Introduction of a New Toxicology Consult Service in a Large Tertiary Care Teaching Hospital.

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Israel Medical Association Journal Pub Date : 2024-10-01

Or Segev, Christopher Hoyte, Nicole Taylor, Amanda Katz, Dennis Scolnik, Efrat Zandberg, Eyal Hassoun, Miguel Glatstein

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引用次数: 0

Abstract

Background: Clinical toxicology is not a certified specialty in Israel, consequently there are a limited number of toxicologists and toxicology services available for consultation.

Objectives: To establish a medical toxicology consultation service focusing on bedside consultations, which had not previously been available in Israel.

Methods: This single-center, retrospective chart review of toxicology consults was conducted during the first years after the initiation of a new toxicology service.

Results: From September 2017 to December 2021, 1703 toxicology consultations were conducted. The most common exposures and reasons for consultation included psychotropic medications (427, 23%), analgesics and anti-inflammatory medications (353, 19%), household products (312, 17%), substances of abuse (240, 13%), and natural toxins (142, 8%). Bedside medical toxicology consultations were performed in 1036 cases (62%) during daytime and night shifts. The number of consultation requests increased steadily over the study period.

Conclusions: The new toxicology service led to a significant change in the institution's approach to toxicological patients. A bedside toxicology service could help reduce the healthcare burden on national poison centers and can offer readily available, personalized, medical toxicology care.

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在一家大型三级教学医院引入新的毒理学咨询服务。

背景：在以色列，临床毒理学并不是一个经过认证的专业：在以色列，临床毒理学并不是一个经过认证的专业，因此可提供咨询的毒理学专家和毒理学服务数量有限：目的：建立以床旁会诊为重点的医学毒理学咨询服务，这在以色列以前是没有的：方法：在启动新的毒理学服务后的最初几年，对毒理学会诊进行单中心、回顾性病历审查：从 2017 年 9 月到 2021 年 12 月，共进行了 1703 次毒理学会诊。最常见的接触和就诊原因包括精神药物（427例，23%）、镇痛药和消炎药（353例，19%）、家用产品（312例，17%）、滥用药物（240例，13%）和天然毒素（142例，8%）。在日班和夜班期间，共为 1036 例（62%）患者进行了床边医学毒理学会诊。在研究期间，咨询请求的数量稳步增长：结论：新的毒理学服务极大地改变了医院对毒理学病人的处理方式。床旁毒理学服务有助于减轻国家毒物中心的医疗负担，并能提供随时可用的个性化医疗毒理学护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Israel Medical Association Journal 医学-医学：内科

CiteScore

2.20

自引率

12.50%

发文量

审稿时长

3-8 weeks

期刊介绍： The Israel Medical Association Journal (IMAJ), representing medical sciences and medicine in Israel, is published in English by the Israel Medical Association. The Israel Medical Association Journal (IMAJ) was initiated in 1999.