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

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dc.contributor.authorSipahi, Oguz Resat
dc.contributor.authorTasbakan, Meltem
dc.contributor.authorPullukcu, Husnu
dc.contributor.authorArda, Bilgin
dc.contributor.authorYamazhan, Tansu
dc.contributor.authorMizrakci, Serpil
dc.contributor.authorSenol, Sebnem
dc.contributor.authorAtalay, Sabri
dc.contributor.authorKoseli, Demet
dc.contributor.authorArsu, Guray
dc.contributor.authorCalik, Sebnem
dc.contributor.authorSipahi, Hilal
dc.contributor.authorBuke, Cagri
dc.contributor.authorUlusoy, Sercan
dc.date.accessioned2019-10-27T19:59:28Z
dc.date.available2019-10-27T19:59:28Z
dc.date.issued2007
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectives: Infectious diseases (ID) trainees should be familiar with duties relevant to consultation practice. In this study we aimed to analyze the ID trainee night/weekend shift consultation process in terms of consultant characteristics, types of recommendations, and compliance with recommendations. Methods: All consultations performed by ID trainees on the night shift and at the weekends between 10 June and 10 August 2004 were recorded prospectively on standardized forms. Infectious diseases specialists assessed the appropriateness of recommendations the day after each consultation. Recommendations were considered complied with if they were carried out within 72 hours of the consultation. Results: Of 440 consultations, 163 were for a clinically diagnosed infection (without specific antibiotic request) and 79 were for treatment continuation. Overall, 152 consultations were for requesting specific antibiotic(s), and 327 antibiotics were recommended or approved in 270 consultations. Eight of these recommendations were inappropriate. Overall compliance to ID recommendations was 75.3% (418/555). In univariate analysis, the compliance rate to non-treatment recommendations (microbiologic cultures, radiology, biochemistry, etc.) was found to be lower than the rate of compliance to antibiotic recommendations (186/308 vs. 232/247, p < 0.05). In addition, compliance to recommendations made by the first-year trainees was lower than to the recommendations made by the other trainees. In logistic regression analysis only recommendations including antibiotic treatment was associated with higher compliance (p = 0.0001, odds ratio = 10.2, 95% CI = 5.7-18.3). Conclusions: ID trainees are capable of evaluating patients and recommending appropriate antibiotics. Methodologies to improve the compliance to non-treatment-based recommendations and optimizing antibiotic selection seem to be necessary. (C) 2007 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ijid.2007.02.003en_US
dc.identifier.endpage523en_US
dc.identifier.issn1201-9712
dc.identifier.issue6en_US
dc.identifier.pmid17467321en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage518en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijid.2007.02.003
dc.identifier.urihttps://hdl.handle.net/11454/41185
dc.identifier.volume11en_US
dc.identifier.wosWOS:000251212900010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal of Infectious Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectmedical educationen_US
dc.subjectspecialist educationen_US
dc.subjectinfectious diseasesen_US
dc.subjectconsultationen_US
dc.subjecttraineesen_US
dc.subjectcomplianceen_US
dc.subjectefficacyen_US
dc.titleAccuracy of consultations performed by infectious diseases trainees and factors associated with adherence to themen_US
dc.typeArticleen_US

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