Fever Evaluation, Complication and Treatment in Surgical Patients

Hossein Asgar Pour; Serap Gökçe

doi:doi:10.11648/j.cmr.s.2016050201.13

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Fever Evaluation, Complication and Treatment in Surgical Patients

Hossein Asgar Pour, Serap Gökçe

Published in Clinical Medicine Research (Volume 5, Issue 2-1)

Received: 1 February 2016 Accepted: 13 February 2016 Published: 14 March 2016

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Abstract

Fever following surgery is a common event occurring in 14%-91% of postoperative patients. Fever can occur immediately after surgery and seen to be related directly to the operation or may occur sometime after the surgery as a result of complication related to surgery. Although the list of causes of postoperative fever is extensive, the initial focus for most patients should be on a limited number of the more common infectious and noninfectious causes. The classic W5 of postoperative fever are as follows: Wind: atelectasis on postoperative day 1-2, Water: urinary tract infection on postoperative day 2-3, Wound: wound infection on postoperative day 3-7, Walking: deep venous thrombosis/thrombophlebitis on postoperative day 5-7, and Wonder Drug: drug fever on postoperative day>7. Postoperative fever evaluations should take into account numerous factors including timing, the patient’s own medical, surgical, and social history, as well as details of the procedure including significant events comprising the patient’s preoperative, intraoperative, and postoperative period. A focused physical assessment and any additional symptoms the patient is experiencing should be taken into account in evaluating the clinical significance of a postoperative fever and determining appropriate action. Treatments for the postoperative fever are all dependent on the etiology. Thus, identifying the likely cause through a thorough patient history and physical examination becomes critical.

Published in	Clinical Medicine Research (Volume 5, Issue 2-1) This article belongs to the Special Issue Fever: Incidence, Clinical Assessment, Management Choices & Outcomes
DOI	10.11648/j.cmr.s.2016050201.13
Page(s)	11-15
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Fever, Surgery, Postoperative Period

References

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[2]	Asgar Pour H. Ameliyat sonrası ateş ve hemşirelik bakımı. Gümüşhane University Journal of Health Sciences. 2012; 1(4): 309-322.
[3]	Asgar Pour H, Yavuz M. Vücut Sıcaklığındaki Yükselmenin (Ateşin) Hemodinamik Parametrelere Etkisi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 2010; 3 (3): 73-79.
[4]	Baid AR, Shetty KS, Joshua VT, Math KS. Study of postoperative fever in patients undergoing clean surgeries. IOSR Journal of Dental and Medical Sciences. 2014; 13 (4): 99-102.
[5]	Cohen J, Opal SM, Powderly WG. Infectious Diseases, Third Edition, 2010, Elsevier Limited.
[6]	Burke L. Postoperative fever: A normal inflammatory response or cause for concern. Journal of the American Academy of Nurse Practitioners 22 (2010) 192–197.
[7]	Dindo D, Demartines N, Clavien PA. Classification of surgical complications a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of Surgery. 2004. 240 (2): 205-213.
[8]	Jonathan A. Myers, Keith W. Millikan, Theodore J. Saclarides. Common surgical diseases. Johnson M. Postoperative fever. Springer New York, 2008. ISBN 978-0-387-75246-4. 371-374.
[9]	Lesperance R, Lehman R, Lesperance K, Cronk D, Martin M. Early Postoperative Fever and the Routine Fever Work-Up: Results of a Prospective Study. Journal of Surgical Research, 2011. 171, 245-250.
[10]	Lorente L, Jimenez A, Santana M, et al. Microorganisms responsible for intravascular catheter-related bloodstream infection according to the catheter site. Crit Care Med 2007; 35: 2424-2427.
[11]	Mermel LA, Allon M, Bouza E, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. Clin Infect Dis 2009; 49: 1-45.
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[17]	Sikora C, Embil JM. Fever in the Postoperative Patient: A Chilling Problem. The Canadian Journal of CME. 2004: 93-98.

