Gennai S, François P, Bal G, Epaulard O, Stahl J-P, Vittoz J-P, Pavese P
Service des maladies infectieuses et tropicales, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
Med Mal Infect. 2009 Oct;39(10):798-805. doi: 10.1016/j.medmal.2009.08.012. Epub 2009 Sep 30.
The aims of our study were to characterize the activity of a remote infectious diseases consultation (RIDC) in a teaching hospital and to assess physician observance to advice.
All demands received by the RIDC for initial advice and the given answers were recorded during one month. Advice given for inpatients was followed up 72 hours after to evaluate the physician's observance.
Six hundred and nineteen demands were recorded: 47% came from our teaching hospital and 53% came from community practice. Hospital demands came mostly from surgical (47%) and medical (41%) units. Most of them (92%) were related to the treatment of an infection or diagnostic help. Outside calls came from doctors (85%) either private or working in a health care institution. Prophylaxis (47%) and treatment of an infection or a diagnostic help (43%) were the most frequent issues. Among the 176 pieces of advice requested for inpatients, 87% were completely observed. Advice was more followed when it was given by experienced specialists (p=0.02) or by phone (p=0.03) and less followed for patients presenting a nosocomial infection (p=0.03).
The RIDC is very useful for the medical community and its advice is usually followed. Informal consultations account for an important part of its activity.
我们研究的目的是描述一家教学医院远程传染病咨询（RIDC）的活动情况，并评估医生对建议的遵循情况。
在一个月内记录RIDC收到的所有初始咨询需求及给出的答案。对住院患者给出的建议在72小时后进行跟进，以评估医生的遵循情况。
共记录了619项需求：47%来自我们的教学医院，53%来自社区医疗机构。医院的需求大多来自外科（47%）和内科（41%）科室。其中大多数（92%）与感染治疗或诊断帮助有关。外部来电来自私人医生或医疗机构的医生（85%）。预防（47%）以及感染治疗或诊断帮助（43%）是最常见的问题。在为住院患者提供的176条建议中，87%得到了完全遵循。由经验丰富的专家给出的建议（p = 0.02）或通过电话给出的建议（p = 0.03）更易被遵循，而对于医院感染患者的建议遵循率较低（p = 0.03）。
RIDC对医学界非常有用，其建议通常会被遵循。非正式咨询在其活动中占重要部分。
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