The features of infectious diseases departments and anti-infective

Abstract

The aim of this study was to assess the infectious diseases (ID) wards of tertiary hospitals in France and Turkey for technical capacity, infection control, characteristics of patients, infections, infecting organisms, and therapeutic approaches. This cross-sectional study was carried out on a single day on one of the weekdays of June 17-21, 2013. Overall, 36 ID departments from Turkey (n = 21) and France (n = 15) were involved. On the study day, 273 patients were hospitalized in Turkish and 324 patients were followed in French ID departments. The numbers of patients and beds in the hospitals, and presence of an intensive care unit (ICU) room in the ID ward was not different in both France and Turkey. Bed occupancy in the ID ward, single rooms, and negative pressure rooms were significantly higher in France. The presence of a laboratory inside the ID ward was more common in Turkish ID wards. The configuration of infection control committees, and their qualifications and surveillance types were quite similar in both countries. Although differences existed based on epidemiology, the distribution of infections were uniform on both sides. In Turkey, anti-Gram-positive agents, carbapenems, and tigecycline, and in France, cephalosporins, penicillins, aminoglycosides, and metronidazole were more frequently preferred. Enteric Gram-negatives and hepatitis B and C were more frequent in Turkey, while human immunodeficiency virus (HIV) and streptococci were more common in France (p < 0.05 for all significances). Various differences and similarities existed in France and Turkey in the ID wards. However, the current scene is that ID are managed with high standards in both countries.

C1 [Erdem, H.; Gorenek, L.] GATA Haydarpasa Training Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.

[Stahl, J. P.] Univ Grenoble 1, Dept Infect Dis, Grenoble, France.

[Stahl, J. P.] Univ Hosp Grenoble, Grenoble, France.

[Inan, A.; Engin, D. O.] Haydarpasa Numune Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.

[Kilic, S.] Gulhane Mil Med Acad, Dept Publ Hlth, Ankara, Turkey.

[Akova, M.] Hacettepe Univ, Sch Med, Infect Dis Unit, Ankara, Turkey.

[Rioux, C.] Hop Xavier Bichat, Dept Infect Dis, Paris, France.

[Pierre, I.] Hop Raymond Poincare, Dept Infect Dis, Garches, France.

[Canestri, A.] Tenon Univ Hosp, Dept Infect Dis, Paris, France.

[Haustraete, E.] Univ Hosp, Dept Infect Dis, Caen, France.

[Parlak, E.] Ataturk Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Erzurum, Turkey.

[Argemi, X.] Nouvel Hop Civil, Dept Infect Dis, Strasbourg, France.

[Bruley, D.] Univ Hosp, Dept Infect Dis, Grenoble, France.

[Alp, E.] Erciyes Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Kayseri, Turkey.

[Greffe, S.] Hosp Ambroise Pare, Dept Internal Med, Boulogne, France.

[Hosoglu, S.] Dicle Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Diyarbakir, Turkey.

[Patrat-Delon, S.] Univ Hosp, Dept Infect Dis, Rennes, France.

[Heper, Y.] Uludag Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Bursa, Turkey.

[Tasbakan, M.] Ege Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Izmir, Turkey.

[Corbin, V.] Univ Hosp, Dept Infect Dis, Clermont Ferrand, France.

[Hopoglu, M.] Inonu Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Malatya, Turkey.

[Balkan, I. I.] Istanbul Univ, Cerrahpasa Med Sch, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.

[Mutlu, B.] Kocaeli Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Kocaeli, Turkey.

[Demonchy, E.] Univ Hosp, Dept Infect Dis, Nice, France.

[Yilmaz, H.] Ondokuz Mayis Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Samsun, Turkey.

[Fourcade, C.] Univ Nimes Hosp, Dept Infect Dis, F-30006 Nimes, France.

[Toko-Tchuindzie, L.] Gen Hosp, Dept Infect Dis, Belfort, France.

[Kaya, S.] Karadeniz Tech Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Trabzon, Turkey.

[Engin, A.; Elaldi, N.] Cumhuriyet Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Sivas, Turkey.

[Yalci, A.] Ankara Univ, Sch Med, Dept Infect Dis & Clin Microbiol, TR-06100 Ankara, Turkey.

[Bernigaud, C.] Gen Hosp, Dept Infect Dis, Chalon Sur Saone, France.

[Vahaboglu, H.] Medeniyet Univ, Goztepe Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.

[Curlier, E.] Univ Hosp, Dept Infect Dis, Besancon, France.

[Akduman, D.] Bulent Ecevit Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Zonguldak, Turkey.

[Barrelet, A.] Andre Mignot Hosp, Dept Internal & Infect Dis, Versailles, France.

[Oncu, S.] Adnan Menderes Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Aydin, Turkey.

[Korten, V.] Marmara Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.

[Usluer, G.] Osmangazi Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Eskisehir, Turkey.

[Turgut, H.] Pamukkale Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Denizli, Turkey.

[Sener, A.] Onsekiz Mart Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Canakkale, Turkey.

[Evirgen, O.] Mustafa Kemal Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Antakya, Turkey.