{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T07:43:13Z","timestamp":1788248593237,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,10,9]],"date-time":"2014-10-09T00:00:00Z","timestamp":1412812800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Infectious diseases (<jats:styled-content style=\"fixed-case\">ID<\/jats:styled-content>) clinicians provide an important service within tertiary hospitals. However, as a largely consultation\u2010based service, their value can be difficult to evaluate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>A review of 13.5 years of consultations was undertaken to define the scope of the service and any changes over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">ID<\/jats:styled-content> consultations at the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>rincess <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lexandra <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital are tracked on a database, recording information including the requesting team, indication for and outcome of the consult. Incident formal inpatient consultations between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 1999 and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2012 were reviewed retrospectively. Phone consultations, repeat consultations and <jats:styled-content style=\"fixed-case\">ID<\/jats:styled-content> admissions were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven thousand five hundred and eleven consultations were identified, with annual consultations increasing significantly during this period. Overall, formal consultations were performed on 1.3% of admissions. Consultations were most commonly requested by orthopaedics (14.3%) and general medicine (11.4%). The two most common syndromes triggering a consult were bloodstream infection (13.9%) and complicated soft tissue infection (7.8%). The final diagnosis was most frequently osteomyelitis (7.9%). <jats:styled-content style=\"fixed-case\"><jats:italic>S<\/jats:italic><\/jats:styled-content><jats:italic>taphylococcus aureus<\/jats:italic> (19.4%) and <jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content><jats:italic>seudomonas aeruginosa<\/jats:italic> (8.3%) were the most commonly identified pathogens.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The demand for <jats:styled-content style=\"fixed-case\">ID<\/jats:styled-content> consultations has increased over time and there are likely to be many drivers of this increase. Information derived from this audit can enhance the <jats:styled-content style=\"fixed-case\">ID<\/jats:styled-content> service by guiding service delivery, trainee education and informing funding or accreditation applications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12536","type":"journal-article","created":{"date-parts":[[2014,7,23]],"date-time":"2014-07-23T07:25:17Z","timestamp":1406100317000},"page":"998-1004","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Infectious diseases consultations at an <scp>A<\/scp>ustralian <scp>T<\/scp>ertiary <scp>H<\/scp>ospital: a review of 11\u2009511 inpatient consultations"],"prefix":"10.1111","volume":"44","author":[{"given":"E. 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