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) |
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* 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 |
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* |
* [[Hypotension]], with systolic BP ≤90 mmHg, or decrease in SBP by ≥40 mmHg |
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* Occasionally new-onset |
* Occasionally new-onset [[hyperglycemia]] |
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* Delirium, using the [[CAM]] criteria |
* [[Delirium]], using the [[CAM]] criteria |
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* 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]] |
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** Falls |
** [[Falls in the elderly|Falls]] |
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** Anorexia |
** [[Anorexia]] |
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== Further Reading == |
== Further Reading == |
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Latest revision as of 15:42, 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
