Blood cultures for assessment of postoperative fever in arthroplasty patients

Vijaysegaran, Praveen, Coulter, Sonali A., Coulter, Chris, & Crawford, Ross W. (2012) Blood cultures for assessment of postoperative fever in arthroplasty patients. Journal of Arthroplasty, 27(3), pp. 375-377.

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Postoperative fever in arthroplasty patients is common. The value of diagnostic workup of fever in this instance is of questionable utility. Studies have shown that blood cultures in this scenario add little to clinical management, but sample sizes have been small and the use of blood cultures in this setting continues. This study aimed to examine the value of blood cultures in the assessment of postoperative fever in a large arthroplasty population. The medical records of 101 patients who had 141 blood culture sets taken during a 2-year period were retrospectively analyzed. Of the 141 blood culture sets, only 2 returned positive results. These were both thought to be as a result of skin contamination at the time of venipuncture. No infectious sequelae occurred in either patient. We conclude that blood cultures have no role to play in the assessment of the febrile, otherwise asymptomatic arthroplasty patient in the early postoperative period.

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6 citations in Scopus
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4 citations in Web of Science®

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ID Code: 47082
Item Type: Journal Article
Refereed: Yes
Keywords: postoperative fever; arthroplasty; blood cultures; orthopedics
DOI: 10.1016/j.arth.2011.05.025
ISSN: 0883-5403
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OTHER MEDICAL AND HEALTH SCIENCES (119900) > Medical and Health Sciences not elsewhere classified (119999)
Divisions: Current > Research Centres > Centre for Health Research
Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Past > Schools > Medical Sciences
Past > Schools > School of Engineering Systems
Copyright Owner: Copyright 2012 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Journal of Arthroplasty. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Arthroplasty, [VOL 27, ISSUE 3, (2012)] DOI: 10.1016/j.arth.2011.05.025
Deposited On: 30 Nov 2011 04:15
Last Modified: 17 Sep 2013 02:07

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