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Infection

pp 1–7 | Cite as

Infectious disease services: a survey from four university hospitals in Germany

  • Siegbert RiegEmail author
  • Florian Hitzenbichler
  • Stefan Hagel
  • Isabelle Suarez
  • Florian Kron
  • Bernd Salzberger
  • Mathias Pletz
  • Winfried V. Kern
  • Gerd Fätkenheuer
  • Norma Jung
Original Paper
  • 55 Downloads

Abstract

Purpose

Involvement of infectious disease (ID) specialists in the care of hospitalized patients with infections through consultation services improves the quality of care and the outcome of patients. This survey aimed to describe activities and utilization of ID consultations at four German tertiary care hospitals.

Methods

A 1-month (March 2016) retrospective cross-sectional study at four university hospitals (Freiburg, Jena, Cologne and Regensburg) was performed. Only ID consultations with written documentation and bedside patient evaluation were included. Consultations were analyzed with regard to requesting departments, infections, case severity, and diagnostic and therapeutic recommendations.

Results

In the study period, 638 ID consultations were performed in 479 patients—corresponding to 3–4 consultations per 100 inpatient cases. Patients were characterized by a high disease complexity—the mean case mix index in patients with consultation was 10.1 compared to 1.6 for all patients. ID consultations were requested by many different specialties, with approximately half of the requests coming from surgical disciplines. ID consultations resulted in revised diagnoses in 34% of the cases, provided recommendations for additional diagnostic procedures in 66%, and for modifications of antimicrobial regimens in 70% of the cases.

Conclusions

Infectious disease consultations were requested for patients with severe and complicated diseases and resulted in recommendations that highly impacted the diagnostic work-up and therapeutic management of patients. The results of this survey may help to estimate requirements for establishment of such services in Germany.

Keywords

Infectious disease consultation Quality of care Quality indicators Patient management Difficult-to-treat infections Survival 

Notes

Funding

None.

Compliance with ethical standards

Conflict of interest

None to declare.

Supplementary material

15010_2018_1191_MOESM1_ESM.docx (34 kb)
Supplementary material 1 (DOCX 34 KB)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Siegbert Rieg
    • 1
    Email author
  • Florian Hitzenbichler
    • 2
  • Stefan Hagel
    • 3
  • Isabelle Suarez
    • 4
    • 5
  • Florian Kron
    • 4
  • Bernd Salzberger
    • 2
  • Mathias Pletz
    • 3
  • Winfried V. Kern
    • 1
  • Gerd Fätkenheuer
    • 4
    • 5
  • Norma Jung
    • 4
  1. 1.Division of Infectious Diseases, Department of Medicine II, Medical Center - University of FreiburgFaculty of Medicine, University of FreiburgFreiburgGermany
  2. 2.Infectious Diseases UnitUniversity Hospital of RegensburgRegensburgGermany
  3. 3.Infectious DiseaseUniversity Hospital of JenaJenaGermany
  4. 4.Department I of Internal MedicineUniversity Hospital of CologneCologneGermany
  5. 5.German Center for Infection ResearchPartner Site Bonn-CologneCologneGermany

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