Hunsicker K, Fuss M A, Shollenberger D, Pasquale M D
Lehigh Valley Physicians Group, Lehigh Valley Hospital & Health Network, Allentown, PA 18105, USA.
Int J Trauma Nurs. 1998 Jul-Sep;4(3):85-93. doi: 10.1016/s1075-4210(98)90074-8.
Fever is a common clinical problem in patients hospitalized with trauma. When an infection is suspected, it is important to identify the source of fever and begin definitive care before more severe morbidity occurs. An undirected approach with "pan cultures" has resulted in a high rate of negative cultures obtained and has increased patient care costs. By developing and using an evidence-based fever workup guideline, this institution was able to evaluate and identify infections and reduce costs.
发热是创伤住院患者常见的临床问题。当怀疑有感染时，在更严重的发病情况出现之前，确定发热源并开始确定性治疗很重要。采用“全面培养”的无针对性方法导致获得阴性培养结果的比例很高，并增加了患者护理成本。通过制定和使用基于证据的发热检查指南，该机构能够评估和识别感染并降低成本。
