LymphedemaV1, Istex, Corpus, bibRecord, 004B50

Inpatient Emergencies Encountered by an Infectious Disease Consultative Service

Identifieur interne : 004B50 ( Istex/Corpus ); précédent : 004B49; suivant : 004B51

Inpatient Emergencies Encountered by an Infectious Disease Consultative Service

Auteurs : Wei-Kwang Luk ; Samson S. Y. Wong ; Kwok-Yung Yuen ; Pak-Leung Ho ; Patrick C. Y. Woo ; Rodney Lee ; Joseph S. M. Peiris ; Pak-Yin Chau

Source :

Clinical Infectious Diseases [ 1058-4838 ] ; 1998-03.

RBID : ISTEX:A08D17826EA32D5E996951B7EC600EEE434B23DF

Abstract

The spectrum of infectious disease (ID) emergencies in hospitalized patients was assessed in a prospective study of 3,626 inpatient ID consultations in a 1,350-bed teaching hospital. ID emergencies, defined by a need or anticipated need for advanced life support or by irreversible organ damage leading to permanent functional loss, were encountered in 175 patients. Infections of the central nervous system (26.3%), cardiovascular system (14.9%), alimentary system (13.1%), and lower respiratory tract (7.4%) and adverse reactions to antimicrobial agents (7.4%) were most common. In 18.9% of the cases, the referring clinicians were unaware of the emergency at the time of referral. Drug reactions (46.1%), severe alimentary and peritoneal infections (32.0%), upper respiratory tract infections (28.6%), and skin and soft-tissue infections (27.3%) were most frequently missed. The emergency ID conditions were not recognized because they had an atypical presentation (51.5%), were not commonly seen in the referring specialty (24.2%), were due to rare organisms (15.2%), or had unusual anatomical sites of involvement (9.1%). A close liaison between clinicians and the ID team is crucial for recognition of ID emergencies at their early stages so that appropriate investigations and management can be instituted expediently, before the occurrence of irreversible damage.

Url:

https://api.istex.fr/document/A08D17826EA32D5E996951B7EC600EEE434B23DF/fulltext/pdf

DOI: 10.1086/514591

Links to Exploration step

ISTEX:A08D17826EA32D5E996951B7EC600EEE434B23DF

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<article-title>Inpatient Emergencies Encountered by an Infectious Disease Consultative Service</article-title>

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<contrib contrib-type="author">

<name><surname>Luk</surname>
<given-names>Wei-Kwang</given-names>
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<contrib contrib-type="author">

<name><surname>Wong</surname>
<given-names>Samson S. Y.</given-names>
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<contrib contrib-type="author" corresp="yes">

<name><surname>Yuen</surname>
<given-names>Kwok-Yung</given-names>
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<contrib contrib-type="author">

<name><surname>Ho</surname>
<given-names>Pak-Leung</given-names>
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<contrib contrib-type="author">

<name><surname>Woo</surname>
<given-names>Patrick C. Y.</given-names>
</name>

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<contrib contrib-type="author">

<name><surname>Lee</surname>
<given-names>Rodney</given-names>
</name>

</contrib>

<contrib contrib-type="author">

<name><surname>Peiris</surname>
<given-names>Joseph S. M.</given-names>
</name>

</contrib>

<contrib contrib-type="author">

<name><surname>Chau</surname>
<given-names>Pak-Yin</given-names>
</name>

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<aff>From the Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong</aff>

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<author-notes>

<corresp id="cor1">Reprints or correspondence: K. Y. Yuen, Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital, Pokfulam Road, Hong Kong.</corresp>

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<month>3</month>

<year>1998</year>

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<volume>26</volume>

<issue>3</issue>

<fpage>695</fpage>

<lpage>701</lpage>

<history>

<date date-type="received">

<day>18</day>

<month>6</month>

<year>1997</year>

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<month>11</month>

<year>1997</year>

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<copyright-statement>© 1998 by The University of Chicago</copyright-statement>

