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Consultation in university-based and community-based infectious disease practices: a prospective study.

Publication ,  Journal Article
Sexton, DJ; Corey, GR; Ingram, CW; Morris, VM; Haywood, HB
Published in: Clin Infect Dis
February 1995

Infectious disease physicians in university and community practices completed a standard data form following each of 1,366 inpatient consultations during a 7-month period. The rate of consultation was higher in the university practice than in the community practice (3.4 vs. 1.8 per 100 discharges, respectively). Known or suspected bacterial pathogens accounted for more than half of all consultations in both practice groups. The three organ systems most commonly affected by infection were pulmonary (20% in university practice vs. 19% in community practice), skin and soft tissue (13% in university practice vs. 20% in community practice), and musculoskeletal (12% in university practice vs. 16% in community practice). Bloodstream infection, pneumonia, unexplained fever, osteomyelitis, urinary tract infection, and cellulitis were the six most common disease processes that led to consultation in both practice groups. The percentage of patients with noninfectious diseases and the percentage for whom a change in antimicrobial therapy was advised was nearly identical in both practice settings. Physicians in private practice performed more consultations on weekends (20% vs. 11% in university practices, P < .001) and between 6:00 P.M. and 7:00 A.M. (15% vs. 6% in university practices, P < .001). The scope and diversity of the work of consultants in community practices are nearly identical to those of their colleagues in university-based practices.

Duke Scholars

Published In

Clin Infect Dis

DOI

ISSN

1058-4838

Publication Date

February 1995

Volume

20

Issue

2

Start / End Page

391 / 393

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Referral and Consultation
  • Prospective Studies
  • Practice Patterns, Physicians'
  • North Carolina
  • Microbiology
  • Humans
  • Hospitals, University
  • Hospitals, Community
  • Communicable Diseases
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sexton, D. J., Corey, G. R., Ingram, C. W., Morris, V. M., & Haywood, H. B. (1995). Consultation in university-based and community-based infectious disease practices: a prospective study. Clin Infect Dis, 20(2), 391–393. https://doi.org/10.1093/clinids/20.2.391
Sexton, D. J., G. R. Corey, C. W. Ingram, V. M. Morris, and H. B. Haywood. “Consultation in university-based and community-based infectious disease practices: a prospective study.Clin Infect Dis 20, no. 2 (February 1995): 391–93. https://doi.org/10.1093/clinids/20.2.391.
Sexton DJ, Corey GR, Ingram CW, Morris VM, Haywood HB. Consultation in university-based and community-based infectious disease practices: a prospective study. Clin Infect Dis. 1995 Feb;20(2):391–3.
Sexton, D. J., et al. “Consultation in university-based and community-based infectious disease practices: a prospective study.Clin Infect Dis, vol. 20, no. 2, Feb. 1995, pp. 391–93. Pubmed, doi:10.1093/clinids/20.2.391.
Sexton DJ, Corey GR, Ingram CW, Morris VM, Haywood HB. Consultation in university-based and community-based infectious disease practices: a prospective study. Clin Infect Dis. 1995 Feb;20(2):391–393.

Published In

Clin Infect Dis

DOI

ISSN

1058-4838

Publication Date

February 1995

Volume

20

Issue

2

Start / End Page

391 / 393

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Referral and Consultation
  • Prospective Studies
  • Practice Patterns, Physicians'
  • North Carolina
  • Microbiology
  • Humans
  • Hospitals, University
  • Hospitals, Community
  • Communicable Diseases