Journal article
Diagnostic delays in infectious diseases
Diagnosis (Berlin, Germany), Vol.9(3), pp.332-339
08/31/2022
DOI: 10.1515/dx-2021-0092
PMCID: PMC9424060
PMID: 35073468
Abstract
Objectives: Diagnostic delays are a major source of morbidity and mortality. Despite the adverse outcomes associated with diagnostic delays, few studies have examined the incidence and factors that influence diagnostic delays for different infectious diseases. The objective of this study was to understand the relative frequency of diagnostic delays for six infectious diseases commonly seen by infectious diseases (ID) consultants and to examine contributing factors for these delays.
Methods: A 25-item survey to examine diagnostic delays in six infectious diseases was sent to all infectious diseases physicians in the Emerging Infections Network (EIN) who provide care to adult patients. Diseases included (1) tuberculosis, (2) non-tuberculous mycobacterial infections, (3) syphilis, (4) epidural abscess, (5) infective endocarditis, and (6) endemic fungal infections (e.g., histoplasmosis, blastomycosis).
Results: A total of 533 of 1,323 (40%) EIN members responded to the survey. Respondents perceived the diagnosis not being considered initially and the appropriate test not being ordered as the two most important contributors to diagnostic delays. Unusual clinical presentations and not consulting ID physicians early enough were also reported as a contributing factor to delays. Responses recorded in open-text fields also indicated errors related to testing as a likely cause of delays; specifically, test-related errors included ordering the wrong laboratory test, laboratory delays (specialized labs not available at the facility), and lab processing delays.
Conclusions: Diagnostic delays commonly occur for the infectious diseases we considered. The contributing factors we identified are potential targets for future interventions to decrease diagnostic delays.
Details
- Title: Subtitle
- Diagnostic delays in infectious diseases
- Creators
- Manish Suneja - Roy J. and Lucille A. Carver College of MedicineSusan E. Beekmann - University of IowaGurpreet Dhaliwal - University of California, San FranciscoAaron C. Miller - University of IowaPhilip M. Polgreen - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Diagnosis (Berlin, Germany), Vol.9(3), pp.332-339
- DOI
- 10.1515/dx-2021-0092
- PMID
- 35073468
- PMCID
- PMC9424060
- NLM abbreviation
- Diagnosis (Berl)
- ISSN
- 2194-8011
- eISSN
- 2194-802X
- Publisher
- Walter De Gruyter
- Number of pages
- 8
- Grant note
- 5R01HS027375 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality UL1TR002537 / National Center for Advancing Translational Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) U50 CK000477 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Language
- English
- Date published
- 08/31/2022
- Academic Unit
- Infectious Diseases; Epidemiology; Injury Prevention Research Center; Nephrology; Internal Medicine
- Record Identifier
- 9984359687102771
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