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What do infectious diseases physicians do? A 2-week snapshot of inpatient consultative activities across Australia, New Zealand and Singapore

Ingram, P. R., Cheng, Allen C., Murray, Ronan J., Blyth, C. C., Walls, T., Fisher, Dale A. and Davis, Joshua S. (2014). What do infectious diseases physicians do? A 2-week snapshot of inpatient consultative activities across Australia, New Zealand and Singapore. Clinical Microbiology and Infection,20(10):737-744.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 3
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IRMA ID 11436xPUB59
Title What do infectious diseases physicians do? A 2-week snapshot of inpatient consultative activities across Australia, New Zealand and Singapore
Author Ingram, P. R.
Cheng, Allen C.
Murray, Ronan J.
Blyth, C. C.
Walls, T.
Fisher, Dale A.
Davis, Joshua S.
Journal Name Clinical Microbiology and Infection
Publication Date 2014
Volume Number 20
Issue Number 10
ISSN 1198-743X   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84895089379
Start Page 737
End Page 744
Total Pages 8
Place of Publication United Kingdom
Publisher Elsevier Ltd
HERDC Category C1 - Journal Article (DIISR)
Abstract The practice of an infectious diseases (ID) physician is evolving. A contemporary understanding of the frequency and variety of patients and syndromes seen by ID services has implications for training, service development and setting research priorities. We performed a 2-week prospective survey of formal ID physician activities related to direct inpatient care, encompassing 53 hospitals throughout Australia, New Zealand and Singapore, and documented 1722 inpatient interactions. Infections involving the skin and soft tissue, respiratory tract and bone/joints together accounted for 49% of all consultations. Suspected/confirmed pathogens were primarily bacterial (60%), rather than viral (6%), fungal (4%), mycobacterial (2%) or parasitic (1%). Staphylococcus aureus was implicated in 409 (24%) episodes, approximately four times more frequently than the next most common pathogen. The frequency of healthcare-related infections (35%), immunosuppression (21%), diabetes mellitus (19%), prosthesis-related infections (13%), multiresistant pathogens (13%) and non-infectious diagnoses (9%) was high, although consultation characteristics varied between geographical settings and hospital types. Our study highlights the diversity of inpatient-related ID activities and should direct future teaching and research. ID physicians’ ability to offer beneficial consultative advice requires broad understanding of, and ability to interact with, a wide range of referring specialities.
Keywords Australia
consultations
infectious diseases
New Zealand
Singapore
DOI http://dx.doi.org/10.1111/1469-0691.12581   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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