Current status of medical care of emerging infectious diseases at hospital emergency services in Spain
DOI:
https://doi.org/10.23938/ASSN.0876Keywords:
Tropical disease, Malaria, Protocols, Hospital emergency serviceAbstract
Background. 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.
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References
Harvey K, Esposito DH, Han P, Kozarsky P, Freedman DO, Plier DA, et al. Surveillance for travel-related disease--GeoSentinel Surveillance System, United States, 1997-2011. MMWR Surveill Summ. 2013;62:1-23.
Barnett ED, MacPherson DW, Stauffer WM, Loutan L, Hatz CF, Matteelli A, et al. The visiting friends or relatives traveler in the 21st century: time for a new definition. J Travel Med. 2010;17(3):163-70.
Díaz-Menéndez M, Pérez-Molina JA, Serre N, Treviño B, Torrús D, Matarranz M, et al. [Imported diseases by immigrants and travellers: results from the Cooperative Network for the study of Imported Diseases by Immigrants and Travellers +Redivi]. Enferm Infecc Microbiol Clin. 2012;30(9):528-34.
R L-V, M NB, C JN. Estudio de inmigración y salud pública: enfermedades infecciosas importadas. Área de Promoción de la Salud. Subdirección General de Promoción de la salud y Epidemiología. Dirección General de Salud Pública. Ministerio de Sanidad y Consumo; 2007.
Parra JM, Salmerón OJ, Velasco M. The first case of Ebola virus disease acquired outside Africa. N Engl J Med. 2014;371(25):2439-40.
Lopaz MA, Amela C, Ordobas M, Dominguez-Berjon MF, Alvarez C, Martinez M, et al. First secondary case of Ebola outside Africa: epidemiological characteristics and contact monitoring, Spain, September to November 2014. Euro Surveill. 2015;20(1).
Jazuli F, Lynd T, Mah J, Klowak M, Jechel D, Klowak S, et al. Evaluation of a programme for 'Rapid Assessment of Febrile Travelers' (RAFT): a clinic-based quality improvement initiative. BMJ Open. 2016;6(7):e010302.
Ministerio de Sanidad, igualdad SSe. Ponencia de Alertas de Salud Pública y Planes de Preparación y Respuesta. Ponencia de Salud Laboral. Protocolo de actuación frente a casos sospechosos de enfermedad por virus ébola (eve).
A CM. Evacuation of patients with suspected or confirmed Ebola virus disease. Emergencias: 2015; 2015. p. 121-8.
González R, Camprubí E, Fernández L, Millet JP, Peracho V, Gorrindo P, et al. [Confirmed Dengue, Chikungunya and Zika Cases during the Period 2014 to 2016 in Barcelona, Spain]. Rev Esp Salud Publica. 2017;91.
Valle Borrego B, Kosanic K, de Ory F, Merino Fernández FJ, Gómez Rodríguez B. [Zika virus infection acquired through sexual contact: first documented case of local transmission in Spain]. Emergencias. 2017;29(4):290-1.
Muñoz J, Rojo-Marcos G, Ramírez-Olivencia G, Salas-Coronas J, Treviño B, Perez Arellano JL, et al. [Diagnosis and treatment of imported malaria in Spain: Recommendations from the Malaria Working Group of the Spanish Society of Tropical Medicine and International Health (SEMTSI)]. Enferm Infecc Microbiol Clin. 2015;33(6):e1-e13.
Ministerio de Sanidad SSeIdE. Clasificación de Hospitales-Cluster. 2013.
Pérez-Díez C, Real-Campaña JM, Noya-Castro MC, Andrés-Paricio F, Reyes Abad-Sazatornil M, Bienvenido Povar-Marco J. [Medication errors in a hospital emergency department: study of the current situation and critical points for improving patient safety]. Emergencias. 2017;29(6):412-5.
Estadística INd. Estadísticas del Padrón Continuo 2017. Consultado el 28 de Nov. de 2017.
Estadística INd. Encuesta de Turismo de Residente. ETR/FAMILITUR (segundo trimestre 2017). 2017.
JM HM, A PdAB, JA P-M, R L-V. Estratégias básicas de abordaje de las enfermedades infecciosas en inmigrantes, viajeros e inmigrantes viajeros. Área de Promoción de la Salud. Subdirección General de Promoción de la salud y Epidemiología. Dirección General de Salud Pública. Ministerio de Sanidad y Consumo; 2007.
González Del Castillo J, Martín-Sánchez FJ. [Resistant microorganisms in the emergency department: what should we do to meet the challenge?]. Emergencias. 2017;29(5):303-5.
Pastor AJ. [Hospital emergency services in Spain: Differences by autonomous community or by system of organization?]. Emergencias. 2017;29(6):369-70.
Del Arco Galán C, Rodríguez Miranda B, González Del Castillo J, Carballo C, Bibiano Guillén C, Artillo S, et al. [Physical structure, human resources, and health care quality indicators in public hospital emergency departments in the autonomous communities of Madrid and Catalonia: a comparative study]. Emergencias. 2017;29(6):373-83.
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