[Febrile episodes in elderly inpatients--a one year survey to determine the causes of fever in hospital].
[Febrile episodes in elderly inpatients--a one year survey to determine the causes of fever in hospital].
复制标题
老年住院患者发热——住院发热原因一年调查[J].
DOI：
10.11150/kansenshogakuzasshi1970.72.493
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Seizaburo Kashiwagi
中科院分区：
文献类型：
--
作者：
K. Ueno;Jun Hayashi;S. Yamaga;H. Ikematsu;A. Nabeshima;Hiroshi Hara;Seizaburo Kashiwagi
为了确定医院感染的原因，对1994年4月15日至1995年4月14日期间福冈市一家医院住院的65岁以上老年患者的所有发热发作进行了分类。发热发作是指连续7天体温正常（低于37.5℃）后体温高于37.5℃。发烧第一天和第七天进行了各种临床检查，包括血液检查、尿液分析、胸片和细菌培养。 443名患者（男性136名，女性307名）总共1105次发作符合这一发热标准。发热主要是呼吸道感染（381例，34.5%）和尿路感染（263例，23.8%）。其他类型感染 135 例（12.2%），未知病例 297 例（26.9%）。大约70%的发热发作是由医院感染引起的，这表明住院老年人感染的风险增加，以及早期发现老年住院患者发热变化的重要性。
To determine the cause of nosocomial infections, all febrile episodes of hospitalized elderly patients aged 65 and older at a hospital in Fukuoka City were categorized between April 15 1994 and April 14 1995. A febrile episode was a temperature above 37.5 degrees C after 7 consecutive days of normal body temperature (below 37.5 degrees C). Various clinical tests including blood examination, urinalysis, chest radiography and bacterial culture were done on the first and 7th day of the fever. A total of 1105 episodes in 443 patients (male 136, female 307) fulfilled this criteria for fever. The fevers were mainly due to respiratory tract (381 cases, 34.5%) and urinary tract infections (263 cases, 23.8%). There were 135 infections (12.2%) of other kinds and 297 cases (26.9%) that were classified as unknown. Approximately 70% of the febrile episodes were caused nosocomial infections, suggesting increased risk of infection in the hospitalized elderly and the importance of early detection of febrile changes in elderly inpatients.