Effect of age on febrile response in patients with healthcare-associated bloodstream infection

doi:10.1016/j.gerinurse.2013.05.009

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Title:	Effect of age on febrile response in patients with healthcare-associated bloodstream infection
Authors:	Lu, Shu-Hua;Chen, Yee-Chun;Chang, Yue-Cune;Yen, Chung-Jen;Dai, Yu-Tzu
Contributors:	淡江大學數學學系
Keywords:	Elderly;Fever intensity;Febrile response;Healthcare-associated bloodstream infection
Date:	2013-09-01
Issue Date:	2013-11-21 15:24:04 (UTC+8)
Publisher:	Philadelphia: Mosby, Inc.
Abstract:	Objective This study aimed to determine the effect of age on febrile response in patients with healthcare-associated bloodstream infection (BSI). Methods This was a retrospective observational study using medical records as the primary source of data. Three indicators measured body temperature changes: basal body temperature (BBT), body temperature at infection onset (onset T), and maximum temperature (max T) during the infection period. Results In a sample of 230 patients there was no significant correlation between BBT or onset T and age. Max T was significantly correlated with age (r = −.191, p = .004). There was wide variation in onset T in all age groups. Conclusions Age showed no effect on BBT and onset T, but blunted max T in patients with bacteremia. This variability in onset T in all age groups emphasizes the need for early recognition of subtle signs of infection and the need to use an individualized definition of fever.
Relation:	Geriatric Nursing 34(5), pp.366-372
DOI:	10.1016/j.gerinurse.2013.05.009
Appears in Collections:	[Graduate Institute & Department of Mathematics] Journal Article

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