Keywords: Fever, life-threatening, pyrexia,
Medical research
In brief
1. Fever
is one of the most commonly seen symptoms in patients.
2. The
diagnostic strategy of patients with Fever is well established even with the Fever
of unknown origin.
3. Petersdorf
and Beeson initially defined Fever of unknown origin (pyrexia) in 1961 as body
temperature higher than 38.3oC on several occasions(Harada et al., 2020), accompanied by more than three weeks of illness
and failure to reach a diagnosis after one week of inpatient investigation.
In
medical service,
it remains one of the most difficult diagnostic challenges. It may arise due to
many reasons, e.g., infections, inflammatory/rheumatic,malignant or neoplastic
invasions, and miscellaneous disorders, and
(RG & Beeson, 1961). It may also occur in organ transplants
and immunodeficiency disorders.
Contagious Fever is caused by bacteria, viruses or any other
infection. Majority of the times, Fever of unknown origin is infectious by nature,
followed by neoplastic and rheumatic causes.The mortality rate is 12-35%
depending upon the underlying aetiology. Avoiding sources of infection and
maintaining good hygiene practices are the best way to prevent a fever(Santana et al., 2019).
Personal preventions:
·
Use alcohol-based hand sanitizer with atleast
60% alcohol, post handwash. It kills viruses that may be on the skin.
·
Cover oneself when someone sneezes or coughs
while in proximity. It is to avoid small liquid droplets from the person’s nose
or mouth that may contain a virus.
·
Avoid touching eyes, nose and mouth.
Contaminated hands can transfer the infective agent.
·
Use personal protective equipment like face
masks, gloves. Dispose of them immediately after use.
·
Do not share personal items like toothbrush,
comb or razor blade. Avoid sharing drinking glasses or dining utensils.
·
Disinfect infection-prone areas in your house
like kitchen and bathroom, as they harbour high concentrations of bacteria and
infectious agents.
·
Keep distance. Maintain atleast 1 metre (3 feet)
distance between yourself and anyone who is coughing or sneezing.
·
Seek
medical help early
if you get mild symptoms like Fever, cough, difficult breathing.
·
Avoid contact with any biological material
(blood, fluid, etc.) that may be infective.
·
Refrain from eating animal-derived meat/protein.
Eat only well-cooked food.
Societal preventions:
·
Illegal trade of wild animals and poultry
products need to be banned.
·
People travelling from one place to another
should be quarantined approximately for two weeks in case of spread of unknown Fever
·
Hand dryers are not effective in killing
infective agents.
·
In
Clinical Research, older
people with pre-existing medical conditions are more vulnerable to contracting the
illness.
·
Garlic has some anti-microbial properties but does
not help prevent infection-related Fever.
Conclusion
·
Overall, public health laws can
help in medical,control the spread of Fever of
unknown origin. Preventive measures like screening, education, counselling and
other strategies help in minimizing the spread of Fever.
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