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The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study

Limited data are available regarding part-time infectious disease consultations (IDCs) and their importance in tertiary care teaching hospitals in Japan. This is a retrospective review of IDCs from June 2016 to March 2021 and describes IDC services provided by part-time infectious disease specialist...

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Autores principales: Hadano, Yoshiro, Suyama, Asuka, Hijikata, Toshiyuki, Miura, Ayako, Fujii, Shigeo, Suzuki, Yoshiko, Tomoda, Yoshitaka, Awaya, Yukikazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829282/
https://www.ncbi.nlm.nih.gov/pubmed/36607851
http://dx.doi.org/10.1097/MD.0000000000032628
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author Hadano, Yoshiro
Suyama, Asuka
Hijikata, Toshiyuki
Miura, Ayako
Fujii, Shigeo
Suzuki, Yoshiko
Tomoda, Yoshitaka
Awaya, Yukikazu
author_facet Hadano, Yoshiro
Suyama, Asuka
Hijikata, Toshiyuki
Miura, Ayako
Fujii, Shigeo
Suzuki, Yoshiko
Tomoda, Yoshitaka
Awaya, Yukikazu
author_sort Hadano, Yoshiro
collection PubMed
description Limited data are available regarding part-time infectious disease consultations (IDCs) and their importance in tertiary care teaching hospitals in Japan. This is a retrospective review of IDCs from June 2016 to March 2021 and describes IDC services provided by part-time infectious disease specialists once a week for 4 hours, and their impact on the quality of medical care, including antimicrobial stewardship. Data, such as the requesting department, requesting reasons, and final diagnoses, were analyzed. In April 2018, part-time infectious disease specialists launched consultation services and attended an antimicrobial stewardship team conference. Meropenem, tazobactam/piperacillin, and cefepime monthly days of therapy (DOT) were calculated to assess the effect of each intervention; a pre-post analysis was conducted using the Kruskal–Wallis test. Additional quality improvement (QI) projects related to infectious diseases were implemented. There were 237 IDCs during the study period. Consultations were mostly requested by the General Internal Medicine, Emergency Medicine, and Cardiology departments. The most common diagnoses were bone/joint, respiratory, and genitourinary infections. Infectious disease services, even on a part-time basis, achieve good outcomes in patient management, antimicrobial stewardship, and QI projects. DOT/1000 patient-days were reduced for meropenem and cefepime, while it increased for tazobactam/piperacillin. The DOT/1000 patient-days for the 3-antipseudomonal agents significantly decreased during this period. After implementing the QI tetanus vaccination project in the Emergency Room, the number of tetanus toxoid vaccinations per month increased.
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spelling pubmed-98292822023-01-24 The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study Hadano, Yoshiro Suyama, Asuka Hijikata, Toshiyuki Miura, Ayako Fujii, Shigeo Suzuki, Yoshiko Tomoda, Yoshitaka Awaya, Yukikazu Medicine (Baltimore) 4900 Limited data are available regarding part-time infectious disease consultations (IDCs) and their importance in tertiary care teaching hospitals in Japan. This is a retrospective review of IDCs from June 2016 to March 2021 and describes IDC services provided by part-time infectious disease specialists once a week for 4 hours, and their impact on the quality of medical care, including antimicrobial stewardship. Data, such as the requesting department, requesting reasons, and final diagnoses, were analyzed. In April 2018, part-time infectious disease specialists launched consultation services and attended an antimicrobial stewardship team conference. Meropenem, tazobactam/piperacillin, and cefepime monthly days of therapy (DOT) were calculated to assess the effect of each intervention; a pre-post analysis was conducted using the Kruskal–Wallis test. Additional quality improvement (QI) projects related to infectious diseases were implemented. There were 237 IDCs during the study period. Consultations were mostly requested by the General Internal Medicine, Emergency Medicine, and Cardiology departments. The most common diagnoses were bone/joint, respiratory, and genitourinary infections. Infectious disease services, even on a part-time basis, achieve good outcomes in patient management, antimicrobial stewardship, and QI projects. DOT/1000 patient-days were reduced for meropenem and cefepime, while it increased for tazobactam/piperacillin. The DOT/1000 patient-days for the 3-antipseudomonal agents significantly decreased during this period. After implementing the QI tetanus vaccination project in the Emergency Room, the number of tetanus toxoid vaccinations per month increased. Lippincott Williams & Wilkins 2023-01-06 /pmc/articles/PMC9829282/ /pubmed/36607851 http://dx.doi.org/10.1097/MD.0000000000032628 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
Suyama, Asuka
Hijikata, Toshiyuki
Miura, Ayako
Fujii, Shigeo
Suzuki, Yoshiko
Tomoda, Yoshitaka
Awaya, Yukikazu
The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study
title The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study
title_full The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study
title_fullStr The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study
title_full_unstemmed The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study
title_short The importance of infectious disease specialists consulting on a weekly basis in a Japanese tertiary care hospital: A retrospective observational study
title_sort importance of infectious disease specialists consulting on a weekly basis in a japanese tertiary care hospital: a retrospective observational study
topic 4900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829282/
https://www.ncbi.nlm.nih.gov/pubmed/36607851
http://dx.doi.org/10.1097/MD.0000000000032628
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