Future microbiology · 2015
Resource-saving advice from an infectious diseases specialist team in a large university hospital: an exportable model?
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Fantoni Massimo, Murri Rita, Scoppettuolo Giancarlo, Fabbiani Massimiliano, Ventura Giulio, Losito Raffaella, Berloco Filippo, Spanu Teresa, Sanguinetti Maurizio, Cauda Roberto
Аннотация
AIM: To assess epidemiological features of patients for which a consultation by the infectious diseases consultation team was required, and the rate of clinical advice that led to resource-saving advice (R-SA): discontinuation of inappropriate therapy or prophylaxis, de-escalation and switch from parenteral to oral therapy.
MATERIALS & METHODS: An infectious diseases consultation team was implemented in a 1100-bed university hospital in Italy.
RESULTS: The most frequent infections for which an infectious diseases consultancy was required were pneumonia, bloodstream infections (17% by Candida) and urinary tract infections. In 828 patients (41.4%), interventions with the possibility of R-SA were suggested.
CONCLUSION: Resource-saving advices were possible in 41% of cases. Recent surgery, having a central venous catheter, bloodstream, abdominal, surgical site or bone and joint infections were correlated to a higher probability of receiving R-SA.
MATERIALS & METHODS: An infectious diseases consultation team was implemented in a 1100-bed university hospital in Italy.
RESULTS: The most frequent infections for which an infectious diseases consultancy was required were pneumonia, bloodstream infections (17% by Candida) and urinary tract infections. In 828 patients (41.4%), interventions with the possibility of R-SA were suggested.
CONCLUSION: Resource-saving advices were possible in 41% of cases. Recent surgery, having a central venous catheter, bloodstream, abdominal, surgical site or bone and joint infections were correlated to a higher probability of receiving R-SA.