4.7 Article

Infectious disease consultation and microbiologic surveillance for intensive care unit trauma patients: A pilot study

Journal

CLINICAL INFECTIOUS DISEASES
Volume 33, Issue 12, Pages 1981-1989

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1086/324083

Keywords

-

Ask authors/readers for more resources

Infection remains a major cause of posttrauma morbidity. We retrospectively reviewed 2 cohorts of trauma patients admitted to a regional trauma center before and after a policy change integrating prospective microbiologic surveillance and infectious disease (ID) consultation into management of trauma admissions. Primary interests were effects of this policy change on antimicrobial use and diagnostic precision (particularly differentiation of infection from colonization). Associated costs, microflora, survival, and disability were also compared. Patients were stratified for risk of infection. ID consultation was associated with a 49% increased odds that an infection diagnosis was microbiologically based (P = .006) and 57% reduction of antibiotics costs per hospitalized day (P = .0008). Costs of consultation and an 86% increase (P < 10(-6)) in total cultures combined to minimally exceed that financial saving. The observed improvements in diagnostic precision and antimicrobial usage, however, suggest consideration of prospective microbiologic surveillance and multidisciplinary physician teams including ID physicians for high-risk trauma patients.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available