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Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study

In Japan, general internal medicine (GIM) physicians must be aware of frequently encountered infections because of the shortage of infectious disease (ID) specialists. However, there are currently no epidemiological data on this subject. This study aimed to describe the frequency and pattern of ID c...

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Autores principales: Hadano, Yoshiro, Kosaka, Shintaro, Tomoda, Yoshitaka, Awaya, Yukikazu, Kato, Ryotaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704987/
https://www.ncbi.nlm.nih.gov/pubmed/36451384
http://dx.doi.org/10.1097/MD.0000000000031896
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author Hadano, Yoshiro
Kosaka, Shintaro
Tomoda, Yoshitaka
Awaya, Yukikazu
Kato, Ryotaro
author_facet Hadano, Yoshiro
Kosaka, Shintaro
Tomoda, Yoshitaka
Awaya, Yukikazu
Kato, Ryotaro
author_sort Hadano, Yoshiro
collection PubMed
description In Japan, general internal medicine (GIM) physicians must be aware of frequently encountered infections because of the shortage of infectious disease (ID) specialists. However, there are currently no epidemiological data on this subject. This study aimed to describe the frequency and pattern of ID consultations requested by GIM physicians in Japan. This is a 3-year retrospective review of the ID consultations requested by GIM physicians in Japan at a community-based acute tertiary care teaching hospital in Tokyo from April 2018 to March 2021. Demographic data, such as reasons for consultation, causative organism, and final diagnoses, were collected. During the study period, ID consultations were requested by GIM physicians 128 times. The incidence rates of bacteremia and 30-day mortality were 65.6% (n = 84) and 3.1% (n = 4), respectively. The most common diagnostic classifications after ID consultation were bone/joint (24.2%, n = 31), respiratory (17.7%, n = 22), and cardiovascular infections (12.5%, n = 16). The most common final diagnoses were bacteremia (11.7%, n = 15), infective endocarditis (9.4%, n = 12), and vertebral osteomyelitis (7.8%, n = 10). This is the first study to describe the ID consultation cases requested by GIM physicians in Japan in a community-based acute tertiary care teaching hospital. Despite the shortage of ID specialists, GIM physicians covered a wide range of IDs, including bone/joint infections and infectious endocarditis, which require long-term care. ID and GIM physicians, including hospitalists, should cooperate to promote the quality of care and clinical management. Future multi-center studies with large numbers of clinical cases are needed to determine the ID clinical knowledge required by GIM physicians in Japan.
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spelling pubmed-97049872022-11-30 Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study Hadano, Yoshiro Kosaka, Shintaro Tomoda, Yoshitaka Awaya, Yukikazu Kato, Ryotaro Medicine (Baltimore) 4900 In Japan, general internal medicine (GIM) physicians must be aware of frequently encountered infections because of the shortage of infectious disease (ID) specialists. However, there are currently no epidemiological data on this subject. This study aimed to describe the frequency and pattern of ID consultations requested by GIM physicians in Japan. This is a 3-year retrospective review of the ID consultations requested by GIM physicians in Japan at a community-based acute tertiary care teaching hospital in Tokyo from April 2018 to March 2021. Demographic data, such as reasons for consultation, causative organism, and final diagnoses, were collected. During the study period, ID consultations were requested by GIM physicians 128 times. The incidence rates of bacteremia and 30-day mortality were 65.6% (n = 84) and 3.1% (n = 4), respectively. The most common diagnostic classifications after ID consultation were bone/joint (24.2%, n = 31), respiratory (17.7%, n = 22), and cardiovascular infections (12.5%, n = 16). The most common final diagnoses were bacteremia (11.7%, n = 15), infective endocarditis (9.4%, n = 12), and vertebral osteomyelitis (7.8%, n = 10). This is the first study to describe the ID consultation cases requested by GIM physicians in Japan in a community-based acute tertiary care teaching hospital. Despite the shortage of ID specialists, GIM physicians covered a wide range of IDs, including bone/joint infections and infectious endocarditis, which require long-term care. ID and GIM physicians, including hospitalists, should cooperate to promote the quality of care and clinical management. Future multi-center studies with large numbers of clinical cases are needed to determine the ID clinical knowledge required by GIM physicians in Japan. Lippincott Williams & Wilkins 2022-11-25 /pmc/articles/PMC9704987/ /pubmed/36451384 http://dx.doi.org/10.1097/MD.0000000000031896 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 4900
Hadano, Yoshiro
Kosaka, Shintaro
Tomoda, Yoshitaka
Awaya, Yukikazu
Kato, Ryotaro
Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study
title Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study
title_full Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study
title_fullStr Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study
title_full_unstemmed Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study
title_short Infectious diseases consultations from general internal medicine physicians in Japan: A descriptive single-center study
title_sort infectious diseases consultations from general internal medicine physicians in japan: a descriptive single-center study
topic 4900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704987/
https://www.ncbi.nlm.nih.gov/pubmed/36451384
http://dx.doi.org/10.1097/MD.0000000000031896
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