La asistencia infectológica actual en España
Infectious Disease Care in Spain
Benito Almirantea,
, Juan de Dios Colmenerob, Jesús Fortúnc, José Antonio Oteod, Juan Mari Santamaríae, Julio Solaf
Autor para correspondencia
balmirante@vhebron.net
Correspondencia: Servicio de Enfermedades Infecciosas. Hospital Universitari Vall d’Hebron. Passeig de la Vall d’Hebron, 119-129. 08035 Barcelona. España.
Correspondencia: Servicio de Enfermedades Infecciosas. Hospital Universitari Vall d’Hebron. Passeig de la Vall d’Hebron, 119-129. 08035 Barcelona. España.
a Servicio de Enfermedades Infecciosas. Hospital Universitari Vall d’Hebron. Barcelona. España
b Servicio de Enfermedades Infecciosas. Complejo Hospitalario Carlos Haya. Málaga. España
c Servicio de Enfermedades Infecciosas. Hospital Ramón y Cajal. Madrid. España
d Servicio de Enfermedades Infecciosas. Hospital San Pedro de La Rioja. Logroño. España
e Servicio de Enfermedades Infecciosas. Hospital General de Basurto. Bilbao. España
f Servicio de Enfermedades Infecciosas. Hospital de Navarra. Pamplona. España
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Hospital Universitari Vall d’Hebron. Barcelona. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Enfermedades Infecciosas. Complejo Hospitalario Carlos Haya. Málaga. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Enfermedades Infecciosas. Hospital Ramón y Cajal. Madrid. España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] 3 => array:3 [ "entidad" => "Servicio de Enfermedades Infecciosas. Hospital San Pedro de La Rioja. Logroño. España" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] 4 => array:3 [ "entidad" => "Servicio de Enfermedades Infecciosas. Hospital General de Basurto. Bilbao. España" "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff5" ] 5 => array:3 [ "entidad" => "Servicio de Enfermedades Infecciosas. Hospital de Navarra. Pamplona. España" "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff6" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Servicio de Enfermedades Infecciosas. Hospital Universitari Vall d’Hebron. Passeig de la Vall d’Hebron, 119-129. 08035 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Infectious Disease Care in Spain" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec137503" "palabras" => array:3 [ 0 => "Unidades asistenciales de enfermedades infecciosas" 1 => "Atención especializada" 2 => "Gestión clínica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key word" "identificador" => "xpalclavsec137504" "palabras" => array:3 [ 0 => "Infectious disease care unit" 1 => "Specialist care" 2 => "Clinical management" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">A pesar de la ausencia de un reconocimiento oficial de la actividad especializada en enfermedades infecciosas, en nuestro país la mayoría de los hospitales de las diferentes comunidades autónomas están dotados de estructuras, con una importante heterogeneidad entre ellas, capaces de ofrecer unos niveles adecuados de calidad asistencial en este tipo de patologías. Sus características fundamentales son su relevante actividad asistencial, superior a otras especialidades médicas reconocidas