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APA Style

Hossein Asgar Pour, Serap Gökçe. (2016). Fever Evaluation, Complication and Treatment in Surgical Patients. Clinical Medicine Research, 5(2-1), 11-15. https://doi.org/10.11648/j.cmr.s.2016050201.13

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ACS Style

Hossein Asgar Pour; Serap Gökçe. Fever Evaluation, Complication and Treatment in Surgical Patients. Clin. Med. Res. 2016, 5(2-1), 11-15. doi: 10.11648/j.cmr.s.2016050201.13

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AMA Style

Hossein Asgar Pour, Serap Gökçe. Fever Evaluation, Complication and Treatment in Surgical Patients. Clin Med Res. 2016;5(2-1):11-15. doi: 10.11648/j.cmr.s.2016050201.13

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@article{10.11648/j.cmr.s.2016050201.13,
  author = {Hossein Asgar Pour and Serap Gökçe},
  title = {Fever Evaluation, Complication and Treatment in Surgical Patients},
  journal = {Clinical Medicine Research},
  volume = {5},
  number = {2-1},
  pages = {11-15},
  doi = {10.11648/j.cmr.s.2016050201.13},
  url = {https://doi.org/10.11648/j.cmr.s.2016050201.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.s.2016050201.13},
  abstract = {Fever following surgery is a common event occurring in 14%-91% of postoperative patients. Fever can occur immediately after surgery and seen to be related directly to the operation or may occur sometime after the surgery as a result of complication related to surgery. Although the list of causes of postoperative fever is extensive, the initial focus for most patients should be on a limited number of the more common infectious and noninfectious causes. The classic W5 of postoperative fever are as follows: Wind: atelectasis on postoperative day 1-2, Water: urinary tract infection on postoperative day 2-3, Wound: wound infection on postoperative day 3-7, Walking: deep venous thrombosis/thrombophlebitis on postoperative day 5-7, and Wonder Drug: drug fever on postoperative day>7. Postoperative fever evaluations should take into account numerous factors including timing, the patient’s own medical, surgical, and social history, as well as details of the procedure including significant events comprising the patient’s preoperative, intraoperative, and postoperative period. A focused physical assessment and any additional symptoms the patient is experiencing should be taken into account in evaluating the clinical significance of a postoperative fever and determining appropriate action. Treatments for the postoperative fever are all dependent on the etiology. Thus, identifying the likely cause through a thorough patient history and physical examination becomes critical.},
 year = {2016}
}

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TY  - JOUR
T1  - Fever Evaluation, Complication and Treatment in Surgical Patients
AU  - Hossein Asgar Pour
AU  - Serap Gökçe
Y1  - 2016/03/14
PY  - 2016
N1  - https://doi.org/10.11648/j.cmr.s.2016050201.13
DO  - 10.11648/j.cmr.s.2016050201.13
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 11
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PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.s.2016050201.13
AB  - Fever following surgery is a common event occurring in 14%-91% of postoperative patients. Fever can occur immediately after surgery and seen to be related directly to the operation or may occur sometime after the surgery as a result of complication related to surgery. Although the list of causes of postoperative fever is extensive, the initial focus for most patients should be on a limited number of the more common infectious and noninfectious causes. The classic W5 of postoperative fever are as follows: Wind: atelectasis on postoperative day 1-2, Water: urinary tract infection on postoperative day 2-3, Wound: wound infection on postoperative day 3-7, Walking: deep venous thrombosis/thrombophlebitis on postoperative day 5-7, and Wonder Drug: drug fever on postoperative day>7. Postoperative fever evaluations should take into account numerous factors including timing, the patient’s own medical, surgical, and social history, as well as details of the procedure including significant events comprising the patient’s preoperative, intraoperative, and postoperative period. A focused physical assessment and any additional symptoms the patient is experiencing should be taken into account in evaluating the clinical significance of a postoperative fever and determining appropriate action. Treatments for the postoperative fever are all dependent on the etiology. Thus, identifying the likely cause through a thorough patient history and physical examination becomes critical.
VL  - 5
IS  - 2-1
ER  -

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Author Information

Hossein Asgar Pour

Surgical Nursing Department, Ayd?n School of Health, Adnan Menderes University, Ayd?n, TurkeySurgical Nursing Department, Ayd?n School of Health, Adnan Menderes University, Ayd?n, Turkey
Serap Gökçe

