Approach to New Fever or Rigors in the ICU Patient

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Failure to recognize neutropenic fever as a separate entity that requires immediate treatment.

Routinely ordering urinalysis and sputum cultures (for most patients, this will only lead to false-positive results and unnecessary antibiotic therapy).

Failure to recognize a rigor as a fever-equivalent which requires investigation.

Excessive administration of antibiotics “just to be safe” in situations where they are not indicated.

Not performing an adequate physical examination when evaluating a patient with fever.

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