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"It surprised me and my Mexican colleagues, because the textbooks say that in an influenza outbreak the predictive value of fever and cough is 90percentt," Dr. Wenzel said by telephone from Virginia Commonwealth University in Richmond, where he is chairman of the department of internal medicine.
Controversy exists as to the clinical value of fever reduction.
For pathogens with long incubation periods, the marginal value of fever screening at arrival was also lower.
The threshold value of fever differs between epidemiological ICU studies, ranging from 38.3 to 38.5°C [ 2, 10, 11], but a threshold value of ≥38.3°C has been recommended by several societies for the diagnosis of fever [ 12, 13].
Nevertheless, it is important that primary care clinicians recognise the diagnostic value of fever in their clinical assessment for every 20 children with a temperature of 40°C or more in a primary setting, one will have a serious infection.
The database from 2 randomized controlled phase III trials comparing vancomycin with fidaxomicin for the treatment of CDI was used to assess the predictive value of fever, leukocyte count, and serum creatinine level [ 9, 10].
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When the two other definitions of a PF episode are accommodated, levels of 104 Legionella.L-1 of water assayed by the the FISH method are also associated with an increased incidence, although more weakly, with p values of 0.06 (fever associated or not with another symptom) and 0.08 (fever and another symptom) respectively.
The predictive value of duration of fever at presentation for SBI remains contradictory and hence inconclusive.
The predictive value of duration of fever for identifying serious bacterial infections in children remains inconclusive.
We assessed the predictive value of duration of fever for SBI.
An explanation for the inconclusive findings for a predictive value of duration of fever might be the heterogeneity of the definition of SBI.
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CEO of Professional Science Editing for Scientists @ prosciediting.com