5. Physiological fever
• Seen in first 48 hrs
• An inflammatory response to the cytokines
released from tissue injury
• Act centrally and raise the thermoregulatory
set point for body temperature.
• Prevalence??
6. ‘Wind’
• Atelectasis (<48hr) and Pneumonia (>48hr)
• Cause: poor inspiratory effort, failure to clear
secretions
• Signs and symptoms: Decreased breath
sounds, crackles, tachypnea, dyspnea, cough,
hypoxemia, dependant infiltrates on chest x-
ray
• Rx: Incentive spirometry, chest physiotherapy,
early mobilization, bronchodilators.
7. ‘Water’
• Symptoms: fever, suprapubic/flank pain, renal
anger tenderness, urinary urgency
• Risk factors: longer duration of
catheterisation, unsterile placement, female
sex, older age, diabetic, history of previous UTI
• Urinalysis and urine culture with sensitivity
• Causative organism: E. Coli, Enterococcus,
8. ‘Wound’
• SSI: Infections that occur at or near the
surgical incision within 30 days of surgery or
with 90 days if prosthetic materials have been
implanted
• Erythema, warmth, tenderness, purulent
drainage from incision
• Superifical, Deep, Organ/space infection
• Organisms: Streptococcus, staph,
enterococcus