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A national network of infectious diseases experts

机译：全国传染病专家网络

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Objectives: The aim of this study was to consider the implementation of a network of infectious diseases (ID) experts to optimize the antibiotic prescriptions of community and hospital practitioners. Methods: An observational prospective study was conducted among ID experts in the Pays-de-la-Loire Region to evaluate the number of calls and to determine the practitioner's reasons for soliciting ID expertise. For each phone consultation, four criteria were recorded during 5 days: origin of the call (internal/external), kind of question (diagnostic/therapeutic) time spent for the advice provided, type of advice. Results: A total of 386 phone consultations for 20 infectious disease specialists were recorded during the study period (5 days); 81% were internal to the hospital, 7.7% from another hospital, and 11.3% from private practice, 56.3% of the questions concerned a therapeutic strategy, 21% a diagnostic advice, and 22.6% concerned both diagnosis and therapy. Two third of the questions were answered within 10. minutes. In 68.7% of cases, the ID specialist answered immediately, 19.8% of calls required following-up the patient, 6% led to refer the patient to an ID consultation, and 5.5% to hospitalization. Conclusion: The survey results stress the important need for such ID expertise, both in hospitals and in ambulatory medicine. Collaboration of ID specialists in a regional network would allow an easy and permanent access to antibiotic therapy advice for prescribers. This network would improve the quality and safety of care.
机译：目的：本研究的目的是考虑实施传染病（ID）专家网络，以优化社区和医院从业人员的抗生素处方。方法：在卢瓦尔河沿岸地区的ID专家中进行了一项观察性前瞻性研究，以评估电话数量并确定从业人员寻求ID专家的原因。对于每次电话咨询，在5天内记录了四个标准：呼叫来源（内部/外部），问题种类（诊断/治疗），所提供建议所花费的时间，建议类型。结果：在研究期间（5天），共记录了386次针对20个传染病专家的电话咨询。 81％位于医院内部，7.7％来自另一家医院，以及11.3％来自私人诊所，56.3％的问题涉及治疗策略，21％的诊断建议，22.6％的问题涉及诊断和治疗。在十分钟之内回答了三分之二的问题。在68.7％的情况下，ID专家会立即回答，有19.8％的电话需要跟进患者，有6％的人将患者转诊给ID咨询，而5.5％的人则需要住院。结论：调查结果强调了在医院和非卧床医学中对这种ID专门知识的重要需求。区域网络中ID专家的协作将使处方者可以轻松，永久地获得抗生素治疗建议。该网络将提高护理的质量和安全性。

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