Impact of the inpatient infectious disease consultations at a tertiary care university hospital

The International Arabic Journal of Antimicrobial Agents

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Field Value
 
Title Impact of the inpatient infectious disease consultations at a tertiary care university hospital
 
Creator Waked, Rami
Jaafar, Danielle
Chedid, Marie
Saliba, Gebrael
Haddad, Elie
Choucair, Jacques
 
Description BACKGROUND: The role of the infectious disease specialist continues to evolve. The purpose of this study is to demonstrate the value of infectious disease consultation in the inpatient setting.
METHODS: This is a prospective cohort study that took place in a tertiary care university hospital. During the period from April to June 2016, 224 cases of patients receiving antibiotics in the hospital with the request of an infectious diseases’ consultation, were evaluated. The following variables were assessed: the referring department, purpose of the consultation, the antibiotic used before requesting the infectious diseases consultation, the antibiotic modifications after the infectious disease’s visit, whenever the antibiotic usage was switched to a mono or bi-therapy.
RESULTS: The most frequent requesting departments were Oncology (23.2%) and Urology (21.4%). The purpose of the consultations was diagnosis (29%), therapy (41%), both diagnosis and therapy (21%), and prophylaxis (9%). An infectious diseases consultation was given at a rate of 4.9 consultations per 100 hospitalized patients. Antibiotic was discontinued in 14.7% of cases. There was no indication for the antibiotic treatment in 11.6% of cases. Modifying the antibiotic therapy was done in 25.4% of cases. Adjusting the antibiotic dosage was done in only one case. Carbapenem antibiotics were discontinued in 31.6 % of cases and Quinolones discontinuation accounted for 22.7% of cases.
CONCLUSION: Infectious disease consults contributed to the optimization of the diagnostic and therapeutic approaches for suspected or confirmed infections in hospitalized patients.
 
Publisher International Medical Publisher
 
Date 2020-07-05
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://imed.pub/ojs/index.php/IAJAA/article/view/2371
10.3823/844
 
Source The International Arabic Journal of Antimicrobial Agents; Vol 10 No 2 (2020)
2174-9094
 
Language eng
 
Relation http://imed.pub/ojs/index.php/IAJAA/article/view/2371/2100
 
Rights Copyright (c) 2020 Rami Waked, Danielle Jaafar, Marie Chedid, Gebrael Saliba, Elie Haddad, Jacques Choucair
http://creativecommons.org/licenses/by/4.0
 

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