[Imported infectious diseases in tertiary hospital].
BACKGROUND
An Imported Diseases Clinic was created in the hospital in 2009. The aim of this study was to asses its contribution in terms of capacity, quality of care and teaching offered.


METHODS
A retrospective study was conducted from 2009 to 2011, analyzing: A) development of knowledge by means of protocols and publications created, and subject taught; B) capacity and quality of care offered by the analysis of patients seen, the adequacy of the protocols and accessibility. The patients were classified into 3 groups. Group 1: immigrant patient screening, group 2: patient consultation after tropical or sub-tropical travel, group 3: screening of vertical transmission of imported disease.


RESULTS
Six protocols have been developed and disseminated on the unit website, as well as 5 scientific publications. A total of 316 patients were evaluated: 191 included in group 1 (29 Adopted and 162 Immigrants), 57 in group 2 (94.7% Visiting Friends and Relatives and 81.5% without a pre-travel consultation). They consulted due to, gastrointestinal symptoms (52.6%) and fever (43.8%), with 68 included in group 3 at risk of imported disease by vertical transmission (62 Trypanosoma cruzi, 1 Human T Lymphotropic Virus and 5 Plasmodium spp.). The overall adherence to the protocols was about 77.1%.


CONCLUSIONS
Infectious Diseases Units must adapt to the reality of the population and be flexible in its structure. Periodic assessment of the quality of care offered is essential, as well as an evaluation on the need for additional studies.
Unitat de Patologia Infecciosa i Immunodeficiències de Pediatria, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España.
N
N
Rius Gordillo
Unitat de Patologia Infecciosa i Immunodeficiències de Pediatria, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España. Electronic address: andmarti@vhebron.net.
A
A
Martín Nalda
Servei de Medicina Preventiva, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España.
S
S
Otero Romero
Unitat de Patologia Infecciosa i Immunodeficiències de Pediatria, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España.
P
P
Soler-Palacín
Servei de Microbiologia, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España.
E
E
Sulleiro Igual
Unitat de Patologia Infecciosa i Immunodeficiències de Pediatria, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España.
M
M
Espiau Guarner
Servei de Farmàcia. Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España.
A
A
Fernández-Polo
Unitat de Patologia Infecciosa i Immunodeficiències de Pediatria, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut de Recerca Vall d'Hebron, Barcelona, España.
C
C
Figueras Nadal
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D007223:Infant; D007239:Infections / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D008297:Male; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D014195:Travel
Enfermedades infecciosas de transmisión vertical; Enfermedades tropicales; Immigrants; Inmigrantes; Neglected diseases; Travel; Vertical infectious diseases transmission; Viaje