Electronic Consults for Infectious Diseases in a United States Multisite Academic Health System

Open Forum Infect Dis. 2020 Mar 20;7(4):ofaa101. doi: 10.1093/ofid/ofaa101. eCollection 2020 Apr.


We launched Infectious Disease electronic consultations (eConsults) in 2018. During the first 15.5 months, primary care practitioners submitted 328 eConsults; the most frequent reasons were a positive culture or polymerase chain reaction (PCR) result, syphilis, and latent tuberculosis. Practitioners commonly requested advice on antimicrobial choice, clinical evaluation, and indications for treatment. Internal phone consultations decreased after eConsult implementation.

Keywords: communicable diseases; referrals and consultations; telemedicine.