Perioperative Infections and Fever

Michael P. Carson, MD, and Edward Liu, MD, MPH

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.

Summary

Perioperative fever has multiple possible etiologies, including infections such as pneumonia, fungal infections, central-line associated infections, and urinary infections. By understanding the typical time frame and common risk factors for each etiology, hospitalists and other perioperative consultants can develop a differential diagnosis for perioperative fever. The following module will provide a general approach for determining the differential diagnosis in patients with a perioperative fever, as well as an outline of the diagnostic and treatment modalities. 

Goal

To provide hospitalists and other perioperative consultants with a general approach to evaluating and treating patients with perioperative fever, especially those due to pulmonary, urinary, central venous catheter-related, and fungal infections. 

Target Audience

This activity is designed for hospitalists and other perioperative consultants. No prerequisites required.

Learning Objectives

After completing the module, the participant should be able to:

  1.    Develop a differential diagnosis for patients with a perioperative fever based on the timing of the fever. 
  2.    Evaluate diagnostic and treatment strategies for postoperative pneumonia. 
  3.    Evaluate diagnostic and treatment strategies for postoperative urinary catheter-related infection. 
  4.    Evaluate diagnostic and treatment strategies for postoperative central venous catheter-related infection. 
  5.    Evaluate diagnostic and treatment strategies for postoperative fungal infection.
Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement Designation:

The Society of Hospital Medicine designates this activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release date: September 03, 2020    

Expiration date: September 03, 2023

Estimated time to complete activity: 2 hours

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

Instructions

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of 3 sections: a non-designated pre-test, a study program, and a CME post-test. All 3 sections must be completed to receive CME credit.

Additional Information

Course summary
Available credit: 
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit
  • 2.00 AMA PRA Category 1 Credit™
Course opens: 
09/03/2020
Course expires: 
09/03/2023
Member cost:
$0.00
Your cost:
$95.00
Parent activity set: 
Rating: 
0
FACULTY AND DISCLOSURE
Authors

Michael P. Carson, MD
Core Associate Professor of Medicine
Core Associate Professor of Obstetrics/Gynecology
Hackensack Meridian School of Medicine at Seton Hall
Vice Chairman of Research/Outcomes
Jersey Shore University Medical Center 
Department of Medicine
Neptune, New Jersey

Dr. Carson reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Edward Liu, MD, MPH
Core Assistant Professor of Medicine
Hackensack Meridian School of Medicine at Seton Hall
Chief of Infectious Diseases
Jersey Shore University Medical Center
Neptune, New Jersey

Dr. Liu reports receiving grants/research support from Merck & Co Inc, and Theravance; and serving on the advisory committee/board and holding stock in Gilead Sciences Inc.

Editors

Leonard Feldman, MD, FACP, SFHM (Chair)
Associate Professor of Medicine and Pediatrics
Johns Hopkins University School of Medicine
Urban Health Residency and Track Director
Associate Program Director, Osler Medical Residency
Director, Comprehensive General Medicine Consult Service
Founding Editor-in-Chief, Consultative & Perioperative Medicine Essential for Hospitalists
Baltimore, Maryland

Dr. Feldman reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Kurt Pfeifer, MD, FACP, SFHM
Professor of Medicine
General Internal Medicine
Medical Director, Froedtert and Medical College of Wisconsin Eye Institute Perioperative Services
Medical College of Wisconsin 
Associate Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Milwaukee Wisconsin

Dr. Pfeifer reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Additional planners and faculty for this activity have no relevant relationships to disclose.

SHM CONFLICT OF INTEREST DISCLOSURE POLICY

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.
 

 

 

 

 

Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement Designation 

The Society of Hospital Medicine designates this activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Available Credit

  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit
  • 2.00 AMA PRA Category 1 Credit™

Price

Member cost:
$0.00
Your cost:
$95.00
Please login or register to take this course.

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit.

Click START to begin.

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.