Hajdú Edit, Benko Ria, Matuz Mária, Peto Zoltán, Hegedus Agnes, Soós Gyöngyvér, Bogár Lajos, Nagy Erzsébet
Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Klinikai Mikrobiológiai Diagnosztikai Intézet, Szeged, Semmelweis u. 6. 6725.
Orv Hetil. 2009 May 31;150(22):1037-42. doi: 10.1556/OH.2009.28592.
For the effective treatment of patients with infectious diseases in intensive care units, reliable microbiological diagnoses and correct evaluations of results by expert infectious disease specialists/microbiologists are indispensable. A 97-question survey was conducted about the antibiotic policy, the available background of the microbiological diagnoses and the consultation possibilities in infectious diseases/microbiology at intensive care units in Hungary. Sixty-two percent (60/96) of questionnaires were returned. Of these units, 55% had a microbiological laboratory in-house. Microbiological reports usually serve as basis for the choice of antibiotic treatment. It is an undesirable practice that during working days and during week-ends the proportions of positive microbiological reports sent back to the wards within the optimal time are only 50% and <20%, respectively. Helpful opinion of an expert infectious disease specialist or microbiologist was available in >90% of the cases during working hours, while out of working hours the help of an infectious disease specialist and a microbiologist specialist was available in 70% and 55% of the cases, respectively. Almost half of the units requested the help of an infectious disease specialist whereas only one-third of them turned to a microbiologist. Accordingly, the background for microbiological laboratory diagnoses available for intensive care units is far from optimal in Hungary and is not adequately stipulated in their working conditions.
