Kendrick et al proposed a management strategy for patients with fever after surgery. A key feature is distinguishing high from low risk patients for postoperative infection.

Patients at high risk for post-operative infection had one or more of the following:

(1) urologic or bowel surgery

(2) use of graft material during surgery

(3) presence of an indwelling venous access device

(4) mechanical heart valve

(5) immunocompromised state

(5a) HIV infection

(5b) chronic corticosteroid therapy

(5c) recent chemotherapy

(5d) organ transplant with immunosuppression

(5e) lymphoproliferative disorder with acquired immunodeficiency

(5f) hereditary immunodeficiency

(6) any co-existing infection

(7) admission after surgery to the ICU



• One modification might be to add someone who did not get adequate preoperative antibiotic prophylaxis.

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