例如,CBC,成像,生物标志物) 和管理选项 (抗生素).
- 对重症监护室 (ICU) 患者的情况进行了重新评估;<1/4或>3/4的受访者将共识定义为同意.
主要成果:
- 只有全血细胞计 (CBC) 和体检才能达成广泛的共识.
- 血液/尿液培养,成像,乳酸,前素 (PCT) 和经验性抗生素缺乏共识.
- 发烧值,持续时间,临床怀疑和生理表现是关键的定性决定因素.
结论:
- 只有对于发烧术后患者的基本评估 (体检,常规实验室) 存在共识.
- 诊断和治疗选择的显著变化凸显了对标准化方案的需求.
- 均衡的领域是正式临床指导和未来研究的主要候选人.
更多相关视频
06:31Precision Implementation of Minimal Erythema Dose MED Testing to Assess Individual Variation in Human Inflammatory Response
Published on: October 3, 2019
8.7K
00:08A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences
Published on: September 4, 2019
7.0K
相关概念视频
Patterns of Fever
2.6K
Before understanding the types and patterns of fever, it is essential to know its phases.
2.6K
Assessing Body Temperature - Rectal
4.1K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
4.1K
Assessing Body Temperature - Oral
745
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
745
Assessing Body Temperature - Axilla
588
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
588
Assessing Body Temperature - Temporal Artery
552
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
552
Assessing Body Temperature - Tympanic membrane
581
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
581
