Research Article

Influence of an Infectious Diseases Specialist on ICU Multidisciplinary Rounds

Table 1

Influence of the presence and absence of an infectious diseases specialist (IDS) on antibiotic use decisions by the ICU Multidisciplinary Team at Providence Portland Medical Center.

In the presence of IDSIn the absence of IDS

Number of rounding sessions6151
Total number of patients receiving antimicrobials pre-rounds384352
Total days of therapy (DOT)
 Prerounds669593
 Postrounds511572
  Difference−158−21
 Decrease DOT/patient−0.41*−0.06*
Total cost of antimicrobial regimen, $
 Prerounds17,52115,153
 Postrounds13,74914,426
  Difference−3,772−727
 Decrease cost/patient−9.82*−2.10*
Number of multidisciplinary rounds where DOT
 Increased014
 Did not change1514
 Decreased46*23*

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