The role of infectious disease consultations in the management of patients with fever in a long-term care facility
Infectious disease (ID) clinicians can provide essential services for febrile patients in tertiary hospitals. The aim of this study was to evaluate the role of ID consultations (IDC) in managing hospitalized patients with infections in an oriental medical hospital (OMH), which serves as a long-term...
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| description | Infectious disease (ID) clinicians can provide essential services for febrile patients in tertiary hospitals. The aim of this study was to evaluate the role of ID consultations (IDC) in managing hospitalized patients with infections in an oriental medical hospital (OMH), which serves as a long-term care facility. To our knowledge, this is the first study on the role of IDCs in managing patients in an OMH. This retrospective study was conducted in an OMH in Seoul, Korea, from June 2006 to June 2013. Among the 465 cases of hospital-acquired fever, 141 (30.3%) were referred for ID. The most common cause of fever was infection in both groups. The peak body temperature of the patient was higher in IDC group (38.8±0.6°C vs. 38.6±0.5°C, p |
| doi_str_mv | 10.1371/journal.pone.0291421 |
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The aim of this study was to evaluate the role of ID consultations (IDC) in managing hospitalized patients with infections in an oriental medical hospital (OMH), which serves as a long-term care facility. To our knowledge, this is the first study on the role of IDCs in managing patients in an OMH. This retrospective study was conducted in an OMH in Seoul, Korea, from June 2006 to June 2013. Among the 465 cases of hospital-acquired fever, 141 (30.3%) were referred for ID. The most common cause of fever was infection in both groups. The peak body temperature of the patient was higher in IDC group (38.8±0.6°C vs. 38.6±0.5°C, p<0.001). Crude mortality at 30 days (14.6% vs. 7.8%, p = 0.043) and infection-attributable mortality (15.3% vs. 6.7%, p = 0.039) were higher in the No-IDC group. Multivariable analysis showed that infection as the focus of fever (adjusted Odd ratio [aOR] 3.49, 95% confidence interval (CI) 1.64-7.44), underlying cancer (aOR 10.32, 95% CI 4.34-24.51,), and multiorgan dysfunction syndrome (aOR 15.68, 95% CI 2.06-119.08) were associated with increased 30-day mortality. Multivariate analysis showed that in patients with infectious fever, appropriate antibiotic therapy (aOR 0.19, 95% CI 0.05-0.76) was the only factor associated with decreased infection-attributable mortality while underlying cancer (aOR 7.80, 95% CI 2.555-23.807) and severe sepsis or septic shock at the onset of fever (aOR 10.15, 95% CI 1.00-102.85) were associated with increased infection-attributable mortality. Infection was the most common cause of fever in patients hospitalized for OMH. Infection as the focus of fever, underlying cancer, and MODS was associated with increased 30-day mortality in patients with nosocomial fever. Appropriate antibiotic therapy was associated with decreased infection-attributable mortality in patients with infectious fever.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0291421</identifier><identifier>PMID: 37683019</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Acupuncture ; Aged ; Analysis ; Antibiotics ; Antimicrobial agents ; Biology and Life Sciences ; Body temperature ; Cancer ; Care and treatment ; Chronic illnesses ; Communicable diseases ; Diagnosis ; Fever ; Health aspects ; Herbal medicine ; Hospital patients ; Hospitalization ; Hospitals ; Hyperthermia ; Infection ; Infection control ; Infections ; Infectious diseases ; Long term health care ; Long-term care ; Long-term care facilities ; Long-term care of the sick ; Medical records ; Medical research ; Medicine ; Medicine and Health Sciences ; Medicine, Experimental ; Mortality ; Multivariate analysis ; Nosocomial infection ; Patients ; Regression analysis ; Sepsis ; Septic shock ; Services ; South Korea</subject><ispartof>PloS one, 2023-09, Vol.18 (9), p.e0291421-e0291421</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Moon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Moon et al 2023 Moon et al</rights><rights>2023 