IDSA/SCCM: New Fever in Critically Ill Patients

Zusammenfassung

Update History This is an update, now using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology, of the 2008 Infectious Diseases Society of America and Society (IDSA) and Society of Critical Care Medicine (SCCM) guideline for the evaluation of new-onset fever in adult ICU patients without severe immunocompromise (3). Any recommendation from the 2008 guideline not specifically addressed in this update remains in place. In this document, we address microbiolo

Kerninformationen

ctice providers, clinical pharmacists, nurses, respiratory therapists, and policymakers. Abstract Rationale: Fever, a frequent early indicator of infection, occurs in 26–88% of adult ICU patients, depending on the definition used and characteristics of the cohort studied (1). The range of potential ...

as strong or weak or as best-practice statements. Results: The panel issued 12 recommendations and 9 best practice statements. The panel recommended using central temperature monitoring methods, including thermistors for pulmonary artery catheters, bladder catheters, or esophageal balloon thermistor...

e temperature measurements are critical to diagnosis and management. For patients without these devices in place, we suggest using oral or rectal temperatures over other temperature measurement methods that are less reliable (such as axillary or tympanic membrane temperatures, noninvasive temporal a...

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