Format

Send to

Choose Destination
See comment in PubMed Commons below
Am J Obstet Gynecol. 2001 May;184(6):1066-7.

Prospective analysis of a fever evaluation algorithm after major gynecologic surgery.

Author information

1
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical College of Ohio, Toledo 43614-5809, USA.

Abstract

OBJECTIVE:

We performed a prospective trial to evaluate the feasibility, accuracy, and safety of a postoperative fever algorithm that is based on symptoms and physical examination in an attempt to decrease the random use of urine cultures, blood cultures, and chest radiographs.

STUDY DESIGN:

Our fever algorithm consisted of assessing all febrile postoperative patients for signs and symptoms of infection. If none were present, no tests were ordered.

RESULTS:

Twenty-eight of 105 consecutive patients (27%) had postoperative fever after major gynecologic surgery. Three of 28 febrile patients (11%) were evaluated with tests according to the algorithm. Two of 28 febrile patients (7%) were evaluated in violation of the algorithm. Four febrile patients (14%) had documented infections. Two patients had infections within the first 30 days after discharge. Compared with our previous retrospective review, significantly fewer febrile patients were evaluated with testing with a significantly increased yield of positive test results.

CONCLUSIONS:

Our postoperative fever evaluation algorithm that is based on symptoms and physical examination is feasible, is safe, decreases random testing, and increases the yield of positive test results.

PMID:
11349158
DOI:
10.1067/mob.2001.115227
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center