Infectious Disease Teleconsultative Support of Deployed Healthcare Providers

被引:9
作者
Morgan, Ana E. [1 ]
Lappan, Charles M. [2 ]
Fraser, Susan L. [3 ,4 ]
Hospenthal, Duane R. [1 ,4 ]
Murray, Clinton K. [1 ,4 ]
机构
[1] Brooke Army Med Ctr, Ft Sam Houston, TX 78234 USA
[2] Telehlth Great Plains Reg Med Command, Ft Sam Houston, TX 78234 USA
[3] Walter Reed Army Med Ctr, Washington, DC 20307 USA
[4] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA
关键词
US ARMY TELEMEDICINE; RESEARCH-CENTER TATRC; PROGRAM;
D O I
10.7205/MILMED-D-04-6308
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Specialty teleconsultation is being provided to deployed healthcare providers in the current wars in Iraq and Afghanistan through the use of the Army Knowledge Online (AKO) e-mail service. We reviewed 374 teleconsults received by the infectious disease (ID) service between January 2005 and June 2008. The patients were 65% male, 12% female, 33% the gender was not stated or the consult did not involve an individual, and 41% were U.S. Army. The average response time was under 5 hours. Ninety-one percent of consults originated from the U.S. Central Command area of responsibility. Consults included questions pertaining to therapy (42%), diagnosis (21%), prevention (13%), or mixed categories (24%). Bacterial infections were the most common (32%), followed by parasitic infections (16%). Tuberculosis and methicillin-resistant Staphylococcus aureus accounted for 13% and 8% of consults, respectively. Data from this program should be useful in focusing predeployment provider training. It also provides the military ID community situational awareness of problems encountered in theater.
引用
收藏
页码:1055 / 1060
页数:6
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