Blood cultures for evaluation of early postoperative fever after femoral neck fracture surgery

Sivakumar, B., Vijaysegaran, P., Ottley, M., Crawford, Ross W., & Coulter, C. (2012) Blood cultures for evaluation of early postoperative fever after femoral neck fracture surgery. Journal of Orthopaedic Surgery, 20(3), pp. 336-340.

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PURPOSE. To evaluate the utility of blood cultures in the assessment of early postoperative fever in hip fracture patients with no other indicators of sepsis. METHODS. 101 blood cultures were drawn on postoperative days 0 to 5 to investigate 84 febrile episodes in 31 women and 30 men (mean age, 80 years) whose body temperature measured via the tympanic route was ≥38ºC. Culture results of these 61 patients were divided into culture-positive and culture-negative groups for comparison. RESULTS. Of the 101 blood cultures, only 2 were positive: one was obtained 5 days after dynamic hip screw fixation, and the other 4 days after hemiarthroplasty. Both blood cultures grew coagulase-negative staphylococcal species, which were deemed to be skin contaminants not requiring change of patient management. 44 of these patients were treated with oral or intravenous antibiotics for a period of time. CONCLUSION. The risk of bacteraemia in patients with postoperative fever but no other symptoms of infection is low. Routine procurement of blood cultures in such patients is ineffective and of limited utility.

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5 citations in Scopus
3 citations in Web of Science®
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ID Code: 58093
Item Type: Journal Article
Refereed: Yes
ISSN: 1022-5536
Subjects: Australian and New Zealand Standard Research Classification > ENGINEERING (090000) > BIOMEDICAL ENGINEERING (090300)
Divisions: Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2012 Hong Kong Academy of Medicine Press
Deposited On: 12 Mar 2013 00:07
Last Modified: 12 Jun 2013 15:36

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