The challenge of infectious diseases consultations in the emergency department: an Italian nationwide survey.

Autor:	Riccardi N; Infectious Diseases Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy.; StopTB Italia Onlus, Milan, Italy., Antonello RM; StopTB Italia Onlus, Milan, Italy., Giacomelli A; StopTB Italia Onlus, Milan, Italy.; Department of Biomedical and Clinical Sciences DIBIC L. Sacco, University of Milan, 20157 Milan, Italy., Saderi L; Clinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy., Canetti D; StopTB Italia Onlus, Milan, Italy.; Department of Infectious and Tropical Diseases San Raffaele Hospital, 20132 Milan, Italy., Pallotto C; Infectious Diseases Unit, Santa Maria Annunziata Hospital, Azienda USL Toscana Centro, 50012 Bagno a Ripoli, Florence, Italy., Mazzaferri F; Infectious Diseases Section, Department of Diagnostic and Public Health, University of Verona, 37129 Verona, Italy., Degli Antoni AM; Department of Infectious Diseases and Hepatology, Azienda Ospedaliera di Parma, 34126 Parma, Italy., Cardellino C; Department of Infectious - Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Valpolicella di Negrar, Verona, Italy., Motta I; University of Turin, AO 'Amedeo di Savoia', Department of Medical Sciences, Infectious Diseases, 10149 Turin, Italy., Calcagno A; University of Turin, AO 'Amedeo di Savoia', Department of Medical Sciences, Infectious Diseases, 10149 Turin, Italy., Falcone M; Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy., Trezzi M; Division of Infectious Diseases, Azienda USL Toscana Centro, Hospital of Pistoia, 51100 Pistoia, Italy., Comelli A; Department of Infectious & Tropical Diseases, Spedali Civili, 25123 Brescia, Italy., Pascale R; Infectious Diseases Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy., Merli M; Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy., Binda F; Division of Infectious Diseases, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy., Angheben A; Department of Infectious - Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Valpolicella di Negrar, Verona, Italy., Sotgiu G; StopTB Italia Onlus, Milan, Italy.; Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy., Gobbi F; Department of Infectious - Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Valpolicella di Negrar, Verona, Italy., Nozza S; Department of Infectious and Tropical Diseases San Raffaele Hospital, 20132 Milan, Italy.
Jazyk:	angličtina
Zdroj:	The new microbiologica [New Microbiol] 2022 Dec; Vol. 45 (4), pp. 260-268. Date of Electronic Publication: 2022 Oct 03.
Abstrakt:	Diagnosis and management of infectious diseases (ID) at the emergency department (ED) are challenging due to the peculiar setting and the available diagnostic tools. The involvement of an ID consultant has been described to improve clinical outcomes and antimicrobial stewardship (AMS) programs. An online survey was sent to 100 Italian Departments of Infectious Diseases affiliated with the Italian Society of Infectious Diseases and Tropical Medicine (SIMIT). The primary objective of our study was to describe the characteristics of ID services in Italian EDs to identify possible challenges and shortcomings and provide tips to improve the management of patients. Secondary objectives included the evaluation of diagnostic capability and the management of patients with suspected or confirmed ID. Seventy-six out of the 100 SIMIT centers, 32 (42.1%) of which were teaching hospitals, answered the survey. In 62 (82.7%) centers, consultations were performed by the IDs specialist on call. In 29 (38.2%) centers, there was a formal AMS program, and 32 (42.7%) had protocols for antibiotic use in the ED. Microbiological tests to be performed before starting antibiotic treatment in the ED were clearly defined in 44 (57.9%) hospitals. This survey highlighted several challenges in the current organization of ID consultations in Italian EDs.
Databáze:	MEDLINE
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