title: Diagnostic and therapeutic appropriateness in bone and joint infections: results of a national survey.
abstract: 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.
authors: a Infectious Diseases Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Silvano
authors: S
authors: Esposito
authors: a Infectious Diseases Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Enrico
authors: E
authors: Russo
authors: a Infectious Diseases Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Giuseppe
authors: G
authors: De Simone
authors: a Infectious Diseases Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Renato
authors: R
authors: Gioia
authors: a Infectious Diseases Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Ester
authors: E
authors: Petta
authors: a Infectious Diseases Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Sebastiano
authors: S
authors: Leone
authors: a Infectious Diseases Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Silvana
authors: S
authors: Noviello
authors: b Infectious Diseases Unit , Levante Ligure Hospital, Levante Ligure , Italy.
authors: Stefania
authors: S
authors: Artioli
authors: c Infectious Diseases Unit , Cotugno Hospital, Naples , Italy.
authors: Tiziana
authors: T
authors: Ascione
authors: d Infectious Diseases Unit , University of Florence, Careggi Hospital, Florence , Italy.
authors: Alessandro
authors: A
authors: Bartoloni
authors: e Infectious Diseases Unit , AOU Santa Maria della Misericordia, Udine , Italy.
authors: Matteo
authors: M
authors: Bassetti
authors: f Infectious Diseases Unit , A. O. Spedali Civili, Brescia , Italy.
authors: Davide
authors: D
authors: Bertelli
authors: g Hygiene Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Giovanni
authors: G
authors: Boccia
authors: h Infectious Diseases Unit , S. Andrea Hospital, Vercelli , Italy.
authors: Silvio
authors: S
authors: Borrè
authors: i Infectious Diseases Unit , "SS. Giovanni e Paolo" Hospital, Castello, Venice , Italy.
authors: Pierluigi
authors: P
authors: Brugnaro
authors: j Infectious Diseases Unit , Amedeo di Savoia Hospital, Turin , Italy.
authors: Pietro
authors: P
authors: Caramello
authors: k Infectious Diseases Unit , Sacco Hospital, Milan , Italy.
authors: Massimo
authors: M
authors: Coen
authors: l Infectious Diseases Unit , Galliera Hospital, Genoa , Italy.
authors: Maria Paola
authors: MP
authors: Crisalli
authors: g Hygiene Unit , University of Salerno, San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno , Italy.
authors: Francesco
authors: F
authors: De Caro
authors: m Infectious Diseases Unit , IRCCS San Martino, Genoa , Italy.
authors: Ferdinando
authors: F
authors: Dodi
authors: n Infectious Diseases Institute, Catholic S. Cuore, Gemelli Hospital , Rome , Italy.
authors: Massimo
authors: M
authors: Fantoni
authors: o Infectious Diseases Unit , Bianchi Melacrino Morelli Hospital, Reggio Calabria , Italy.
authors: Giuseppe
authors: G
authors: Foti
authors: p Infectious Diseases Institute, Ancona University, Ancona , Italy.
authors: Andrea
authors: A
authors: Giacometti
authors: q Infectious Diseases Unit , Careggi Hospital, Florence , Italy.
authors: Francesco
authors: F
authors: Leoncini
authors: r Infectious Diseases Unit , University of Ferrara, Ferrara , Italy.
authors: Marco
authors: M
authors: Libanore
authors: s Infectious Diseases Unit , Ragusa Hospital, Ragusa , Italy.
authors: Simona
authors: S
authors: Migliore
authors: t Infectious Diseases Institute, University of Rome La Sapienza , Rome , Italy.
authors: Mario
authors: M
authors: Venditti
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis* / Q000209:etiology; D001847:Bone Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D003141:Communicable Diseases; D005260:Female; D006801:Humans; D007558:Italy; D007592:Joint Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Appropriateness; Bone and joint infections; Infectious diseases specialist consultation