Accuracy of consultations performed by infectious diseases trainees and factors associated with adherence to them

• DOI: 10.1016/j.ijid.2007.02.003
• Publication Date: 2007-04-30T14:50:04Z
• Authors: Oguz Resat Sipahi; Meltem Tasbakan; Husnu Pullukcu; Bilgin Arda; Tansu Yamazhan; Serpil Mizrakci; Sebnem Senol; Sabri Atalay; Demet Koseli; Guray Arsu; Sebnem Calik; Hilal Sipahi; Cagri Buke; Sercan Ulusoy
• Keywords: Univariate analysis

Infectious diseases (ID) trainees should be familiar with duties relevant to consultation practice. In this study we aimed analyze the ID trainee night/weekend shift process in terms of consultant characteristics, types recommendations, and compliance recommendations.All consultations performed by on night at weekends between 10 June August 2004 were recorded prospectively standardized forms. specialists assessed appropriateness recommendations day after each consultation. Recommendations considered complied if they carried out within 72 hours consultation.Of 440 consultations, 163 for a clinically diagnosed infection (without specific antibiotic request) 79 treatment continuation. Overall, 152 requesting antibiotic(s), 327 antibiotics recommended or approved 270 consultations. Eight these inappropriate. Overall was 75.3% (418/555). univariate analysis, rate non-treatment (microbiologic cultures, radiology, biochemistry, etc.) found lower than (186/308 vs. 232/247, p<0.05). addition, made first-year other trainees. logistic regression analysis only including associated higher (p=0.0001, odds ratio=10.2, 95% CI=5.7-18.3).ID are capable evaluating patients recommending appropriate antibiotics. Methodologies improve non-treatment-based optimizing selection seem necessary.