Index for Predicting Bacteremia or Occult Bacterial Infection in Adults with Acute Unexplained Fever

Purpose: To use an index score to identify an adult with acute, unexplained fever who has bacteremia or an occult bacterial infection.

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Evaluation

Does the patient have an acute, unexplained fever?

Yes

Age of the patient

years

Does the patient have diabetes mellitus?

Yes

Erythrocyte sedimentation rate (Wintrobe)

mm/h

White blood cell count

Percent neutrophil band forms in the white blood cell differential (enter from 0 to 100)

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Index score

Risk of occult bacterial infection or bacteremia

Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Decision Rule to Identify Patient Who Should Have a Blood Culture
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
- Pitt Bacteremia Score of Paterson et al
- Prediction Rule for Bacteremia in Patient with Community Acquired Pneumonia
Differential Diagnosis And Mimics, Red Flags
- Criteria for Distinguishing True Bacteremia from Contaminated Blood Cultures

Monitoring

Disease Progression
- Sepsis Syndrome | Risk of Bacteremia

Specialty

Infectious Diseases

Objective

clinical diagnosis
including family history for genetics

ICD-10

R57.2 - Septic shock
A49.9 - Bacterial infection, unspecified

Info

Purpose: To use an index score to identify an adult with acute, unexplained fever who has bacteremia or an occult bacterial infection.

Specialty: Infectious Diseases

Objective: clinical diagnosis, including family history for genetics

ICD-10: R57.2, A49.9,

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