From the Department of Surgery, Division of Orthopaedic Surgery, University of Calgary, Calgary Alta. (Bourget-Murray, Bansal, Heard, Powell); and the Department of Medicine, Division of Infectious Diseases, University of Calgary, Calgary, Alta. (Johnson).
Can J Surg. 2020 May 8;63(3):E231-E232. doi: 10.1503/cjs.004720.
Postoperative fever is common following orthopedic trauma surgery. As the prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection increases in the community, migration into the acute care hospital setting intensifies, creating confusion when fever develops postoperatively. The transmission dynamics of SARS-CoV-2 make it difficult to adequately gauge and pinpoint risk groups with questionnaires at the time of hospital admission. This is particularly problematic when asymptomatic or presymptomatic patients infected with SARS-CoV-2 require urgent surgery and cannot be screened effectively. One approach is to treat every patient as though they were SARS-CoV-2-positive in preparation for surgery, but doing so could exacerbate shortages of personal protective equipment and staffing limitations. Uncertainty regarding the etiology of postoperative fever could be significantly reduced by universal SARS-CoV-2 testing of all surgical patients at the time of hospital admission in addition to routine screening, but testing capacity and a rapid turnaround time would be required.
骨科创伤手术后常出现术后发热。随着社区中严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）感染的流行率增加，向急性护理医院环境的迁移加剧，术后出现发热时会造成混淆。SARS-CoV-2 的传播动态使得在入院时通过问卷调查来充分评估和确定风险群体变得困难。当感染 SARS-CoV-2 的无症状或出现症状前患者需要紧急手术且无法进行有效筛查时，这尤其成问题。一种方法是在准备手术时将每个患者都视为 SARS-CoV-2 阳性，但这样做可能会加剧个人防护设备短缺和人员配备限制。除了常规筛查外，在入院时对所有手术患者进行 SARS-CoV-2 检测，可大大减少术后发热的病因不确定性，但需要具备检测能力和快速周转时间。