oficialmente, y su importante interrelación con otros servicios hospitalarios, constituyendo claramente una actividad asistencial de tipo horizontal. Además de ello, las denominadas unidades asistenciales de enfermedades infecciosas desarrollan importantes actividades a nivel de la salud pública de la comunidad, de colaboración con la administración sanitaria, de contribución al uso racional de los antimicrobianos y de relación con la asistencia primaria. El futuro de los especialistas en enfermedades infecciosas, tras su reconocimiento oficial, sería la formación de unidades de gestión clínica en cada institución sanitaria, con el objetivo de coordinar toda la asistencia sanitaria especializada, tanto en el ámbito del propio hospital como en su área sanitaria de influencia.</p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Despite the specialist activity of Infectious Diseases not being officially recognised, the majority of the hospitals in the autonomous communities of Spain are equipped with structures, with significant heterogeneity among them, to be able to offer high quality care in these diseases. The main characteristics of and Infectious Diseases Department is its important healthcare activity, more than in other officially recognised medical specialities, and also its important interrelationship with other services in the hospital which is clearly horizontal healthcare.</p><p class="elsevierStyleSimplePara elsevierViewall">Furthermore, the aforementioned infectious disease care units have developed important activities in the arena of community and public health and, in collaboration with health authorities, contribute to the rational use of antimicrobials and the relationship with Primary Care. The future of specialists in infectious diseases, when they are officially recognised, will be the creation of clinical management units in every health institution with the objective of coordinating all the specialised health care, both in the hospital environment and in its health area of influence.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:51 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Infectious diseases: considerations for the 21st century" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.S. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 2 | 0 | 2 |
| 2024 Octubre | 8 | 12 | 20 |
| 2024 Septiembre | 4 | 2 | 6 |
| 2024 Agosto | 7 | 4 | 11 |
| 2024 Julio | 9 | 10 | 19 |
| 2024 Junio | 8 | 4 | 12 |
| 2024 Mayo | 10 | 6 | 16 |
| 2024 Abril | 4 | 4 | 8 |
| 2024 Marzo | 7 | 15 | 22 |
| 2024 Febrero | 7 | 2 | 9 |
| 2024 Enero | 9 | 6 | 15 |
| 2023 Diciembre | 5 | 4 | 9 |
| 2023 Noviembre | 4 | 9 | 13 |
| 2023 Octubre | 14 | 7 | 21 |
| 2023 Septiembre | 12 | 11 | 23 |
| 2023 Agosto | 5 | 3 | 8 |
| 2023 Julio | 4 | 4 | 8 |
| 2023 Junio | 4 | 1 | 5 |
| 2023 Mayo | 3 | 6 | 9 |
| 2023 Abril | 3 | 2 | 5 |
| 2023 Marzo | 6 | 1 | 7 |
| 2023 Febrero | 2 | 4 | 6 |
| 2023 Enero | 4 | 6 | 10 |
| 2022 Diciembre | 5 | 2 | 7 |
| 2022 Noviembre | 7 | 7 | 14 |
| 2022 Octubre | 10 | 7 | 17 |
| 2022 Septiembre | 6 | 7 | 13 |
| 2022 Agosto | 11 | 11 | 22 |
| 2022 Julio | 8 | 9 | 17 |
