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.