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Photograph by the authors.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rafael García-Cañas, Francisco Javier Areta-Jiménez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Rafael" "apellidos" => "García-Cañas" ] 1 => array:2 [ "nombre" => "Francisco Javier" "apellidos" => "Areta-Jiménez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0213005X24002684" "doi" => "10.1016/j.eimc.2024.06.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X24002684?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X24002053?idApp=UINPBA00004N" "url" => "/2529993X/0000004200000009/v1_202411050502/S2529993X24002053/v1_202411050502/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply to “Characterization of wound infections among patients injured during the Ruso-Ukrainian war in a Role 4 hospital”" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "542" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María del Mar Rodero Roldán, Valentín Yuste Benavente, Ana Isabel López Calleja, Juan Manuel García-Lechuz" "autores" => array:4 [ 0 => array:4 [ "nombre" => "María del Mar" "apellidos" => "Rodero Roldán" "email" => array:1 [ 0 => "mrodero_roldan@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Valentín" "apellidos" => "Yuste Benavente" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Ana Isabel" "apellidos" => "López Calleja" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Juan Manuel" "apellidos" => "García-Lechuz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital General de la Defensa, Zaragoza, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Plástica, Hospital Universitario Miguel Servet, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Microbiología, Hospital Universitario Miguel Servet, Zaragoza, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a “Caracterización de las infecciones de herida entre pacientes procedentes de la guerra ruso-ucraniana en un hospital Role 4”" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In response to the letter to the editor submitted by García-Cañas and Areta-Jiménez,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> we appreciate the explanation and clarifications on the concept of Role 4, and we acknowledge that we made a mistake in ranking the "role" of Hospital General de la Defensa "Orad y Gajías" in Zaragoza (HGDZ). We also appreciate the clarifications on medical support in operations and its meaning, as they are relevant and will prevent future errors.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our article aimed to convey the complex clinical and epidemiological situation arising from the healthcare of these patients, and the complications in their management and antibiotic therapy due to the resistance of pathogens, mainly from war wounds. Despite being a hospital with a role inferior to other military hospitals, the commitment of HGDZ to treating patients from the war in Ukraine is exemplary and absolute.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Under the agreement between the Department of Health of the Autonomous Region of Aragon and Spain's Ministry of Defence,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> with the collaboration of numerous departments of the Miguel Servet Hospital in Zaragoza and the mediation of the HGDZ administration, we have provided care that might well be classified as excellent. Although our hospital is not a “role 4” hospital, we have fulfilled all the necessary functions and material and human resource requirements, as demonstrated by the procedures performed by Plastic Surgery, Maxillofacial Surgery and Neurosurgery, or by the continuous work of other departments, such as Microbiology.</p><p id="par0020" class="elsevierStylePara elsevierViewall">These efforts have been recognised by the Ministry of Defence, which continues to put its trust in our hospital, as demonstrated by the latest news articles published in the press.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> This reply serves to extol the virtues of international and national healthcare cooperation in times of war, the complexity of which has been accurately reflected by García-Cañas and Areta-Jiménez.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">No funding was received for this article.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Caracterización de las infecciones de herida entre pacientes procedentes de la guerra ruso-ucraniana en un hospital Role 4" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. García-Cañas" 1 => "F.J. Areta-Jiménez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2024" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Resolución 420/38118/2023, de 17 de marzo. Renovación del convenio entre el Ministerio de Defensa y la Comunidad Autónoma de Aragón para la utilización conjunta de recursos sanitarios. Boletín Oficial del Estado. 2023 Mar 17. Available from: <a target="_blank" href="https://www.boe.es/diario_boe/txt.php?id=BOE-A-2023-7844">https://www.boe.es/diario_boe/txt.php?id=BOE-A-2023-7844</a>." ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Heraldo.es. Hospital Militar de Zaragoza acoge a militares ucranianos heridos. Heraldo de Aragón [Internet]. 2024 May 8 [cited 2024 Jun 13]; Available from: <a target="_blank" href="https://www.heraldo.es/noticias/aragon/2024/05/08/hospital-militar-zaragoza-militares-ucranianos-heridos-1731882.html">https://www.heraldo.es/noticias/aragon/2024/05/08/hospital-militar-zaragoza-militares-ucranianos-heridos-1731882.html</a>." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/2529993X/0000004200000009/v1_202411050502/S2529993X24002065/v1_202411050502/en/main.assets" "Apartado" => array:4 [ "identificador" => "66012" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/2529993X/0000004200000009/v1_202411050502/S2529993X24002065/v1_202411050502/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X24002065?idApp=UINPBA00004N" ]
