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Infectious disease evaluations in a psychiatric unit, an observational study
Alberto Fica1, Luis Gálvez, Esteban Teneb
1Servicio de Medicina, Hospital Base Valdivia, Valdivia, Chile.
Revista Medica De Chile
|August 2, 2024
Summary
Adult psychiatric patients frequently experience infectious and non-infectious complications. Infectious disease consultations are crucial for managing these diverse conditions, often guided by antimicrobial stewardship programs, improving patient outcomes.
Area of Science:
- Infectious Diseases
- Psychiatry
- Hospital Medicine
Background:
- Patients in adult psychiatric wards face infectious complications or conditions mimicking infection.
- Limited information exists on the frequency and management of these events.
Purpose of the Study:
- To determine the frequency of infectious and non-infectious complications in adult psychiatric intensive care.
- To analyze the outcomes of these complications managed by infectious disease specialists.
Main Methods:
- Observational study conducted between 2016 and 2021.
- Evaluation of 37 patients with 41 distinct events.
Main Results:
- Infectious causes were identified in 73.2% of events, primarily respiratory, skin, and urinary infections.
- Non-infectious causes (26.8%) included pulmonary embolism, drug toxicity, and syndromes mimicking infection.
- Antimicrobial stewardship programs initiated nearly half of consultations; 75% of treatments were modified.
Conclusions:
- Psychiatric inpatients present a wide spectrum of infectious and simulated infectious conditions.
- Infectious disease consultations, supported by antibiotic surveillance, are vital for accurate diagnosis and treatment adjustment.
- No mortality was observed in the study cohort.
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