ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2015
Inpatient infectious disease consultations requested by surgeons at a comprehensive cancer center.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Non-infectious diseases in infectious disease consultation: A descriptive study in a tertiary care teaching hospital.PloS one · 2023Article
- Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study.Medicine · 2020Observational
- Infectious disease specialist consultations in a Japanese cancer center: a retrospective review of 776 cases.BMC health services research · 2020Review
- Timeliness of Infectious Diseases Referral and Inappropriate Antibiotic Usage Post-Referral in an Asian Tertiary Hospital.Tropical medicine and infectious disease · 2019Article
- Infectious disease consultations in a Japanese tertiary care teaching hospital: a retrospective review of 508 cases.BMC health services research · 2018Observational
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to describe the value of infectious disease specialist consultations for surgeons at comprehensive cancer centers.
methodsA total of 151 cancer surgery inpatients were retrospectively assessed during a 12-month period. We focused on the characteristics of the infectious disease consultations from surgical departments: the referring surgical divisions, the referral phases, and the reasons for the infectious disease consultations.
resultsThree-quarters of all consultation requests were made after the day of surgery. Approximately, 60 % of these requests were made within 30 days after surgery for cancer. The reasons for the infectious disease consultations could be classified into three categories: diagnosis and management (54 %), management of established infections (44 %), and surgical antimicrobial prophylaxis (3 %). The most requested reason for consultations was the diagnosis and management of fever or elevated inflammatory markers of unknown etiology. Among the management of established infections, the antimicrobial management of surgical site infections was most frequently requested.
conclusionsMany surgeons would prefer infectious disease specialists to assume a more direct role in the care of difficult or perplexing cases (such as fevers of unknown origin) while also maintaining a traditional relationship in which the consultant recommends antimicrobial agents during a perioperative period. Particularly at cancer centers where oncology specialists account for a significant proportion of the providers, the knowledge and skill of infectious disease physicians are valued.
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