Study of Post Operative Fever in Patients Undergoing Clean Surgeries

Baid, Anand R and Shetty, Sunil Kumar and Joshua , Thangam Verghese and Math, Sunil Kumar (2014) Study of Post Operative Fever in Patients Undergoing Clean Surgeries. IOSR Journal of Dental and Medical Sciences, 13 (4). pp. 99-102. ISSN 2279-0861

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Abstract

Introduction & Background: Fever is a common complaint in post-operative period in patients undergoing clean surgeries. Fever in postoperative period is the result of infection or SIRS. This study is aimed at determining the cause of fever in post-operative period in patients with clean surgeries. Duration of study is from March 2012 to July 2013. The common causes of fever such as SIRS, superficial thrombophlebitis, urinary tract infection, respiratory infection, wound infection, medical causes and anaesthesia related causes have been evaluated for and categorised accordingly. Methods:In this prospective study 623 patients were included. Clinical thermometer was used to chart the temperature. Patients with readings more than 38 degree Celsius at more than two intervals at least 6 hours apart were further evaluated in the form of blood investigations ,urine routine and culture, chest x-ray, blood sugars, malarial parasite test. Results:87 patients had fever (>38°C) postoperatively. 65 patients had fever in the first 24 hours, 15 patients had fever in 24-48 hours and 7 patients had fever 48 hours postoperatively. In 61 patients (70.12%) SIRS was detected as a cause of fever, 12 patients (13.8%) had thrombophlebitis, 7 patients (8.04%) had URTI, 4 (4.6%) had wound infection, 1 patient (1.14%) had UTI and 2 patients (2.3%) hadmalaria. Conclusion:Of the 87 patients with postoperative fever, 67% Patients had aged above 40 years .SIRS is the most common cause of post-operative fever.Superficial thrombophlebitis has been found as a second leading cause for post-operative fever in clean surgeries.Pre-existing co-morbid illness increases the chances of postoperative fever.

Item Type: Article
Subjects: Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 19 Feb 2015 07:33
Last Modified: 19 Feb 2015 07:33
URI: http://eprints.manipal.edu/id/eprint/141980

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