Minkin M J, Hierholzer W J, Lee R V
Yale J Biol Med. 1976 Jul;49(3):267-72.
Observations are reported on the variation in evaluation and management of 216 episodes of fever in 690 patients on four services of a university hospital. Twenty-two percent of febrile episodes were not commented upon in the medical record. Thirty percent of all fevers and 14% of antibiotic-treated fevers were not evaluated with microbiologic cultures. The extent of evaluation varied with service and varied directly with the height of the fever and the clinical recording of abnormality in temperature.
本文报告了对某大学医院四个科室690例患者216次发热事件的评估和处理情况。22%的发热事件在病历中未作记录。所有发热病例中有30%以及接受抗生素治疗的发热病例中有14%未进行微生物培养评估。评估的程度因科室而异,且与发热程度以及体温异常的临床记录直接相关。