Moon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c619t-300d4eb0b870e796860fa257f896e913e4e0e0d7832a30921069f8a3a7d90bb83</cites><orcidid>0000-0003-0542-6177 ; 0000-0002-4662-7859</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491299/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491299/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53770,53772,79347,79348</link.rule.ids></links><search><contributor>Amanati, Ali</contributor><creatorcontrib>Moon, Soo-youn</creatorcontrib><creatorcontrib>Lim, Kyoung Ree</creatorcontrib><creatorcontrib>Son, Jun Seong</creatorcontrib><title>The role of infectious disease consultations in the management of patients with fever in a long-term care facility</title><title>PloS one</title><description>Infectious disease (ID) clinicians can provide essential services for febrile patients in tertiary hospitals. The aim of this study was to evaluate the role of ID consultations (IDC) in managing hospitalized patients with infections in an oriental medical hospital (OMH), which serves as a long-term care facility. To our knowledge, this is the first study on the role of IDCs in managing patients in an OMH. This retrospective study was conducted in an OMH in Seoul, Korea, from June 2006 to June 2013. Among the 465 cases of hospital-acquired fever, 141 (30.3%) were referred for ID. The most common cause of fever was infection in both groups. The peak body temperature of the patient was higher in IDC group (38.8±0.6°C vs. 38.6±0.5°C, p<0.001). Crude mortality at 30 days (14.6% vs. 7.8%, p = 0.043) and infection-attributable mortality (15.3% vs. 6.7%, p = 0.039) were higher in the No-IDC group. Multivariable analysis showed that infection as the focus of fever (adjusted Odd ratio [aOR] 3.49, 95% confidence interval (CI) 1.64-7.44), underlying cancer (aOR 10.32, 95% CI 4.34-24.51,), and multiorgan dysfunction syndrome (aOR 15.68, 95% CI 2.06-119.08) were associated with increased 30-day mortality. Multivariate analysis showed that in patients with infectious fever, appropriate antibiotic therapy (aOR 0.19, 95% CI 0.05-0.76) was the only factor associated with decreased infection-attributable mortality while underlying cancer (aOR 7.80, 95% CI 2.555-23.807) and severe sepsis or septic shock at the onset of fever (aOR 10.15, 95% CI 1.00-102.85) were associated with increased infection-attributable mortality. Infection was the most common cause of fever in patients hospitalized for OMH. Infection as the focus of fever, underlying cancer, and MODS was associated with increased 30-day mortality in patients with nosocomial fever. Appropriate antibiotic therapy was associated with decreased infection-attributable mortality in patients with infectious fever.</description><subject>Acupuncture</subject><subject>Aged</subject><subject>Analysis</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Biology and Life Sciences</subject><subject>Body temperature</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Chronic illnesses</subject><subject>Communicable diseases</subject><subject>Diagnosis</subject><subject>Fever</subject><subject>Health aspects</subject><subject>Herbal medicine</subject><subject>Hospital patients</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Hyperthermia</subject><subject>Infection</subject><subject>Infection control</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Long term health care</subject><subject>Long-term care</subject><subject>Long-term care facilities</subject><subject>Long-term care of the sick</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Medicine, Experimental</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>Nosocomial infection</subject><subject>Patients</subject><subject>Regression analysis</subject><subject>Sepsis</subject><subject>Septic shock</subject><subject>Services</subject><subject>South Korea</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99r1TAUx4sobk7_A8GCIPpwr0nTmyZPYwx_XBgMdPoaTtPT3oy0uSbpdP-96W6VVfYgeUg4-Zxvku_JybKXlKwpq-j7azf6Aex67wZck0LSsqCPsmMqWbHiBWGP762PsmchXBOyYYLzp9kRq7hghMrjzF_tMPfOYu7a3Awt6mjcGPLGBISAuXZDGG2EFB1CAvKY-B4G6LDHIU5Z-7SZliH_aeIub_EG_QRCbt3QrSL6PtfgMW9BG2vi7fPsSQs24It5Psm-ffxwdf55dXH5aXt-drHSnMq4YoQ0JdakFhXBSnLBSQvFpmqF5CgpwxIJkqYSrABGZEEJl60ABlUjSV0LdpK9OujurQtqtiuoQvCiKoUQPBHbA9E4uFZ7b3rwt8qBUXcB5zsFPhptUTV1IRBIck2WJaMSWCN1zRoidVuXTCet0_m0se6x0ckRD3YhutwZzE517kZRUkpaSJkU3s4K3v0YMUTVm6DRWhgwlWS6OGOEbwhN6Ot_0IefN1MdpBek4rp0sJ5E1VnFS1ps0odI1PoBKo0Ge5PKj61J8UXCu0VCYiL-ih2MIajt1y__z15-X7Jv7rE7BBt3wdnx7ustwfIAau9C8Nj-dZkSNfXGHzfU1Btq7g32GycR_04</recordid><startdate>20230908</startdate><enddate>20230908</enddate><creator>Moon, 