Nosocomial Febrile Illness in the Elderly

Trivalle, C.; Chassagne, Philippe; Bouaniche, M; Landrin, I; Marié, Isabelle; Kadri, N.; Ménard, Jean-François; Lemeland, Jean-François; Doucet, J.; Bercoff, É.

doi:10.1001/archinte.158.14.1560

Cited by 31 publications

(37 citation statements)

References 32 publications

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“…In this study, incidence of HAF was 5.2%, lower than that of other studies [ 2 , 15 ]. Infection accounted for 59.1% of HAF among patients hospitalized in OMHs.…”

Section: Discussioncontrasting

confidence: 78%

“…Procedure-related fever in Western medicine was about 1.5% to 5.9%, [ 2 , 7 ] while incidence of procedure-related fever in our OMH was 4.2%, which was not different from other studies. Among the procedure-related fever in our OMH, fever related to invasive oriental procedure was higher than that related to western medical procedures (2.9% vs. 1.4%).…”

Section: Discussioncontrasting

confidence: 60%

“…Peak body temperature was not associated with infection in this study. In Trivalle’s study on hospital-acquired febrile illness in the elderly, the number of invasive procedures preceding a febrile episode was a significant predictor of infection [ 2 ]. Other studies have shown that higher maximum temperature or higher peak WBC was associated with an infectious etiology for fever [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Hospital-acquired febrile illness is defined as a fever occurring at least 48 h after hospital admission [ 1 ]. The prevalence of hospital-acquired febrile illness has been estimated at 2% to 31% for medical inpatients [ 2 ]. There have been studies on the etiologies of fever in elderly patients, solid organ transplant recipients, cancer patients, and neutropenic hosts [ 3 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Hospital-acquired fever in oriental medical hospitals

Moon

Park

Lee

et al. 2018

BMC Health Serv Res

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BackgroundTraditional Oriental medicine is used in many Asian countries and involves herbal medicines, acupuncture, moxibustion, and cupping. We investigated the incidence and causes of hospital-acquired fever (HAF) and the characteristics of febrile inpatients in Oriental medical hospitals (OMHs).MethodsPatients hospitalized in two OMHs of a university medical institute in Seoul, Korea, were retrospectively reviewed from 2006 to 2013. Adult patients with HAF were enrolled.ResultsThere were 560 cases of HAF (5.0%). Infection, non-infection, and unknown cause were noted in 331 cases (59.1%), 109 cases (19.5%), and 120 cases (21.4%) of HAF, respectively. Respiratory tract infection was the most common cause (51.2%) of infectious fever, followed by urinary tract infection. Drug fever due to herbal medicine was the most common cause of non-infectious fever (53.1%), followed by procedure-related fever caused by oriental medical procedures. The infection group had higher white blood cell count (WBC) (10,400/mm3 vs. 7000/mm3, p < 0.001) and more frequent history of antibiotic therapy (29.6% vs. 15.1%, p < 0.001). Multivariate analysis showed that older age (odds ratio (OR) 1.67, 95% confidence interval (C.I.) 1.08–2.56, p = 0.020), history of antibiotic therapy (OR 3.17, C.I. 1.85–5.41, p < 0.001), and WBC > 10,000/mm3 (OR 2.22, C.I. 1.85–3.32, p < 0.001) were associated with infection.ConclusionsCompared to previous studies on HAF in Western medicine, the incidence of HAF in OMHs was not high. However, Oriental medical treatment does play some role in HAF. Fever in patients with history of antibiotic therapy, or high WBC was more likely of infectious origin.

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“…In this study, incidence of HAF was 5.2%, lower than that of other studies [ 2 , 15 ]. Infection accounted for 59.1% of HAF among patients hospitalized in OMHs.…”

Section: Discussioncontrasting

confidence: 78%

Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hospital-acquired fever in oriental medical hospitals

Moon

Park

Lee

et al. 2018

BMC Health Serv Res

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“…HCAI pneumonia, which constituted 20.1% of all HCAIs in the elderly in our study, represented 10.3% of all infections in a study by Beaujean et al and 20% in a study by Trivalle et al (2,21). Numerous factors contribute to the development of HCAI pneumonia, including previously impaired respiratory defense mechanisms (chronic obstructive pulmonary disease), advanced age, presence of underlying disease and complications (such as renal failure, diabetes mellitus, and immune system suppression), invasive procedures, and corticosteroid use (2,20,21). The presence of these factors in the majority of the elderly patient group in our study may have contributed to the development of HCAI pneumonia.…”

Section: Discussionsupporting

confidence: 54%

An examination of healthcare-associated infections in elderly patients

İskender¹,

Yılmaz²,

Köksal³

2017

Turk J Med Sci

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Background/aim: Healthcare-associated infections (HCAIs) are increasing due to the growing numbers of elderly people requiring long-term care and immunosuppressive therapies. The purpose of this study was to examine HCAIs occurring in elderly inpatients in our hospital. Materials and methods:This study prospectively investigated HCAIs developing in all patients hospitalized over a 1-year period. Diagnosis was based on Centers for Disease Control criteria. The results were subjected to statistical analysis between patients aged over and under 65.Results: A total of 24,692 patients were evaluated and 894 HCAIs were identified. Of these infections, 214 were seen in patients aged 65 or over. The rate of HCAIs in elderly patients was 15.1, compared to 2.9 in the under-65 patient group (P < 0.001). Seventy-nine (36.9%) infections in elderly patients were urinary system infections, 60 (28.0%) were bacteremia, 43 (20.1%) were pneumonia, 29 (13.6%) were surgical site infections, and 3 (1.4%) were other infections. Forty-three of the 187 elderly patients followed with a diagnosis of HCAI died. Seventeen patients had mortality attributable to HCAI. Conclusion:Awareness that HCAIs seen in the elderly have different clinical and microbiological characteristics than those of other patients, and the appropriate precautions being taken, will reduce the problems that may result from these diseases with high mortality and morbidity.

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Special Considerations

Buttaro¹

2012

Nursing Care of the Hospitalized Older Patient

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Nosocomial Febrile Illness in the Elderly

Abstract: Nosocomial febrile illness is a common event in elderly hospitalized patients. In 74% of the patients with NFI, an infection is found. Measures to decrease infectious NFI in the elderly require a reduction in the number of invasive procedures.

Cited by 31 publications

References 32 publications

Hospital-acquired fever in oriental medical hospitals

Hospital-acquired fever in oriental medical hospitals

An examination of healthcare-associated infections in elderly patients

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