Featured Weekly Abstracts/Journals/Reviews – Noninfectious Causes of fever in adults.

I love journals and abstracts, so on care city we feature abstracts and journals and we always include links to direct you to where you can get full information.

This week we will feature an abstract from the Nurse Practitioner e-journal, discussing the Noninfectious Causes of fever in adults.

It’s highly informative and educating, try visiting the full article if you need more information.

Article Details:

Steele, Gregory M. MSN, RN, FNP-BC, OCN; Franco-Paredes, Carlos MD, MPH; Chastain, Daniel B. PharmD, AAHIVP

The Nurse Practitioner: April 19, 2018 – Volume 43 – Issue 4 – p 38–44

doi: 10.1097/01.NPR.0000531067.65817.7d

Fever is both a common presenting symptom and sign identified during routine patient care in a variety of clinical settings. In the outpatient and hospital settings, fever may be observed in up to 30% to 50% of patients, with the highest incidence among those admitted to critical care, which may be the results of many etiologies. Fever is also a common complaint in the primary care setting, with approximately one-third of ambulatory care patients reporting fever to their primary care provider (PCP).

Among hospitalized patients, documentation of fever in most cases prompts the collection of at least one culture. However, the presence of fever is not a predictor of positive culture results. The absence of fever is actually not a reliable predictor for the absence of bacteremia. Despite this, empiric antibiotic therapy is commonly initiated as a result of this nonspecific sign (pending additional clinical information).

Emerging antibiotic resistance, due to over-prescribing practices or poor prescribing practices, is also a major concern. In the United States, antibiotic-resistant pathogens were responsible for 2 million illnesses and 23,000 deaths in 2011. The majority of antibiotic prescriptions are written in the outpatient setting. Advanced practice providers (APPs), a group that consists of both NPs and physician assistants, are a growing segment of the PCP workforce. When looking at overall prescribing practices by provider group, APPs are responsible both for the highest number of antibiotic prescriptions and greatest use of broad-spectrum antibiotics. It is important to recognize that fever is often the result of a noninfectious etiology. The purpose of this article is to discuss common noninfectious causes of fever in both ambulatory care and hospital settings.

Follow this link for full article:


Photo credit: David Iskander @ Unsplash.

Care City. 2019

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