Brazilian infectious diseases specialists: who and where are they?

Cassenote, Alex Jones Flores; Scheffer, Mário; Segurado, Aluísio Cotrim

doi:10.1016/j.bjid.2015.10.009

Cited by 6 publications

(6 citation statements)

References 20 publications

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“…The law was highly criticized, with many suggesting that the focus should be on a better distribution of the existing physicians rather than on the training of additional physicians. The attachment of our students to the university's city, as previously observed by other authors, supports the critics of this law, as most of the new medical schools were created in the São Paulo region, whereas regions with fewer physicians per inhabitant such as Maranhão e Pará gained no new medical schools 17,18. It is our belief, therefore, that the law only contributes to a less equal distribution of Brazilian physicians.…”

Section: Discussionsupporting

confidence: 83%

Who and Where are the University of São Paulo Medical School Graduates?

Gameiro¹,

Koyama²,

Cruz³

et al. 2019

Clinics

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OBJECTIVE:To evaluate the impact of a complex-care-based medical school in the context of the Brazilian health care system on students' career choices.METHODS:This was a retrospective cross-sectional study based on medical regulatory organization records. It included records for 7,419 physicians who graduated from FMUSP. Geographic data were analyzed using Kernel maps, and the statistical analysis was performed with SPSS® version 24.0. A p-value less than 0.05 was considered significant.RESULTS:Of the 7,419 physicians, 68.6% (95% CI 67.5-69.7) were male, and 20.7% (95% CI 19.8%-21.7%) had no medical specialty, compared to 46.4% nationwide. Internal medicine and surgery-based specialties were more popular, accounting for 39.4% (95% CI 38.3%-40.5%) and 16.8% (95% CI 15.5%-17.6%) of our study group, compared to the Brazilian averages of 25.9% and 13.5%. Our graduates also had a higher probability of staying in São Paulo City, especially when born outside the city.CONCLUSION:We believe that FMUSP remains an interesting model for studying the impact of a highly specialized center on the education and career choices of medical students.

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Section: Discussionsupporting

confidence: 83%

Who and Where are the University of São Paulo Medical School Graduates?

Gameiro¹,

Koyama²,

Cruz³

et al. 2019

Clinics

Self Cite

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“…Por último, se ha mencionado la importancia de las interconsultas de infectología en los hospitales, principalmente en la mejoría de la calidad de la prescripción y en el uso de los antibióticos (52)(53)(54)(55)(56). Debido a la complejidad del manejo de las infecciones causadas por microorganismos resistentes a las cefalosporinas o a los carbapenémicos, en este estudio, la frecuencia de interconsultas por infectología fue del 10,2 y 65,6 %, respectivamente.…”

Section: Discussionunclassified

Costos médicos directos de las infecciones del tracto urinario por bacilos Gram negativos resistentes a betalactámicos en un hospital de alta complejidad de Medellín, Colombia

