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1 results

  • Documentation and Evaluation of Fevers in Hospital-Based and Community-Based Nursing Homes
  • Timothy R. Franson, Jeffrey M. Schicker, Susan M. LeClair, Raymond G. Hoffmann, Edmund H. Duthie, Jr.
  • Journal: Infection Control & Hospital Epidemiology / Volume 9 / Issue 10 / October 1988
  • Published online by Cambridge University Press: 21 June 2016, pp. 447-450
  • Print publication: October 1988
  • View abstract
    Abstract

    We reviewed clinical evaluation practices and documentation of fever (>100.2°F) in all febrile patients over a two-month period in a hospital-based nursing home (HBNH) compared with a community-based nursing home (CBNH). Results showed 38 febrile (mean 101.9°F) HBNH patients and 26 febrile (mean 101.5°F) CBNH patients. Median time from fever onset to physician contact was 4 hours in HBNH and 12.5 hours in CBNH episodes (P<0.01). Laboratory studies were initially performed in 68% of HBNH and 31% of CBNH episodes (P<0.005), and diagnosis of fever source was documented in 76% of HBNH and 16% of CBNH episodes (P<0.005). Overall assessment stratification showed 81% febrile HBNH patients had both evaluation and therapy performed compared with 38% in CBNH (P<0.0001); 39% of febrile CBNH patients had no evaluation or therapy performed. Results indicate lack of documentation, and fever evaluation in CBNHs may preclude complete detection of nursing home-acquired infections and thereby hamper preventive responses to potential infection problems.