Gakuu LN. Post-operative pyrexia in an orthopaedic unit. East Afr Med J. 1997 Aug;74(8):530-2.

Citation:
NDEGWA PROFGAKUULAWRENCE. "Gakuu LN. Post-operative pyrexia in an orthopaedic unit. East Afr Med J. 1997 Aug;74(8):530-2.". In: East Afr Med J. 1997 Aug;74(8):530-2. F.N. kamau, G. N Thothi and I.O Kibwage; 1997.

Abstract:

Department of Orthopaedic Surgery, College of Health Sciences, University of Nairobi, Nairobi. The causes of post operative pyrexia in an orthopaedic unit was studied prospectively in 520 patients who underwent surgery. Two hundred patients (38.4%) developed postoperative pyrexia as defined by having recorded high temperatures of over 38 degrees C on two occasions within 24 hours (excluding the first 24 hours post-operatively). The commonest causes of post-operative pyrexia were wound infection in 70 (13.4%), respiratory tract infections in 40 (7.6%) and malaria in 30 (5.7%) patients, while other causes were urinary tract infection in 20 (3.8%), thrombophlebitis in 15 (2.8%) and deep vein thrombosis in 15 (2.8%) of the patients; while ten (1.9%) patients had pyrexia of undetermined cause despite exhaustive clinical and laboratory workup. The other associated conditions in patients who developed pyrexia were diabetes mellitus in 20 (3.8%), HIV seropositivity and malignancy in 30 (5.7%) and six (1.1%) patients, respectively.

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