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role of infectious disease consultations in the management of patients with fever in a long-term care facility</title><author>Moon, Soo-youn ; Lim, Kyoung Ree ; Son, Jun Seong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c619t-300d4eb0b870e796860fa257f896e913e4e0e0d7832a30921069f8a3a7d90bb83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acupuncture</topic><topic>Aged</topic><topic>Analysis</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>Biology and Life Sciences</topic><topic>Body temperature</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Chronic illnesses</topic><topic>Communicable diseases</topic><topic>Diagnosis</topic><topic>Fever</topic><topic>Health aspects</topic><topic>Herbal medicine</topic><topic>Hospital 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one</jtitle><date>2023-09-08</date><risdate>2023</risdate><volume>18</volume><issue>9</issue><spage>e0291421</spage><epage>e0291421</epage><pages>e0291421-e0291421</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Infectious disease (ID) clinicians can provide essential services for febrile patients in tertiary hospitals. The aim of this study was to evaluate the role of ID consultations (IDC) in managing hospitalized patients with infections in an oriental medical hospital (OMH), which serves as a long-term care facility. To our knowledge, this is the first study on the role of IDCs in managing patients in an OMH. This retrospective study was conducted in an OMH in Seoul, Korea, from June 2006 to June 2013. Among the 465 cases of hospital-acquired fever, 141 (30.3%) were referred for ID. The most common cause of fever was infection in both groups. The peak body temperature of the patient was higher in IDC group (38.8±0.6°C vs. 38.6±0.5°C, p<0.001). Crude mortality at 30 days (14.6% vs. 7.8%, p = 0.043) and infection-attributable mortality (15.3% vs. 6.7%, p = 0.039) were higher in the No-IDC group. Multivariable analysis showed that infection as the focus of fever (adjusted Odd ratio [aOR] 3.49, 95% confidence interval (CI) 1.64-7.44), underlying cancer (aOR 10.32, 95% CI 4.34-24.51,), and multiorgan dysfunction syndrome (aOR 15.68, 95% CI 2.06-119.08) were associated with increased 30-day mortality. Multivariate analysis showed that in patients with infectious fever, appropriate antibiotic therapy (aOR 0.19, 95% CI 0.05-0.76) was the only factor associated with decreased infection-attributable mortality while underlying cancer (aOR 7.80, 95% CI 2.555-23.807) and severe sepsis or septic shock at the onset of fever (aOR 10.15, 95% CI 1.00-102.85) were associated with increased infection-attributable mortality. Infection was the most common cause of fever in patients hospitalized for OMH. Infection as the focus of fever, underlying cancer, and MODS was associated with increased 30-day mortality in patients with nosocomial fever. Appropriate antibiotic therapy was associated with decreased infection-attributable mortality in patients with infectious fever.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>37683019</pmid><doi>10.1371/journal.pone.0291421</doi><tpages>e0291421</tpages><orcidid>https://orcid.org/0000-0003-0542-6177</orcidid><orcidid>https://orcid.org/0000-0002-4662-7859</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acupuncture Aged Analysis Antibiotics Antimicrobial agents Biology and Life Sciences Body temperature Cancer Care and treatment Chronic illnesses Communicable diseases Diagnosis Fever Health aspects Herbal medicine Hospital patients Hospitalization Hospitals Hyperthermia Infection Infection control Infections Infectious diseases Long term health care Long-term care Long-term care facilities Long-term care of the sick Medical records Medical research Medicine Medicine and Health Sciences Medicine, Experimental Mortality Multivariate analysis Nosocomial infection Patients Regression analysis Sepsis Septic shock Services South Korea |
| title | The role of infectious disease consultations in the management of patients with fever in a long-term care facility |
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