Department of Infectious Diseases, Infection Control, and Employee Health, University of Texas, M.D. Anderson Cancer Center, Houston, Texas, USA.
Curr Opin Oncol. 2013 Jul;25(4):353-9. doi: 10.1097/CCO.0b013e3283622c32.
Traditional utilization of infectious diseases consultants by oncologists ranges from inpatient management of a variety of acute infectious syndromes to management of ambulatory patients with acute or chronic infections; however, there is a paucity of data to evaluate in which circumstances the impact of infectious diseases input may be most valuable.
Data derived from the general population of patients emphasize the value of infectious diseases consultation in specific infections, such as Staphylococcus aureus bacteremia, candidemia, and hepatitis C virus infection. In addition, infectious diseases involvement has been associated with greater adherence to guidelines (up to 34% increase), more appropriate antibiotic utilization (up to 52% increase in appropriate duration), decreased cost and complications of care, and lower mortality (up to 17% decrease). Recent studies suggest that bedside, formal infectious diseases consultation is more optimal than informal interactions (e.g., e-mail, telephone, other). Furthermore, infectious diseases consultants play central roles in antibiotic stewardship, infection control, and quality improvement, particularly in oncology centers.
Infectious diseases consultants contribute value in various inpatient and outpatient infections, decreasing mortality, cost, and complications.
肿瘤学家对传染病顾问的传统利用范围从各种急性传染病综合征的住院管理到急性或慢性感染的门诊患者管理；然而，缺乏数据来评估传染病投入的影响在哪些情况下可能最有价值。
从患者的一般人群中获得的数据强调了传染病咨询在特定感染中的价值，例如金黄色葡萄球菌菌血症、念珠菌血症和丙型肝炎病毒感染。此外，传染病的介入与更高的遵循指南（高达 34%的增加）、更适当的抗生素利用（适当持续时间增加高达 52%）、降低成本和治疗并发症以及降低死亡率（高达 17%的降低）有关。最近的研究表明，床边的、正式的传染病咨询比非正式的互动（如电子邮件、电话、其他）更理想。此外，传染病顾问在抗生素管理、感染控制和质量改进方面发挥着核心作用，特别是在肿瘤中心。
传染病顾问在各种住院和门诊感染中都有价值，可以降低死亡率、成本和并发症。
