Current status of medical care of emerging infectious diseases at hospital emergency services in Spain

Autor: G Bejarano Redondo, J M Modol Deltell, M. Gil Mosquera, F Jiménez Morillas, J González Del Castillo, grupo Infurg-Semes, R López Izquierdo, Eric Jorge García-Lamberechts
Rok vydání: 2021
Předmět:
Zdroj: Anales del Sistema Sanitario de Navarra. 44:153-161
ISSN: 1137-6627
DOI: 10.23938/assn.0876
Popis: espanolFundamento. Conocer la situacion organizativa de los hospitales espanoles de cara a facilitar la atencion adecuada en los servicios de urgencias (SUH) de los pacientes que acudan con sospecha de infecciones de origen tropical. Metodo. Estudio descriptivo transversal mediante cuestionario en formato Google Forms® enviado a los miembros del grupo de INFURG-SEMES. Se estudiaron variables como el tamano del hospital a traves del numero de camas, el numero de urgencias de patologia tropical, la existencia de protocolos de medicina tropical, de pruebas diagnosticas urgentes o tratamiento antimalarico. Resultados. Se envio el formulario a 75 hospitales, obteniendo respuesta de 42 servicios de urgencias (55%), pertenecientes a 10 comunidades autonomas. Veinticuatro (57,1%) tenian mas de 500 camas. Solo cinco hospitales (11,9%) podian diagnosticar malaria y dengue las 24 horas. En 19 hospitales (45,3%) no existia ningun protocolo de enfermedad tropical. En siete hospitales (16,7%) se realizaban diez o mas asistencias/dia. En los hospitales de mayor tamano era mas frecuente la existencia de un servicio de enfermedades infecciosas independiente del servicio de Medicina Interna, una unidad de medicina tropical, un infectologo de guardia y un microbiologo de guardia. No existen diferencias estadisticamente significativas entre los hospitales de mayor y menor tamano en cuanto a la capacidad para realizar diagnosticos o tratamiento adecuados durante las 24 horas. Conclusiones. La atencion de la patologia importada supone un volumen no despreciable de consultas en los SUH, donde en general, se observa una ausencia de protocolos especificos, en especial, el protocolo especifico de malaria, asi como de escasa disponibilidad de prueba diagnostica urgente de malaria. EnglishBackground. The aim of this study is to determine the current status of Spanish Hospital Emergency Services (HES) in diagnosing and treating the most prevalent tropical diseases (TD) in Spain. Methods. A cross-sectional descriptive study was carried out, using a questionnaire in Google Forms® sent to members of the INFURG-SEMES group. The following variables were analyzed: the size of the hospital in terms of number of beds, number of tropical disease emergencies, existence of tropical medicine protocols, urgent diagnostic tests or antimalarial treatment. Results. The form was sent to 75 hospitals. Responses were obtained from 42 emergency services (55%) in 10 Autonomous Communities. Twenty-four (57.1%) had >500 beds. Only five hospitals (11.9%) have the facilities to diagnose malaria and dengue 24 hours a day. There was no tropical disease protocol in 19 (45.3%) hospitals. Seven (16.7%) hospitals had ≥ 10 attendances/day. Larger hospitals were more likely to have an infectious disease unit independent from Internal Medicine service, along with a tropical medicine unit, and an on-call infectious disease specialist and microbiologist. There are no statistically significant differences between larger and smaller hospitals in terms of their capacity to carry out appropriate diagnoses or treatments in 24 hours. Conclusion. Care and treatment of emerging diseases are now a sizeable percentage of the consultations at an HES. Such units generally lack specific protocols, particularly for malaria. Urgent diagnostic testing for malaria is also needed.
Databáze: OpenAIRE
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