Infection in long-term care residents: Difference between revisions
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== Clinical Presentation == |
== Clinical Presentation == |
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| − | * Fever with temperature >37.8ºC (or repeatedly >37.2ºC, or >1.1ºC increase from baseline temperature) |
+ | * [[Fever]] with temperature >37.8ºC (or repeatedly >37.2ºC, or >1.1ºC increase from baseline temperature) |
| − | * Hypothermia with two or more temperatures ≤36ºC or two or more temperatures with >1.1ºC decrease from baseline temperature |
+ | * [[Hypothermia]] with two or more temperatures ≤36ºC or two or more temperatures with >1.1ºC decrease from baseline temperature |
| − | * |
+ | * [[Hypotension]], with systolic BP ≤90 mmHg, or decrease in SBP by ≥40 mmHg |
| − | * Occasionally new-onset |
+ | * Occasionally new-onset [[hyperglycemia]] |
| − | * Delirium, using the [[CAM]] criteria |
+ | * [[Delirium]], using the [[CAM]] criteria |
* Symptoms that should not prompt assessment for infection include: |
* Symptoms that should not prompt assessment for infection include: |
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** Behavioural changes other than delirium |
** Behavioural changes other than delirium |
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| − | ** Functional decline |
+ | ** [[Functional decline]] |
| − | ** Falls |
+ | ** [[Falls]] |
| − | ** Anorexia |
+ | ** [[Anorexia]] |
== Further Reading == |
== Further Reading == |
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Revision as of 11:41, 29 October 2021
Background
- Often difficult to evaluate
Clinical Presentation
- Fever with temperature >37.8ºC (or repeatedly >37.2ºC, or >1.1ºC increase from baseline temperature)
- Hypothermia with two or more temperatures ≤36ºC or two or more temperatures with >1.1ºC decrease from baseline temperature
- Hypotension, with systolic BP ≤90 mmHg, or decrease in SBP by ≥40 mmHg
- Occasionally new-onset hyperglycemia
- Delirium, using the CAM criteria
- Symptoms that should not prompt assessment for infection include:
- Behavioural changes other than delirium
- Functional decline
- Falls
- Anorexia
Further Reading
- Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents. Infect Control Hosp Epidemiol. 2020;1-10. doi: 10.1017/ice.2020.1282
