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Nosocomial Infections in ICU · Journal article
Ahi Evran Medical Journal · August 31, 2026
Early or partial results. Treat as a signal, not a conclusion.
This retrospective single-centre study documents that infectious disease consultations in a Turkish palliative care unit were most commonly triggered by elevated acute phase reactants and leukocytosis, with pneumonia being the most frequently diagnosed infection. The study identifies associations between clinical presentations and infection diagnosis but does not evaluate whether ID consultation itself improved patient outcomes or changed management compared to standard care.
Retrospective, descriptive, cross-sectional study. Patients hospitalized in the palliative care unit (PCU) of Kırşehir Training and Research Hospital, Turkey. No specific eligibility criteria, age range, or comorbidity profile reported.. Intervention: Infectious disease consultations requested by palliative care team. n = 267. Kırşehir Training and Research Hospital, Turkey (single centre).
Most common reasons for ID consultation were elevated acute phase reactants and leukocytosis Fever, elevated acute phase reactants, leukocytosis, pulmonary infiltrates on chest X-ray, and urinary tract infection symptoms were significantly associated with infection diagnosis (p=0.031, p=0.032, p=0.002, and p=0.007, respectively) Pneumonia was the most frequently diagnosed infection by ID specialists
No data on patient outcomes (mortality, infection resolution, complications) reported
This study documents current consultation patterns and associations in a developing palliative care system but does not demonstrate that ID consultations improve clinical outcomes. The findings may inform awareness-building and guideline development in regions with emerging palliative care services, but do not provide evidence for a change in clinical practice.
A single-centre retrospective descriptive study documenting consultation patterns and outcomes in a developing palliative care system, without a control group or comparative design to assess effectiveness of ID involvement.
As stated by the source record.
Quoted from the source exactly as published.
This study documents current consultation patterns and associations in a developing palliative care system but does not demonstrate that ID consultations improve clinical outcomes. The findings may inform awareness-building and guideline development in regions with emerging palliative care services, but do not provide evidence for a change in clinical practice.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Purpose: Patients receiving palliative care are often prone to infections. In countries where palliative care units (PCUs) are still developing, such as Turkey, the role of infectious disease (ID) consultations in these settings has not been clearly documented. This study aimed to assess the reasons for requesting ID consultations in PCUs, to evaluate the responses provided by ID specialists to these consultations, and to enhance awareness regarding the role of ID consultations in PCUs.Materials and Methods: This retrospective, descriptive, cross-sectional study included 267 patients hospitalized in the PCU of Kırşehir Training and Research Hospital between December 2023 and September 2024. We examined the reasons for ID consultations, associated diagnoses, and the treatments initiated. Statistical analyses included the Kolmogorov–Smirnov test, Mann–Whitney U test, and Chi-Square or Fisher’s Exact test where appropriate.Results: The most common reasons for ID consultations were elevated acute phase reactants and leukocytosis. Patients consulted due to fever, elevated acute phase reactants and leukocytosis, pulmonary infiltrates on chest X-ray, and symptoms of urinary tract infection were significantly more likely to be diagnosed with an infection (p=0.031, p=0.032, p=0.002, and p=0.007, respectively). A significant association was found between infection diagnosis and both age and type of feeding style. ID specialists most diagnosed pneumonia, with piperacillin tazobactam being the most frequently initiated antimicrobial therapy.Conclusion: ID consultations play a critical role in PCU patients. Strengthening collaboration with ID specialists in PCU may enhance infection management and overall patient care, especially in regions with developing palliative care systems.
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