Incidence and Diagnostic Evaluation of Postoperative Fever in Pediatric Patients With Neuromuscular Disorders

Yousef, Mohamed; Dranginis, Darius; Rosenfeld, Scott

doi:10.1097/bpo.0000000000001103

Cited by 8 publications

(2 citation statements)

References 16 publications

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“…(1) The tendency for younger children to manifest postoperative fever appears to be similar across surgical specialties − 61% of 108 paediatric patients developed fever following surgical correction of neuromuscular deformities (posterior spinal fusion and hip surgery). [27] The pathophysiological basis of the febrile response to surgery among the paediatric population is not known and warrants further investigation.…”

Section: Unique Patterns Of Temperature Elevations In Paediatric Neur...mentioning

confidence: 99%

Distinct patterns of postoperative fever in paediatric neurosurgery patients

Goyal-Honavar,

Markose,

Gupta

et al. 2023

Preprint

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Purpose: Postoperative fever is a common problem following neurosurgery but data on the causes among paediatric patients is sparse. In this report, we determined the incidence, causes and outcomes of postoperative fever in paediatric neurosurgical patients (<18 years), and contrasted the findings with an adult cohort published recently from our unit. Methods: We recruited 61 patients operated for non-traumatic neurosurgical indications over 12 months. A standard protocol was followed for the evaluation and management of postoperative fever, collecting data regarding operative details, daily maximal temperature, clinical features, and use of surgical drains, urinary catheters, and other adjuncts. Elevated body temperature of >99.9°F or 37.7°C for >48 hours or associated with clinical deterioration or localising features was considered as “fever”; elevated temperature not meeting these criteria were classified as transient elevation in temperature (TET). Results: Twenty-five patients (34.2%) had postoperative fever, more frequent than in adult patients. TET occurred in 12 patients (16.4%). The most common causes of fever were aseptic meningitis (36%), followed by urinary tract infections (16%), pyogenic meningitis, COVID-19 and wound infections. Postoperative fever was associated with significantly longer duration of hospital admission and was the commonest cause of readmission. Conclusion: In contrast to adults, early temperature elevations in paediatric patients may portend infectious and serious non-infectious causes of fever, including delayed presentation with aseptic meningitis, a novel association among paediatric patients. Investigation guided by clinical assessment and conservative antibiotic policy in keeping with the institutional microbiological profile provide the most appropriate strategy in managing paediatric postoperative fever.

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Section: Unique Patterns Of Temperature Elevations In Paediatric Neur...mentioning

confidence: 99%

Distinct patterns of postoperative fever in paediatric neurosurgery patients

Goyal-Honavar,

Markose,

Gupta

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In a study aimed to ascertain the prevalence of fever in 6943 kids during the postoperative phase, Corkum et al (2018) found that 30.6% of kids experienced early postoperative fever (>38.0 °C). In a similar vein, Yousef, Dranginis, and Rosenfeld (2018) in their study aimed to evaluate the frequency of postoperative fever in paediatric patients; concluded that fever during the postoperative stay is a frequent occurrence and frequently prompts extensive diagnostic workup which increases the cost and burden on the health system but has unclear effects on the care of the patient.…”

Section: Introductionmentioning

confidence: 99%

Effect of Nursing Educational Sessions about Fever on Knowledge and Practices of Mothers at Pediatric Surgical Unit

Alaswad

2023

Egyptian Journal of Health Care

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Background: elevation of body temperature is common in postoperative children as an inflammatory reaction to surgical incision prompts the mothers need for support by proper knowledge and practice. Aim the aim was to evaluate the effect of nursing educational sessions about fever on the knowledge and practices of mothers at the pediatric surgical unit. Design one group pre-posttest quasi-experimental research design Sample: A convenience sample of 100 mothers of children admitted to the pediatric surgical unit in Cairo University Specialized Pediatric Hospital for 6 months. Setting: the study conducted at Cairo University Specialized Pediatric Hospital (CUSPH) in the right side of pediatric surgical unit on the fourth floor. Tools: Structured interview questionnaire, observational checklists for axillary temperature, and cold compressors developed by the researcher. Results: there were a statistically significance difference between the total mean scores of mothers' knowledge and practice before and after the educational sessions and at the time of discharge. Also, there was a statistically significant correlation between mothers' knowledge and level of education and place of residence in addition to significant statistical correlation between mothers' axillary temperature practice and level of education. Conclusion: the current study concluded that mothers who receive nursing educational sessions about fever have a higher mean score of knowledge and practice than before. Recommendations: emphasize the importance of education provided for mothers including knowledge and practice to improve their knowledge and performance regarding fever care.

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Fever in the Hospitalized or Critically Ill Child

McNeil

2018

Healthcare-Associated Infections in Children

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Incidence and Diagnostic Evaluation of Postoperative Fever in Pediatric Patients With Neuromuscular Disorders

Abstract: Level IV-retrospective.

Cited by 8 publications

References 16 publications

Distinct patterns of postoperative fever in paediatric neurosurgery patients

Distinct patterns of postoperative fever in paediatric neurosurgery patients

Effect of Nursing Educational Sessions about Fever on Knowledge and Practices of Mothers at Pediatric Surgical Unit

Fever in the Hospitalized or Critically Ill Child

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