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Article: Inpatient emergencies encountered by an infectious disease consultative service
Title | Inpatient emergencies encountered by an infectious disease consultative service |
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Authors | |
Issue Date | 1998 |
Publisher | Oxford University Press. The Journal's web site is located at http://www.oxfordjournals.org/our_journals/cid/ |
Citation | Clinical Infectious Diseases, 1998, v. 26 n. 3, p. 695-701 How to Cite? |
Abstract | The spectrum of infections 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. |
Persistent Identifier | http://hdl.handle.net/10722/43122 |
ISSN | 2023 Impact Factor: 8.2 2023 SCImago Journal Rankings: 3.308 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Luk, WK | en_HK |
dc.contributor.author | Wong, SSY | en_HK |
dc.contributor.author | Yuen, KY | en_HK |
dc.contributor.author | Ho, PL | en_HK |
dc.contributor.author | Woo, PCY | en_HK |
dc.contributor.author | Lee, R | en_HK |
dc.contributor.author | Peiris, JSM | en_HK |
dc.contributor.author | Chau, PY | en_HK |
dc.date.accessioned | 2007-03-23T04:39:23Z | - |
dc.date.available | 2007-03-23T04:39:23Z | - |
dc.date.issued | 1998 | en_HK |
dc.identifier.citation | Clinical Infectious Diseases, 1998, v. 26 n. 3, p. 695-701 | en_HK |
dc.identifier.issn | 1058-4838 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/43122 | - |
dc.description.abstract | The spectrum of infections 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. | en_HK |
dc.format.extent | 148856 bytes | - |
dc.format.extent | 30720 bytes | - |
dc.format.extent | 2524 bytes | - |
dc.format.mimetype | application/pdf | - |
dc.format.mimetype | application/msword | - |
dc.format.mimetype | text/plain | - |
dc.language | eng | en_HK |
dc.publisher | Oxford University Press. The Journal's web site is located at http://www.oxfordjournals.org/our_journals/cid/ | en_HK |
dc.relation.ispartof | Clinical Infectious Diseases | en_HK |
dc.rights | Clinical Infectious Diseases. Copyright © University of Chicago Press. | en_HK |
dc.subject.mesh | Communicable diseases - classification | en_HK |
dc.subject.mesh | Emergency service, hospital | en_HK |
dc.subject.mesh | Inpatients | en_HK |
dc.subject.mesh | Prospective studies | en_HK |
dc.subject.mesh | Referral and consultation | en_HK |
dc.title | Inpatient emergencies encountered by an infectious disease consultative service | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1058-4838&volume=26&issue=3&spage=695&epage=701&date=1998&atitle=Inpatient+emergencies+encountered+by+an+infectious+disease+consultative+service | en_HK |
dc.identifier.email | Wong, SSY: samsonsy@hkucc.hku.hk | en_HK |
dc.identifier.email | Yuen, KY: kyyuen@hkucc.hku.hk | en_HK |
dc.identifier.email | Ho, PL: plho@hkucc.hku.hk | en_HK |
dc.identifier.email | Woo, PCY: pcywoo@hkucc.hku.hk | en_HK |
dc.identifier.email | Peiris, JSM: malik@hkucc.hku.hk | en_HK |
dc.identifier.authority | Wong, SSY=rp00395 | en_HK |
dc.identifier.authority | Yuen, KY=rp00366 | en_HK |
dc.identifier.authority | Ho, PL=rp00406 | en_HK |
dc.identifier.authority | Woo, PCY=rp00430 | en_HK |
dc.identifier.authority | Peiris, JSM=rp00410 | en_HK |
dc.description.nature | published_or_final_version | en_HK |
dc.identifier.doi | 10.1086/514591 | - |
dc.identifier.pmid | 9524847 | en_HK |
dc.identifier.scopus | eid_2-s2.0-0031980698 | en_HK |
dc.identifier.hkuros | 37039 | - |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0031980698&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 26 | en_HK |
dc.identifier.issue | 3 | en_HK |
dc.identifier.spage | 695 | en_HK |
dc.identifier.epage | 701 | en_HK |
dc.identifier.isi | WOS:000072287400027 | - |
dc.publisher.place | United States | en_HK |
dc.identifier.scopusauthorid | Luk, WK=7005237832 | en_HK |
dc.identifier.scopusauthorid | Wong, SSY=13310021400 | en_HK |
dc.identifier.scopusauthorid | Yuen, KY=36078079100 | en_HK |
dc.identifier.scopusauthorid | Ho, PL=7402211363 | en_HK |
dc.identifier.scopusauthorid | Woo, PCY=7201801340 | en_HK |
dc.identifier.scopusauthorid | Lee, R=7408203830 | en_HK |
dc.identifier.scopusauthorid | Peiris, JSM=7005486823 | en_HK |
dc.identifier.scopusauthorid | Chau, PY=36509704300 | en_HK |
dc.identifier.issnl | 1058-4838 | - |