• Emerg. Med. Clin. North Am. · Nov 2013

    Review

    Fever and the rational use of antimicrobials in the emergency department.

    • Raquel F Harrison and Helen Ouyang.
    • Department of Emergency Medicine, New York-Presbyterian Hospital, The University Hospitals of Columbia and Cornell, New York, NY, USA.
    • Emerg. Med. Clin. North Am. 2013 Nov 1; 31 (4): 945968945-68.

    AbstractAny patient presenting to the emergency department (ED) with fever triggers consideration of the administration of an antimicrobial. Empiric antimicrobial therapy has become a cornerstone of treatment. Frequently, the decision to initiate empiric treatment needs to be made before the definitive diagnosis is known. In such cases, an organized approach is helpful. This article aims to provide a systems-based approach to prescribing antimicrobials to patients presenting to the ED with fever, while understanding the risk associated with overutilization. An understanding of the key considerations is needed to ensure that decisions are made well and appropriate treatment begins promptly.Copyright © 2013 Elsevier Inc. All rights reserved.

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