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Plain Text BibTeX RIS

APA Style

Hossein Asgar Pour, Serap Gökçe. (2016). Fever Evaluation, Complication and Treatment in Surgical Patients. Clinical Medicine Research, 5(2-1), 11-15. https://doi.org/10.11648/j.cmr.s.2016050201.13

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ACS Style

Hossein Asgar Pour; Serap Gökçe. Fever Evaluation, Complication and Treatment in Surgical Patients. Clin. Med. Res. 2016, 5(2-1), 11-15. doi: 10.11648/j.cmr.s.2016050201.13

Copy | Download

AMA Style

Hossein Asgar Pour, Serap Gökçe. Fever Evaluation, Complication and Treatment in Surgical Patients. Clin Med Res. 2016;5(2-1):11-15. doi: 10.11648/j.cmr.s.2016050201.13

Copy | Download

@article{10.11648/j.cmr.s.2016050201.13,
  author = {Hossein Asgar Pour and Serap Gökçe},
  title = {Fever Evaluation, Complication and Treatment in Surgical Patients},
  journal = {Clinical Medicine Research},
  volume = {5},
  number = {2-1},
  pages = {11-15},
  doi = {10.11648/j.cmr.s.2016050201.13},
  url = {https://doi.org/10.11648/j.cmr.s.2016050201.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.s.2016050201.13},
  abstract = {Fever following surgery is a common event occurring in 14%-91% of postoperative patients. Fever can occur immediately after surgery and seen to be related directly to the operation or may occur sometime after the surgery as a result of complication related to surgery. Although the list of causes of postoperative fever is extensive, the initial focus for most patients should be on a limited number of the more common infectious and noninfectious causes. The classic W5 of postoperative fever are as follows: Wind: atelectasis on postoperative day 1-2, Water: urinary tract infection on postoperative day 2-3, Wound: wound infection on postoperative day 3-7, Walking: deep venous thrombosis/thrombophlebitis on postoperative day 5-7, and Wonder Drug: drug fever on postoperative day>7. Postoperative fever evaluations should take into account numerous factors including timing, the patient’s own medical, surgical, and social history, as well as details of the procedure including significant events comprising the patient’s preoperative, intraoperative, and postoperative period. A focused physical assessment and any additional symptoms the patient is experiencing should be taken into account in evaluating the clinical significance of a postoperative fever and determining appropriate action. Treatments for the postoperative fever are all dependent on the etiology. Thus, identifying the likely cause through a thorough patient history and physical examination becomes critical.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Fever Evaluation, Complication and Treatment in Surgical Patients
AU  - Hossein Asgar Pour
AU  - Serap Gökçe
Y1  - 2016/03/14
PY  - 2016
N1  - https://doi.org/10.11648/j.cmr.s.2016050201.13
DO  - 10.11648/j.cmr.s.2016050201.13
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 11
EP  - 15
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.s.2016050201.13
AB  - Fever following surgery is a common event occurring in 14%-91% of postoperative patients. Fever can occur immediately after surgery and seen to be related directly to the operation or may occur sometime after the surgery as a result of complication related to surgery. Although the list of causes of postoperative fever is extensive, the initial focus for most patients should be on a limited number of the more common infectious and noninfectious causes. The classic W5 of postoperative fever are as follows: Wind: atelectasis on postoperative day 1-2, Water: urinary tract infection on postoperative day 2-3, Wound: wound infection on postoperative day 3-7, Walking: deep venous thrombosis/thrombophlebitis on postoperative day 5-7, and Wonder Drug: drug fever on postoperative day>7. Postoperative fever evaluations should take into account numerous factors including timing, the patient’s own medical, surgical, and social history, as well as details of the procedure including significant events comprising the patient’s preoperative, intraoperative, and postoperative period. A focused physical assessment and any additional symptoms the patient is experiencing should be taken into account in evaluating the clinical significance of a postoperative fever and determining appropriate action. Treatments for the postoperative fever are all dependent on the etiology. Thus, identifying the likely cause through a thorough patient history and physical examination becomes critical.
VL  - 5
IS  - 2-1
ER  -

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