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Practice parameters for evaluating new fever in critically ill adult patients. Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine in collaboration with the Infectious Disease Society of America.

Authors
  • O'Grady, N P
  • Barie, P S
  • Bartlett, J
  • Bleck, T
  • Garvey, G
  • Jacobi, J
  • Linden, P
  • Maki, D G
  • Nam, M
  • Pasculle, W
  • Pasquale, M D
  • Tribett, D L
  • Masur, H
Type
Published Article
Journal
Critical Care Medicine
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Feb 01, 1998
Volume
26
Issue
2
Pages
392–408
Identifiers
PMID: 9468180
Source
Medline
License
Unknown

Abstract

The panel concluded that, because fever can have many infectious and noninfectious etiologies, a new fever in a patient in the ICU should trigger a careful clinical assessment rather than automatic orders for laboratory and radiologic tests. A cost-conscious approach to obtaining cultures and imaging studies should be undertaken if it is indicated after a clinical evaluation. The goal of such an approach is to determine, in a directed manner, whether or not infection is present, so additional testing can be avoided and therapeutic options can be made.

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