Protocol for Treatment of Pyrexia (Fever)

In this article, we will discuss the Protocol for Treatment of Pyrexia (Fever). So, let’s get started.


1. At admission

Order the following investigations immediately before embarking on treatment.

  • Blood film (thin and thick) for malaria; repeat; if negative
  • Total and differential leucocyte count
  • Blood culture (repeated thrice, if initial negative), if patient is on antibiotics, bone marrow culture is advised. Culture of urine, throat swab and stool if diarrhoea (cholera suspected)
  • Liver function tests
  • Urine for blood, proteins, sugar and microscopic examination
  • Store serum for serology
  • Start treatment on clinical grounds in those conditions, where either there is no confirmatory test (e.g. tick typhus) aur where delay is unjustified (malaria)

2. Over next three days

  • Daily examine the patient and review the physical signs and investigations done.
  • Treat the infection diagnosed.

3. After three days

  • Reassess, if getting better; wait and watch, if not. Repeat the initial tests.

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