Infectious Diseases in Critical Care Medicine

Table 3

Clinical Syndromic Approach to Fever in the CCU (

Continued

)

Either community-acquired or

Usual maximum temperature

System

Community-acquired fevers

Nosocomial fevers

nosocomial fever



102

8 F



102

8 F

Urinary tract Skin/soft tissue Bone/joint Other

.

Pyelonephritis

.

Cystitis

.

Cellulitis

.

Gas gangrene

.

Mixed soft gas tissue infection

.

Acute osteomyelitis

.

Alcohol withdrawal syndrome

.

Delirium tremens

.

CAB

.

Fat emboli

.

Transient bacteremias

.

Blood/blood product transfusions

.

Urosepsis

.

Uncomplicated wound infection

.

Chronic osteomyelitis

.

Septic arthritis

.

Acute gout/pseudogout

.

RA flare

.

SLE flare

.

Acute/relative adrenal insufficiency

.

Hematomas

þþ þ þ þþþþ þ þþ þ

þ þ þ þ þ þ þ þ þ

Abbreviations

: CNS, central nervous system; RA, rheumatoid arthritis; SBE, subacute bacterial endocarditis; ABE, acute bacterial endocarditis; BOOP, bronchiolitis obliterans

organizing pneumonia; ICH, intracranial hemorrhage; CMV, cytolamegalovirus; CVC, central venous catheter; CAP, community-acquired pneumonia; GI, gastrointestinal;CAB, catheter-associated bacteriuria; SLE, systemic lupus erythematosus; CVA, cerebral vascular accident; VAP, ventilator-associated pneumonia.{In normal hosts (excluding IVDAs).

Clinical Approach to Fever in Critical Care 5