Accuracy of consultations performed by infectious diseases trainees and factors associated with adherence to them

Sıpahi, Oğuz Reşat; Taşbakan, Meltem; Pullukçu, Hüsnü; Arda, Bilgin; MIZRAKÇI, Serpil; Şenol, Şebnem; Atalay, Sabri; Koseli, Demet; Arsu, Güray; Çalık, Şebnem; Sipahi, Hilal; Büke, Çağrı; Ulusoy, Sercan

doi:10.1016/j.ijid.2007.02.003

Cited by 22 publications

(9 citation statements)

References 17 publications

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“…Although referral practices may differ in other regions, we note that the most frequent referring disciplines in our study were similar to those described in earlier studies from both Europe and North America [7,10,23]. Although referral practices may differ in other regions, we note that the most frequent referring disciplines in our study were similar to those described in earlier studies from both Europe and North America [7,10,23].…”

Section: Discussionsupporting

confidence: 88%

“…The large number of contributing sites across three countries, including the majority of ID training sites, improves the generalizability of our findings. Although referral practices may differ in other regions, we note that the most frequent referring disciplines in our study were similar to those described in earlier studies from both Europe and North America [7,10,23]. Formal infectious diseases consultative activity in developing countries may differ significantly.…”

Section: Discussionsupporting

confidence: 84%

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What do infectious diseases physicians do? A 2-week snapshot of inpatient consultative activities across Australia, New Zealand and Singapore

Ingram

Cheng

Murray

et al. 2014

Clinical Microbiology and Infection

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The practice of an infectious diseases (ID) physician is evolving. A contemporary understanding of the frequency and variety of patients and syndromes seen by ID services has implications for training, service development and setting research priorities. We performed a 2-week prospective survey of formal ID physician activities related to direct inpatient care, encompassing 53 hospitals throughout Australia, New Zealand and Singapore, and documented 1722 inpatient interactions. Infections involving the skin and soft tissue, respiratory tract and bone/joints together accounted for 49% of all consultations. Suspected/confirmed pathogens were primarily bacterial (60%), rather than viral (6%), fungal (4%), mycobacterial (2%) or parasitic (1%). Staphylococcus aureus was implicated in 409 (24%) episodes, approximately four times more frequently than the next most common pathogen. The frequency of healthcare-related infections (35%), immunosuppression (21%), diabetes mellitus (19%), prosthesis-related infections (13%), multiresistant pathogens (13%) and non-infectious diagnoses (9%) was high, although consultation characteristics varied between geographical settings and hospital types. Our study highlights the diversity of inpatient-related ID activities and should direct future teaching and research. ID physicians' ability to offer beneficial consultative advice requires broad understanding of, and ability to interact with, a wide range of referring specialities.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 84%

What do infectious diseases physicians do? A 2-week snapshot of inpatient consultative activities across Australia, New Zealand and Singapore

Ingram

Cheng

Murray

et al. 2014

Clinical Microbiology and Infection

View full text Add to dashboard Cite

show abstract

“…In the literature, noncompliance has been reported to be substantial, reaching approximately 20% in some large hospitals. 27,28 The second key message of our study is that success requires the continuous presence of an ID specialist on the unit. In non-septic orthopaedic units where the ID specialist consulted only 12% of the time, and where the surgeons themselves determined the duration of prophylaxis, there was an increase in use of cefuroxime due to a prolonged duration of perioperative prophylaxis.…”

Section: Discussionmentioning

confidence: 97%

Activity and impact on antibiotic use and costs of a dedicated infectious diseases consultant on a septic orthopaedic unit

Uçkay¹,

Vernaz

Harbarth³

et al. 2009

Journal of Infection

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“…Compliance with IDS advice in practice by clinicians implies a positive perception of the usefulness of IDS advice. In the literature, compliance rates range from 35% to >90% . As compliance with IDS recommendations has been shown to be associated with improved patient outcomes , ensuring the best possible compliance is important.…”

Section: How Do Clinicians Perceive Idss?mentioning

confidence: 99%

The impact of infectious disease specialists on antibiotic prescribing in hospitals

Pulcini¹,

Botelho-Nevers²,

Dyar³

et al. 2014

Clinical Microbiology and Infection

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Given the current bacterial resistance crisis, antimicrobial stewardship programmes are of the utmost importance. We present a narrative review of the impact of infectious disease specialists (IDSs) on the quality and quantity of antibiotic use in acute-care hospitals, and discuss the main factors that could limit the efficacy of IDS recommendations. A total of 31 studies were included in this review, with a wide range of infections, hospital settings, and types of antibiotic prescription. Seven of 31 studies were randomized controlled trials, before/after controlled studies, or before/after uncontrolled studies with interrupted time-series analysis. In almost all studies, IDS intervention was associated with a significant improvement in the appropriateness of antibiotic prescribing as compared with prescriptions without any IDS input, and with decreased antibiotic consumption. Variability in the antibiotic prescribing practices of IDSs, informal (curbside) consultations and the involvement of junior IDSs are among the factors that could have an impact on the efficacy of IDS recommendations and on compliance rates, and deserve further investigation. We also discuss possible drawbacks of IDSs in acute-care hospitals that are rarely reported in the published literature. Overall, IDSs are valuable to antimicrobial stewardship programmes in hospitals, but their impact depends on many human and organizational factors.

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Accuracy of consultations performed by infectious diseases trainees and factors associated with adherence to them

Abstract: ID trainees are capable of evaluating patients and recommending appropriate antibiotics. Methodologies to improve the compliance to non-treatment-based recommendations and optimizing antibiotic selection seem to be necessary.

Cited by 22 publications

References 17 publications

What do infectious diseases physicians do? A 2-week snapshot of inpatient consultative activities across Australia, New Zealand and Singapore

What do infectious diseases physicians do? A 2-week snapshot of inpatient consultative activities across Australia, New Zealand and Singapore

Activity and impact on antibiotic use and costs of a dedicated infectious diseases consultant on a septic orthopaedic unit

The impact of infectious disease specialists on antibiotic prescribing in hospitals

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