Ziegler K
Z Gesamte Inn Med. 1979 Aug 1;34(15):405-7.
Fever is a cardinal symptom of most infectious diseases; the febrile conditions not caused by infection are, however, not sufficiently taken into consideration in diagnosis and therapy. In 297 infections with a febrile course only in 26.26% of the cases a therapy with antibiotics was indicated. Antipyretic drugs were only exceptionally used under hospital conditions. Before hospitalisation, however, more than 75% of the 297 patients were treated with antibiotics and/or antipyretically. Virus infections stand in the first place of an unnecessary and, therefore, uncritical chemotherapy. With a casuistic report on the sequels of an uncritical chemotherapy is referred to the dangers for the patient and to the not insignificant economic burden for the society.
发热是大多数传染病的主要症状;然而,非感染性发热状况在诊断和治疗中未得到充分考虑。在297例有发热病程的感染病例中,仅26.26%的病例表明需要使用抗生素治疗。在医院环境中,退烧药仅在极少数情况下使用。然而,在住院前,297例患者中有超过75%接受了抗生素和/或退烧药治疗。病毒感染是不必要且因此不加区分地进行化疗的首要原因。通过一份关于不加区分化疗后果的病例报告,提及了对患者的危险以及对社会造成的不可忽视的经济负担。