Familiarity breeds contempt. Fever is so common in the ICU, that we often don't put much thought into these workups. Just culture everything, right? Well, not really. Excessive cultures frequently lead to false-positive results (representing colonization), which serve only to misdirect attention away from the actual problem. Meanwhile, inadequate attention to the physical examination and history may cause us to miss important diagnoses.
The IBCC chapter is located here.
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