<copyright-year>1998</copyright-year>

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<p>The spectrum of infectious disease (ID) emergencies in hospitalized patients was assessed in a prospective study of 3,626 inpatient ID consultations in a 1,350-bed teaching hospital. ID emergencies, defined by a need or anticipated need for advanced life support or by irreversible organ damage leading to permanent functional loss, were encountered in 175 patients. Infections of the central nervous system (26.3%), cardiovascular system (14.9%), alimentary system (13.1%), and lower respiratory tract (7.4%) and adverse reactions to antimicrobial agents (7.4%) were most common. In 18.9% of the cases, the referring clinicians were unaware of the emergency at the time of referral. Drug reactions (46.1%), severe alimentary and peritoneal infections (32.0%), upper respiratory tract infections (28.6%), and skin and soft-tissue infections (27.3%) were most frequently missed. The emergency ID conditions were not recognized because they had an atypical presentation (51.5%), were not commonly seen in the referring specialty (24.2%), were due to rare organisms (15.2%), or had unusual anatomical sites of involvement (9.1%). A close liaison between clinicians and the ID team is crucial for recognition of ID emergencies at their early stages so that appropriate investigations and management can be instituted expediently, before the occurrence of irreversible damage.</p>

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<name type="personal"><namePart type="given">Wei-Kwang</namePart>
<namePart type="family">Luk</namePart>
<affiliation>From the Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong</affiliation>
<role><roleTerm type="text">author</roleTerm>
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<name type="personal"><namePart type="given">Samson S. Y.</namePart>
<namePart type="family">Wong</namePart>
<affiliation>From the Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong</affiliation>
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<name type="personal" displayLabel="corresp"><namePart type="given">Kwok-Yung</namePart>
<namePart type="family">Yuen</namePart>
<affiliation>From the Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong</affiliation>
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<name type="personal"><namePart type="given">Pak-Leung</namePart>
<namePart type="family">Ho</namePart>
<affiliation>From the Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong</affiliation>
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<name type="personal"><namePart type="given">Patrick C. Y.</namePart>
<namePart type="family">Woo</namePart>
<affiliation>From the Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong</affiliation>
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<name type="personal"><namePart type="given">Rodney</namePart>
<namePart type="family">Lee</namePart>
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<name type="personal"><namePart type="given">Joseph S. M.</namePart>
<namePart type="family">Peiris</namePart>
<affiliation>From the Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong</affiliation>
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<name type="personal"><namePart type="given">Pak-Yin</namePart>
<namePart type="family">Chau</namePart>
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<abstract>The spectrum of infectious disease (ID) emergencies in hospitalized patients was assessed in a prospective study of 3,626 inpatient ID consultations in a 1,350-bed teaching hospital. ID emergencies, defined by a need or anticipated need for advanced life support or by irreversible organ damage leading to permanent functional loss, were encountered in 175 patients. Infections of the central nervous system (26.3%), cardiovascular system (14.9%), alimentary system (13.1%), and lower respiratory tract (7.4%) and adverse reactions to antimicrobial agents (7.4%) were most common. In 18.9% of the cases, the referring clinicians were unaware of the emergency at the time of referral. Drug reactions (46.1%), severe alimentary and peritoneal infections (32.0%), upper respiratory tract infections (28.6%), and skin and soft-tissue infections (27.3%) were most frequently missed. The emergency ID conditions were not recognized because they had an atypical presentation (51.5%), were not commonly seen in the referring specialty (24.2%), were due to rare organisms (15.2%), or had unusual anatomical sites of involvement (9.1%). A close liaison between clinicians and the ID team is crucial for recognition of ID emergencies at their early stages so that appropriate investigations and management can be instituted expediently, before the occurrence of irreversible damage.</abstract>
<note type="author-notes">Reprints or correspondence: K. Y. Yuen, Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital, Pokfulam Road, Hong Kong.</note>
<relatedItem type="host"><titleInfo><title>Clinical Infectious Diseases</title>
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<identifier type="ISSN">1058-4838</identifier>
<identifier type="eISSN">1537-6591</identifier>
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<part><date>1998</date>
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<number>26</number>
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<extent unit="pages"><start>695</start>
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<identifier type="DOI">10.1086/514591</identifier>
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Inpatient Emergencies Encountered by an Infectious Disease Consultative Service

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