{
  "abstract": "Background: Comprehensive data on municipal specialized infectious disease (ID) departments in Germany are scarce.\n\nPurpose: To analyze ID cases at Hospital St. Georg in Leipzig with regard to patient characteristics, spectrum of infections, care concepts, length of stay (LOS), clinical outcomes, and economic indicators.\n\nMethods: Retrospective descriptive analysis of all adult inpatient cases between January 2020 and December 2025.\n\nResults: Of 17,878 adult patients (11.5% of all patients) discharged with a primary ID diagnosis, 28.7% (5,135/17,878) were treated as inpatients in the 40-bed ID department itself, while 3.8% (671/17,878) received organ-specific treatment in another specialty department with concurrent care provided by the antimicrobial stewardship (AMS) team, and 5.2% (935/17,878) received care via the ID consultation service (telephone consultations not included). A total of 4,492 individual ICD-10 codes were assigned, with 740 of them being classified as ID diagnoses. ID patients were older (median 70 vs. 66 years) and more frequently male (59% vs. 51%) than the reference population. The median LOS was longer for ID patients (7.0 vs. 4.1 days). The median case-mix index (CMI) was 1.344 (€ 5,356 per case) in the ID population vs. 1.113 (€ 4,352 per case) in the reference group.\n\nConclusions: This six-year analysis shows that ID patients represent a significant, complex, and older inpatient population with longer LOS, causing high clinical burden. Since coding data suggest that 62.3% of these patients did not receive specific treatment by ID specialists, there is potential for expanding structured ID consultation and AMS services, requiring additional resources.\n\nSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s15010-026-02902-y.",
  "abstract_shown": true,
  "affiliations": [
    "Hospital Pharmacy, Hospital St. Georg, Leipzig, Germany",
    "Department of Infectious Diseases and Tropical Medicine, Hospital St. Georg, Leipzig, Germany",
    "Department of Finance and Controlling, Hospital St. Georg, Leipzig, Germany",
    "Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Leipzig University Medical Center, Liebigstr. 20, D-04103 Leipzig, Germany",
    "Interdisciplinary Center for Infectious Diseases, Leipzig University Medical Center, Leipzig, Germany"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Kathrin Marx"
    },
    {
      "affs": [
        1
      ],
      "name": "Nils Kellner"
    },
    {
      "affs": [
        2
      ],
      "name": "Nadja Herrmann"
    },
    {
      "affs": [
        1,
        3,
        4
      ],
      "name": "Christoph Lübbert",
      "orcid": "0000-0001-6942-5785"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bqw4df64bscae.bib",
  "cited_by": 0,
  "doi": "10.1007/s15010-026-02902-y",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13727860/",
  "id": "bqw4df64bscae",
  "issns": [
    "0300-8126",
    "1439-0973"
  ],
  "landing_url": "https://doi.org/10.1007/s15010-026-02902-y",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2402|Antibiotic Use and Resistance"
    ]
  ],
  "openalex": "W7171964209",
  "pdf_url": "https://link.springer.com/content/pdf/10.1007/s15010-026-02902-y.pdf",
  "pmcid": "PMC13727860",
  "pmid": "42536300",
  "published": "2026-07-31",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/bqw4df64bscae.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:23:39Z",
      "native_id": "PMC13727860",
      "source": "pmc",
      "url": "https://doi.org/10.1007/s15010-026-02902-y"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "openalex:2402|Antibiotic Use and Resistance",
      "subfield": "microbiology"
    }
  ],
  "title": "Caseload, treatment diagnoses, and evaluation of clinical care concepts for infectious diseases at a municipal tertiary care hospital in Germany",
  "title_text": "Caseload, treatment diagnoses, and evaluation of clinical care concepts for infectious diseases at a municipal tertiary care hospital in Germany",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:20:58Z",
  "url": "https://research.draconitic.com/paper/bqw4df64bscae",
  "venue": "Infection",
  "versions": []
}