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Thoraxfoto bij koorts zonder duidelijk focus? / [Chest X-ray in patients with fever and no localizing symptoms?]

Pereverzeva, E; de Stoppelaar, Sacha F; de Heer, Koen.
Ned Tijdschr Geneeskd; 1632019 Jul 18.
Artigo em Holandês | MEDLINE | ID: mdl-31361410
Fever without localizing symptoms is a clinical problem that is frequently encountered on the emergency department. According to the NICE sepsis guideline, a chest X-ray should be considered in such patients. However, the evidence supporting this recommendation is limited to patients with neutropenic fever. We performed a telephone survey among the internists and residents at every Dutch hospital. Of the 141 physicians that responded, 88% considered a chest X-ray a valuable diagnostic tool and one that is indicated in patients with fever without localizing symptoms. In view of rising health costs, diagnostics should be chosen wisely. A clinical study on the diagnostic value of a chest X-ray in patients with fever without localizing symptoms is needed.
Selo DaSilva