Volume 15 Supplement 3
Temperature management of patients with sepsis and inflammation in Australian and New Zealand ICUs: a point prevalence study
© Hammond et al. 2011
Published: 27 October 2011
The use of pharmacological and physical antipyretic therapies to reduce fever in febrile patients is common in hospital settings. Actual evidence on the frequency of antipyretic use is limited, however, both in general hospital populations and, more specifically, in adult intensive care [1–3]. We undertook a prospective point prevalence study with the aim of identifying the prevalence of physical and pharmacological antipyretic therapies in intensive care patients with sepsis and inflammation. We also recorded the indication for antipyretic therapies, temperature measurement site, and mean temperatures on the study day.
We conducted a single-day observational point prevalence study in 38 ICUs in Australia and New Zealand. All patients in participating ICUs at a 10:00 am census point were studied. Data were collected for the 24-hour study day that included the 10:00 am time point.
This point prevalence study of intensive care patients with sepsis and inflammation identified pharmacological antipyretics are used regularly for pain management rather than fever management, with paracetamol the most common therapy. The use of physical cooling was rare, and noncore temperature measurements were common. These results are important in understanding current temperature management practice in intensive care and will aid in designing future clinical trials on the subject.
This study was undertaken as part of the Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group (CTG) Point Prevalence Program. The authors would like to thank all participating sites.
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