RESUMEN
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Asunto(s)
Anciano , Masculino , Humanos , Aneurisma de la Aorta Abdominal , Infarto del MiocardioRESUMEN
BACKGROUND: To determine the incidence of unnecessary cannulations of peripheral veins in an emergency department (ED). METHODS: We retrospectively analyzed a sample of 1,113 patients from a total of 24,637 who were attended at ED. We reviewed the cannulations of peripheral veins and if they was used or not. RESULTS: In 202 (18.5%) cases, venous access was obtained. In 84 (41.6%) the venous access was not used. CONCLUSION: The unnecessary use of venous cannulations is a common practice and generates a substantial added cost of poor quality.
Asunto(s)
Catéteres de Permanencia/estadística & datos numéricos , Servicio de Urgencia en Hospital , Catéteres de Permanencia/economía , Distribución de Chi-Cuadrado , Costos y Análisis de Costo , Servicio de Urgencia en Hospital/economía , Servicio de Urgencia en Hospital/estadística & datos numéricos , Humanos , Distribución Aleatoria , Estudios Retrospectivos , EspañaRESUMEN
Out of patients with petechial lesions attended during a 5 year period, 90 (45%) were diagnosed a meningococcal disease. The generalized distribution of the petechial lesions proved to be very helpful as an orientation about the disease. The presence of a series of altered laboratory determinations (white blood cell count, band cells count, erythrocyte sedimentation rate 1st hour. C reactive protein (PCR) in blood and blood coagulation study) was highly significant in patients with the disease mentioned before.
Asunto(s)
Infecciones Meningocócicas/diagnóstico , Púrpura/etiología , Niño , Preescolar , Humanos , Infecciones Meningocócicas/etiología , Púrpura/diagnósticoRESUMEN
Hepatitis due to B virus (HBV) and to delta agent are more common in parenteral drug abusers (PDA). These represent an increasingly large group in western societies. To investigate the prevalence of the HBV and delta agent infections in the PDA from our area, serum markers were assessed with enzyme immunoassay techniques in 76 patients. The criterion for the inclusion in the study was to demonstrate the use of the intravenous route as the addiction modality. No particular type of disease was preselected. 65.78% of patients had some positive marker of HBV. 11.84% of the overall population were chronic carriers of HBV. 17.1% were positive for antidelta antibodies. These results suggest a high prevalence of the HBV infection among PDA.