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| 2022 Abril | 23 | 12 | 35 |
| 2022 Marzo | 14 | 13 | 27 |
| 2022 Febrero | 21 | 6 | 27 |
| 2022 Enero | 15 | 8 | 23 |
| 2021 Diciembre | 6 | 10 | 16 |
| 2021 Noviembre | 7 | 6 | 13 |
| 2021 Octubre | 6 | 10 | 16 |
| 2021 Septiembre | 5 | 15 | 20 |
| 2021 Agosto | 3 | 4 | 7 |
| 2021 Julio | 5 | 6 | 11 |
| 2021 Junio | 5 | 6 | 11 |
| 2021 Mayo | 3 | 6 | 9 |
| 2021 Abril | 20 | 12 | 32 |
| 2021 Marzo | 5 | 9 | 14 |
| 2021 Febrero | 26 | 6 | 32 |
| 2021 Enero | 22 | 10 | 32 |
| 2020 Diciembre | 10 | 9 | 19 |
| 2020 Noviembre | 8 | 3 | 11 |
| 2020 Octubre | 5 | 6 | 11 |
| 2020 Septiembre | 8 | 4 | 12 |
| 2020 Agosto | 3 | 1 | 4 |
| 2020 Julio | 3 | 6 | 9 |
| 2020 Junio | 4 | 4 | 8 |
| 2020 Mayo | 9 | 3 | 12 |
| 2020 Abril | 5 | 5 | 10 |
| 2020 Marzo | 1 | 2 | 3 |
| 2020 Febrero | 3 | 2 | 5 |
| 2020 Enero | 4 | 4 | 8 |
| 2019 Diciembre | 4 | 4 | 8 |
| 2019 Noviembre | 5 | 7 | 12 |
| 2019 Octubre | 6 | 5 | 11 |
| 2019 Septiembre | 4 | 6 | 10 |
| 2019 Agosto | 3 | 9 | 12 |
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| 2019 Febrero | 2 | 7 | 9 |
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| 2018 Noviembre | 2 | 5 | 7 |
| 2018 Octubre | 5 | 9 | 14 |
| 2018 Septiembre | 4 | 3 | 7 |
| 2018 Agosto | 2 | 4 | 6 |
| 2018 Julio | 0 | 4 | 4 |
| 2018 Junio | 1 | 1 | 2 |
| 2018 Mayo | 4 | 15 | 19 |
| 2018 Abril | 1 | 3 | 4 |
| 2018 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 0 | 3 | 3 |
| 2018 Enero | 0 | 2 | 2 |
| 2017 Diciembre | 0 | 1 | 1 |
| 2017 Noviembre | 2 | 2 | 4 |
| 2017 Octubre | 1 | 3 | 4 |
| 2017 Septiembre | 0 | 11 | 11 |
| 2017 Agosto | 2 | 5 | 7 |
| 2017 Julio | 1 | 1 | 2 |
| 2017 Junio | 3 | 17 | 20 |
| 2017 Mayo | 4 | 6 | 10 |
| 2017 Abril | 4 | 3 | 7 |
| 2017 Marzo | 9 | 24 | 33 |
| 2017 Febrero | 9 | 3 | 12 |
| 2017 Enero | 6 | 1 | 7 |
| 2016 Diciembre | 2 | 3 | 5 |
| 2016 Noviembre | 6 | 5 | 11 |
| 2016 Octubre | 15 | 3 | 18 |
| 2016 Septiembre | 9 | 1 | 10 |
| 2016 Agosto | 11 | 0 | 11 |
| 2016 Julio | 6 | 1 | 7 |
| 2016 Junio | 5 | 5 | 10 |
| 2016 Mayo | 11 | 6 | 17 |
| 2016 Abril | 2 | 3 | 5 |
| 2016 Marzo | 3 | 3 | 6 |
| 2016 Febrero | 5 | 6 | 11 |
| 2016 Enero | 2 | 5 | 7 |
| 2015 Diciembre | 9 | 10 | 19 |
| 2015 Noviembre | 10 | 6 | 16 |
| 2015 Octubre | 6 | 4 | 10 |
| 2015 Septiembre | 11 | 2 | 13 |
| 2015 Agosto | 10 | 5 | 15 |
| 2015 Julio | 7 | 4 | 11 |
| 2015 Junio | 2 | 1 | 3 |
| 2015 Mayo | 6 | 3 | 9 |
| 2015 Abril | 5 | 5 | 10 |
| 2015 Marzo | 6 | 7 | 13 |
| 2015 Febrero | 8 | 2 | 10 |
| 2015 Enero | 23 | 4 | 27 |
| 2014 Diciembre | 26 | 6 | 32 |
| 2014 Noviembre | 16 | 3 | 19 |
| 2014 Octubre | 21 | 2 | 23 |
| 2014 Septiembre | 23 | 2 | 25 |
| 2014 Agosto | 16 | 1 | 17 |
| 2014 Julio | 20 | 3 | 23 |
| 2014 Junio | 24 | 2 | 26 |
| 2014 Mayo | 15 | 1 | 16 |
| 2014 Abril | 14 | 3 | 17 |
| 2014 Marzo | 16 | 1 | 17 |
| 2014 Febrero | 10 | 0 | 10 |
| 2014 Enero | 10 | 2 | 12 |
| 2013 Diciembre | 12 | 2 | 14 |
| 2013 Noviembre | 17 | 3 | 20 |
| 2013 Octubre | 16 | 1 | 17 |
| 2013 Septiembre | 6 | 0 | 6 |
| 2013 Agosto | 17 | 1 | 18 |
| 2013 Julio | 8 | 1 | 9 |
| 2008 Diciembre | 358 | 0 | 358 |
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