Diagnostic and therapeutic appropriateness in bone and joint infections: results of a national survey.
The impact of infectious diseases (ID) specialist consultation in the management of many types of bacterial infections has been fully demonstrated but not for bone and joint infections (BJIs). Nineteen ID Italian centres collected of data from June 2009 to May 2012. Italian guidelines (2009) were used to determine the appropriateness of the diagnostic and therapeutic process of BJIs before and after consulting an ID specialist. Data on 311 patients were collected: 111 cases of prosthetic joint infection, 99 osteomyelitis, 64 spondylodiscitis and 37 fixation device infection. A significant increase of microbiological investigations, imaging techniques and blood inflammation markers were noted after consulting the ID specialist. Moreover, inappropriateness of treatment duration, dosage, and number of administrations significantly decreased after consultation. Infectious disease specialist intervention in the management of BJIs significantly increases the appropriateness both in performing instrumental and laboratory analysis, but especially in determining the correct therapy.
['Esposito|Silvano|S|', 'Russo|Enrico|E|', 'De Simone|Giuseppe|G|', 'Gioia|Renato|R|', 'Petta|Ester|E|', 'Leone|Sebastiano|S|', 'Noviello|Silvana|S|', 'Artioli|Stefania|S|', 'Ascione|Tiziana|T|', 'Bartoloni|Alessandro|A|', 'Bassetti|Matteo|M|', 'Bertelli|Davide|D|', 'Boccia|Giovanni|G|', 'Borrè|Silvio|S|', 'Brugnaro|Pierluigi|P|', 'Caramello|Pietro|P|', 'Coen|Massimo|M|', 'Crisalli|Maria Paola|MP|', 'De Caro|Francesco|F|', 'Dodi|Ferdinando|F|', 'Fantoni|Massimo|M|', 'Foti|Giuseppe|G|', 'Giacometti|Andrea|A|', 'Leoncini|Francesco|F|', 'Libanore|Marco|M|', 'Migliore|Simona|S|', 'Venditti|Mario|M|']
D000293:Adolescent D000328:Adult D000368:Aged D000369:Aged, 80 and over D000900:Anti-Bacterial Agents D001424:Bacterial Infections D001847:Bone Diseases D003141:Communicable Diseases D005260:Female D006801:Humans D007558:Italy D007592:Joint Diseases D008297:Male D008875:Middle Aged D019637:Orthopedic Procedures D012017:Referral and Consultation D011795:Surveys and Questionnaires D055815:Young Adult
Appropriateness Bone and joint infections Infectious diseases specialist consultation