Bejarano Redondo G, García-Lamberechts E J, Gil Mosquera M, Jiménez Morillas F, López Izquierdo R, Modol Deltell J M, González Del Castillo J, Infurg-Semes Grupo
Servicio de Urgencias. Hospital Universitario de la Paz. Madrid.
An Sist Sanit Navar. 2021 Aug 19;44(2):153-161. doi: 10.23938/ASSN.0876.
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.
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.
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 appropri-ate diagnoses or treatments in 24 hours.
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.
本研究旨在确定西班牙医院急诊服务（HES）在诊断和治疗西班牙最常见的热带疾病（TD）方面的现状。
开展了一项横断面描述性研究，使用谷歌表单®中的问卷发送给INFURG - SEMES小组的成员。分析了以下变量：按床位数划分的医院规模、热带疾病急诊数量、热带医学协议的存在情况、紧急诊断测试或抗疟治疗。
问卷发送给了75家医院。从10个自治区的42个急诊服务部门（55%）获得了回复。24家（57.1%）医院床位>500张。只有5家医院（11.9%）具备每天24小时诊断疟疾和登革热的设施。19家（45.3%）医院没有热带疾病协议。7家（16.7%）医院每天就诊人数≥10人。规模较大的医院更有可能拥有独立于内科服务的传染病科、热带医学科，以及随叫随到的传染病专家和微生物学家。在24小时内进行适当诊断或治疗的能力方面，大医院和小医院之间没有统计学上的显著差异。
新兴疾病的护理和治疗现在在医院急诊服务的会诊中占相当大的比例。这些科室普遍缺乏具体协议，尤其是针对疟疾的协议。疟疾的紧急诊断测试也很有必要。