2019

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Introducción. Las infecciones del tracto urinario son muy frecuentes en el ámbito hospitalario. Debido a la aparición de la resistencia antimicrobiana, la complejidad de los procesos de atención ha aumentado y, con ello, la demanda de recursos.Objetivo. Describir y comparar el exceso de los costos médicos directos de las infecciones del tracto urinario por Klebsiella pneumoniae, Enterobacter cloacae y Pseudomonas aeruginosa resistentes a betalactámicos.Materiales y métodos. Se llevó a cabo un estudio de cohorte en una institución de tercer nivel de Medellín, Colombia, entre octubre del 2014 y septiembre del 2015. Se incluyeron los pacientes con infección urinaria, unos por bacterias sensibles a los antibióticos betalactámicos, y otros por bacterias resistentes a las cefalosporinas de tercera y cuarta generación y a los antibióticos carbapenémicos. Los costos se analizaron desde la perspectiva del sistema de salud. La información clínico-epidemiológica se obtuvo de las historias clínicas y los costos se calcularon utilizando los manuales tarifarios estándar. El exceso de costos se estimó mediante análisis multivariados.Resultados. Se incluyeron 141 pacientes con infección urinaria: 55 (39 %) por bacterias sensibles a los betalactámicos, 54 (38,3 %) por bacterias resistentes a las cefalosporinas y 32 (22,7 %) por bacterias resistentes a los carbapenémicos. El exceso de costos totales ajustado de los 86 pacientes con infecciones del tracto urinario por bacterias resistentes a las cefalosporinas y a los carbapenémicos, fue de USD$ 193 (IC95% -347 a 734) y USD$ 633 (IC95% -50 a 1.316), respectivamente comparados con el grupo de 55 pacientes por bacterias sensibles a los betalactámicos. Las diferencias se presentaron principalmente en el uso de antibióticos de amplio espectro, como el meropenem, la colistina y la fosfomicina. Conclusión. Los resultados evidenciaron un incremento sustancial de los costos médicos directos de los pacientes con infecciones del tracto urinario por bacterias resistentes a las cefalosporinas o a los carbapenémicos. Esta situación genera especial preocupación en los países endémicos como Colombia, donde la alta frecuencia de infecciones del tracto urinario y de resistencia a los betalactámicos puede causar un mayor impacto económico en el sector de la salud.

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“…In 2019, there were 242 active ID specialists in Korea, representing 0.42/100,000 of the population. One ID specialist in Korea was in charge of 342 beds, which was higher than that in other countries, including the US, Europe, and Brazil [3,4,6,7]. The shortage of ID specialists can lead to unfavorable public health outcomes, including the emergence of more antibiotic-resistant bacteria [8,9] and poor response to ID epidemics [10].…”

Section: Introductionmentioning

confidence: 99%

Professional Status of Infectious Disease Specialists in Korea: A Nationwide Cross-sectional Study

Kim

Eun

Lee

et al. 2021

Preprint

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Backgrounds: Emergence of more antimicrobial-resistant pathogens and repeated occurrence of infectious disease (ID) outbreaks highlight the importance of ID specialists. This study aimed to assess the working status of ID specialists and identify problems faced by ID professionals in Korea.Methods: This was a nationwide cross-sectional study in Korea. An online-based survey was conducted over 11 days (from December 17–27, 2020), targeting all active adult (n=281) and pediatric (n=71) ID specialists in Korea (total=352). Questions regarding the practice areas of the specialists were divided into five categories: (1) clinical practices of outpatient care, inpatient care, and consultations; (2) infection control; (3) antibiotic stewardship; (4) research; and (5) education and training. We investigated the weekly time-use patterns for these areas of practice.Results: A total of 144/281 (51.2%) adult ID specialists and 51/71 (71.8%) pediatric ID specialists participated in the survey. Among them, 144 (73.8%) respondents were involved in all practice categories investigated. The most common practice area was outpatient service (93.8%), followed by consultation (91.3%) and inpatient service (87.7%). Specialists worked a median of 57 (interquartile range: 50–65) hours weekly: patient care, 29 (14–37) hours; research 11 (5–19) hours; infection control 4 (2–10) hours; antibiotic stewardship, 3 (1–5) hours; and education/training, 2 (2–6) hours. Conclusions: ID specialists in Korea simultaneously undertake multiple tasks and work long hours, highlighting the need for training and employing more ID specialists.

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Brazilian infectious diseases specialists: who and where are they?

Cited by 6 publications

References 20 publications

Who and Where are the University of São Paulo Medical School Graduates?

Who and Where are the University of São Paulo Medical School Graduates?

Costos médicos directos de las infecciones del tracto urinario por bacilos Gram negativos resistentes a betalactámicos en un hospital de alta complejidad de Medellín, Colombia

Professional Status of Infectious Disease Specialists in Korea: A Nationwide Cross-sectional Study

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