Acta Scientific Medical Sciences

Research ArticleVolume 2 Issue 3

How to Manage the Febrile Patient in the Emergency Setting: Is there Anything New?

Ozgur Karcıoglu1*, Hakan Topacoglu2 and Semih Korkut3

1Professor, University of Health Sciences, Department of Emergency Medicine, Istanbul Education and Research Hospital, Istanbul, Turkey
2Professor, Duzce University, School of Medicine, Emergency Department, Duzce, Turkey
3Associate Professor, University of Health Sciences, Deptment of Emergency Medicine, Kartal Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey

*Corresponding Author: Ozgur Karcıoglu, Professor, University of Health Sciences, Dept. of Emergency Medicine, Istanbul Education and Research Hospital, Istanbul, Turkey.

Received: March 20, 2018; Published: May 26, 2018

Citation: Ozgur Karcıoglu., et al. “How to Manage the Febrile Patient in the Emergency Setting: Is there Anything New?”. Acta Scientific Medical Sciences 2.3 (2018).

Abstract

  This article reviews the clinical presentation, diagnosis, and treatment of fever following recent advances and new literature findings to update the primary care and emergency physician in the acute setting.

  There is ongoing debate on the optimal management of fever in primary care and acute setting. General appearance, vital signs and important clinical findings, comorbid conditions and risk factors would compose an elaborate guide to decide unclarified pro- cesses including workup and antibiotic treatment. There is a growing bulk of knowledge supporting that fever is one of the bodily defense mechanisms and therefore should not be aggressively treated except for the patient in extremis and in special circumstances like seizures.

  Diagnostic procedures include white blood cell count, lactate, CRP, procalcitonin and blood cultures, when appropriate. Admin- istration of antipyretic agents, antibiotic therapy, seizure control and supportive therapy including fluid resuscitation titrated and individualized for each clinical scenario comprise the ideal treatment in the acute setting.

Keywords: Fever; İnfection; Sepsis; Diagnosis; Treatment; Emergency

Copyright: © 2018 Ozgur Karcıoglu ., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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