ArticleInfection2013
Evaluation of an infectious disease consultation programme in a German tertiary care hospital.
Article in Infection, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03250104 (Antibiotic Stewardship and Infection Control in Patients at High Risk of Developing Infection by Clostridium Difficile, Vancomycin-Resistant Enterococci or Multi-Resistant Gram-Negatives), which is not on this map. Cited by 11 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Antibiotic Stewardship and Infection Control in Patients at High Risk of Developing Infection by Clostridium Difficile, Vancomycin-Resistant Enterococci or Multi-Resistant Gram-Negatives
Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Primary Care Physician Adherence to Telepsychiatry Recommendations: Intermediate Outcomes from a Randomized Clinical Trial.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Trial
- Non-infectious diseases in infectious disease consultation: A descriptive study in a tertiary care teaching hospital.PloS one · 2023Article
- Post-sign-off events in infectious disease consultation and the incidence of nonadherence to infectious disease recommendations in the post-sign-off period: A retrospective cohort study.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study.Medicine · 2020Observational
- Infectious disease consultations at a South African academic hospital: A 6-month assessment of inpatient consultations.Southern African journal of infectious diseases · 2020Article
- Infectious disease consultations in a Japanese tertiary care teaching hospital: a retrospective review of 508 cases.BMC health services research · 2018Observational
- Infectious diseases consultations can make the difference: a brief review and a plea for more infectious diseases specialists in Germany.Infection · 2016Review
- Burden and spectrum of infectious disease in Germany 2009-2014: a multicentre study from Berlin's Municipal Hospitals.Infection · 2016Article
- An integrated model of care for neurological infections: the first six years of referrals to a specialist service at a university teaching hospital in Northwest England.BMC infectious diseases · 2015Article
- elCID: An electronic Clinical Infection Database to support integrated clinical services and research in infectious diseases.The Journal of infection · 2015Article
- Integrated IT Platform for Coordination of Diagnosis, Treatment, and Aftercare of Prosthetic Joint Infections.In vivo (Athens, Greece)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate a newly implemented infectious disease (ID) consultation service in terms of patient care, outcome and antibiotic prescription and to describe factors influencing adherence to recommendations.
methodsData from consultations during the first 6 months of the ID consultation program were collected and evaluated. Consultation requests, diagnostic results, treatment outcomes and antibiotic recommendations were categorised. Diagnostic and therapeutic recommendations were assessed and rated for adherence and outcome. Statistical analysis was performed to identify factors influencing adherence and treatment outcome.
resultsA total of 251 consultations were assessed. In most cases, ID specialists were asked for further advice regarding a previously initiated anti-infective treatment (N = 131, 52 %). In 54 of 195 (28 %) first consultations, the ID specialist proposed a differential diagnosis that differed from that of the working diagnoses submitted with the consultation request, and which was subsequently confirmed in 80 % of these cases. Diagnostic and therapeutic recommendations were made in 190 (76 %) and 240 (96 %) of the consultations, respectively. A change in the current treatment was recommended in 66 % of consultations; 37 % of recommendations were cost-saving and 26 % were cost-neutral. Compliance with diagnostic and therapeutic recommendations was rated as good by pre-specified criteria in 65 and 86 % of consultations, respectively. Treatment outcome was correlated with adherence to diagnostic recommendations (P = 0.012). Twenty-nine patients (16 %) died during the same hospital stay.
conclusionInfectious disease consultations may help to establish the correct diagnosis, resulting in the appropriate treatment being provided to a severely sick patient population. Treatment outcome was improved in cases of good diagnostic adherence to the recommendations of the ID specialist.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.