Resource-saving advice from an infectious diseases specialist team in a large university hospital: an exportable model?

Resource-saving advice from an infectious diseases specialist team in a large university hospital: an exportable model?

Future Microbiol. 2015 Jan;10:15-20

Authors: Fantoni M, Murri R, Scoppettuolo G, Fabbiani M, Ventura G, Losito R, Berloco F, Spanu T, Sanguinetti M, Cauda R

Abstract
UNLABELLED: ABSTRACT  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.

PMID: 25598334 [PubMed - in process]