[Practical approach to the patient with fever in the intensive cardiac care unit: diagnostic framework and therapy notes]. in Giornale italiano di cardiologia (2006) / G Ital Cardiol (Rome). 2023 Oct;24(10):800-809. doi: 10.1714/4100.40980.
2023
AO Cuneo
Tipo pubblicazione
Journal Article
Autori/Collaboratori (13)Vedi tutti...
Ferlini M
U.O.C. Cardiologia, Fondazione IRCCS Policlinico San Matteo, Pavia.
Chiappetta D
U.O.C. Cardiologia, Ospedale Annunziata, Cosenza.
Scotton P
U.O.C. Malattie Infettive, Ospedale Ca' Foncello, Treviso.
et alii...
Abstract
The management of the patient with fever in the intensive cardiac care unit begins with a thorough evaluation of the patient, particularly symptoms, clinical history and physical examination, to provide information regarding the origin of the fever. The global evaluation of the patient should be integrated with blood and microbiological tests, in particular blood culture and swab. The laboratory, microbiologic or radiologic tests could be more or less detailed and targeted depending on the type of suspected infection and clinical conditions of the patient. When therapy is necessary, it is crucial to switch, as soon as possible, from broad spectrum antibiotic therapy to antibiotic therapy based on the results of the microbiological exams. Antibiotic therapy could be associated with antipyretic and specific organ support therapy when necessary.
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PMID : 37767832
DOI : 10.1714/4100.40980