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Published Online First: 12 April 2009. doi:10.1136/jcp.2008.059790
Journal of Clinical Pathology 2009;62:746-748
Copyright © 2009 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

SHORT REPORTS

Where do out-of-hours calls to a consultant microbiologist come from?

H Humphreys

Department of Clinical Microbiology, The Royal College of Surgeons in Ireland and the Department of Microbiology, Beaumont Hospital, Dublin, Ireland

Professor H Humphreys, Department of Clinical Microbiology, Education and Research Centre, Beaumont Hospital, PO Box 9063, Dublin 9, Ireland; hhumphreys{at}rcsi.ie

ABSTRACT

There is little in the literature about out-of-hours calls to medical microbiologists. The calls taken by a consultant medical microbiologist over a five-year period in an Irish tertiary referral hospital were reviewed. Excluding calls on weekend mornings and significant evening positive blood cultures, the mean annual number of calls on a one-in-four rota was 89 (range 70–111). Over 90% of calls were received before midnight and 51% were from specialist registrars. Medical specialties, neurosurgery and intensive care were the most common departments seeking advice. Two-thirds of calls related to the management of an individual patient, but advice on infection prevention and control is increasingly requested. Calls out-of-hours are not insignificant but little is known about how these vary between hospitals and what contribution they make to patient care.


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