Extensive fever workup produces low yield in determining infectious etiology

American Journal of Obstetrics and Gynecology

Volumn 192, Issue 5 SPEC. ISS., 2005, Pages 1729-1734

  Schey, Dana ^a   Salom, Emery M ^a   Papadia, Andrea ^b   Penalver, Manuel ^a  

^a JACKSON MEMORIAL HOSPITAL   (United States)

^b UNIVERSITY OF GENOA   (Italy)

Author keywords

Febrile morbidity; Fever workup; Infectious

Indexed keywords

ADULT; ARTICLE; BLOOD; BODY TEMPERATURE; CONFIDENCE INTERVAL; EVALUATION; FEMALE; FEVER; GYNECOLOGIC SURGERY; HUMAN; HYSTERECTOMY; INFECTION; LEUKOCYTE COUNT; MICROBIOLOGY; MIDDLE AGED; PATHOPHYSIOLOGY; POSTOPERATIVE PERIOD; PREDICTION AND FORECASTING; RETROSPECTIVE STUDY; RISK; TIME; URINE;

ADULT; BLOOD; BODY TEMPERATURE; CONFIDENCE INTERVALS; FEMALE; FEVER; GYNECOLOGIC SURGICAL PROCEDURES; HUMANS; HYSTERECTOMY; INFECTION; LEUKOCYTE COUNT; MIDDLE AGED; ODDS RATIO; POSTOPERATIVE PERIOD; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; TIME FACTORS; URINE;

EID: 20644459486     PISSN: 00029378     EISSN: 10976868     Source Type: Journal    
DOI: 10.1016/j.ajog.2004.11.049     Document Type: Article

References (20)

1. Salom EM, Schey D, Penalver M, Gomez-Marin O, Lambrou N, Almeida Z, et al. The safety of incidental appendectomy at the time of abdominal hysterectomy. Am J Obstet Gynecol 2003;189:1563-7.
2. Roe CF. Surgical aspects of fever. Curr Probl Surg 1968:1-43.
3. Davatelis G, Wolpe SD, Sherry B, Dayer JM, Chicheportiche R, Cerami A. Macrophage inflammatory protein-1: a prostaglandin-independent endogenous pyrogen. Science 1989;243(Pt 1):1066-8. (Pubitemid 19072583)
4. Wortel CH, van Deventer SJ, Aarden LA, Lygidakis NJ, Buller HR, Hoek FJ, et al. Interleukin-6 mediates host defense responses induced by abdominal surgery. Surgery 1993;114:564-70. (Pubitemid 23264723)
5. Klimek JJ, Ajemian ER, Gracewski J, Klemas B, Quintiliani R. A prospective analysis of hospital-acquired fever in obstetric and gynecologic patients. JAMA 1982;247:3340-3. (Pubitemid 12120302)
6. Fanning J, Neuhoff RA, Brewer JE, Castaneda T, Marcotte MP, Jacobson RL. Frequency and yield of postoperative fever evaluation. Infect Dis Obstet Gynecol 1998;6:252-5. (Pubitemid 29066603)
7. Fanning J. A prospective randomized trial of ampicillin sulbactam vs cefoxitin. Int J Gynecol Cancer 1996;6:298-301.
8. Senior CC, Steigrad SJ. Are preoperative antibiotics helpful in abdominal hysterectomy? Am J Obstet Gynecol 1986;154:1004-8. (Pubitemid 16085716)
9. Sevin BU. Antibiotic prevention of infectious complicating radical abdominal hysterectomy. Am J Obstet Gynecol 1984;4:539-45. (Pubitemid 14014003)
10. Marsden DE. Factors affecting the incidence of infectious. Am J Obstet Gynecol 1985;152:817-21.
11. Schwandt A, Andrews SJ, Fanning J. Prospective analysis of a fever evaluation algorithm after major gynecologic surgery. Am J Obstet Gynecol 2001;184:1066-7. (Pubitemid 32434244)
12. Swisher ED, Kahleifeh B, Pohl JF. Blood cultures in febrile patients after hysterectomy: cost-effectiveness. J Reprod Med 1997;42:547-50. (Pubitemid 27400981)
13. Ahya SN, Flood K, Paranjothi SM, Schaiff RA, Carey CF, Woeltje KF, et al, editors. The Washington manual of medical therapeutics. 30th ed. Philadephia: Lippincot Williams & Wilkins.
14. Stenchever MA, Droegemueller W, Herbst AL, Mishell DR Jr, editors. Comprehensive gynecology. 4th ed. 2001;772-3.
15. McNally C, Krivak TC, Alagoz T. Conservative management of isolated posthysterectomy fever. J Reprod Med 2000;45:572-6. (Pubitemid 30620769)
16. Perlino CA. Postoperative fever. Med Clin North Am 2001;85:1141-9. (Pubitemid 32862134)
17. Shackelford DP, Hoffman MK, Davies MF, Kaminski PF. Predictive value for infection of febrile morbidity after vaginal surgery. Obstet Gynecol 1999;93:928-31. (Pubitemid 29247097)
18. Freischlag J, Busuttil RW. The value of postoperative fever evaluation. Surgery 1983;94:358-63. (Pubitemid 13043136)
19. Lyon DS, Jones JL, Sanchez A. Postoperative febrile morbidity in the benign gynecologic patient: identification and management. J Reprod Med 2000;45:305-9. (Pubitemid 30238163)
20. Antonelli E, Morales MA, Dumps P, Boulvain M, Weil A. Sonographic detection of fluid collections and postoperative morbidity following cesarean section and hysterectomy. Ultrasound Obstet Gynecol 2004;23:388-92. (Pubitemid 38530307)