Evidence map›Paper›PMID 19278394›Full record

GuidelineJournal of the American Geriatrics Society2009

Clinical practice guideline for the evaluation of fever and infection in older adult residents of long-term care facilities: 2008 update by the Infectious Diseases Society of America.

Kevin P High, Suzanne F Bradley, Stefan Gravenstein, David R Mehr, Vincent J Quagliarello, Chesley Richards, Thomas T Yoshikawa, Infectious Diseases Society of America

Abstract readPractice Guideline
In one paragraph

Guideline in Journal of the American Geriatrics Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
  4. Review
  5. Article
  6. [Infections and fever].Zeitschrift fur Rheumatologie · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. The Winter Respiratory Viral Season During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2020
    Article
  12. Review
  13. Characteristics of Campylobacter and Salmonella Infections and Acute Gastroenteritis in Older Adults in Australia, Canada, and the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  14. Article
  15. [Urosepsis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018
    Article
  16. Frequency of Infection during Fever Episodes among Long-Term Care Residents.Journal of gerontology & geriatric research · 2018
    Article
  17. [Urosepsis].Der Urologe. Ausg. A · 2018
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Kevin P HighSection on Infectious Diseases, Wake Forest University Health Sciences, Winston Salem, North Carolina 27157-1042, USA. khigh@wfubmc.edu
Suzanne F Bradley
Stefan Gravenstein
David R Mehr
Vincent J Quagliarello
Chesley Richards
Thomas T Yoshikawa
Infectious Diseases Society of America

Funding

Wellcome Trust
6 · The paper itself

Abstract

Residents of long-term care facilities (LTCFs) are at great risk for infection. Most residents are older and have multiple comorbidities that complicate recognition of infection; for example, typically defined fever is absent in more than one-half of LTCF residents with serious infection. Furthermore, LTCFs often do not have the on-site equipment or personnel to evaluate suspected infection in the fashion typically performed in acute care hospitals. In recognition of the differences between LTCFs and hospitals with regard to hosts and resources present, the Infectious Diseases Society of America first provided guidelines for evaluation of fever and infection in LTCF residents in 2000. The guideline presented here represents the second edition, updated by data generated over the intervening 8 years. It focuses on the typical elderly person institutionalized with multiple chronic comorbidities and functional disabilities (e.g., a nursing home resident). Specific topic reviews and recommendations are provided with regard to what resources are typically available to evaluate suspected infection, what symptoms and signs suggest infection in a resident of an LTCF, who should initially evaluate the resident with suspected infection, what clinical evaluation should be performed, how LTCF staff can effectively communicate about possible infection with clinicians, and what laboratory tests should be ordered. Finally, a general outline of how a suspected outbreak of a specific infectious disease should be investigated in an LTCF is provided.

Indexed as

Homes for the AgedNursing HomesActivities of Daily LivingAgedAged, 80 and overBody TemperatureCross InfectionDiagnostic Tests, RoutineDisease OutbreaksEvidence-Based MedicineFever of Unknown OriginFrail ElderlyGeriatricsHumansInfectionsInterdisciplinary Communication

Identifiers

PMID19278394
PMCPMC7166905

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.