Documentation and Evaluation of Fevers in Hospital-Based and Community-Based Nursing Homes

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