The burden of unspecified febrile syndrome in a community hospital of Cuba
Guanche Garcell, H., Pérez Díaz, C., Ramirez Nodal, M., Ruiz Lozano, A., Martinez Quesada, C., Mitjans Fuente, C. (2020). The burden of unspecified febrile syndrome in a community hospital of Cuba. EKB Journal Management System, 1(1), 6-14. doi: 10.21608/mid.2020.26826.1000
Humberto Guanche Garcell; Carlos R Pérez Díaz; Manuel Ramirez Nodal; Alfredo Ruiz Lozano; Carlos Martinez Quesada; Carlos Omar Mitjans Fuente. "The burden of unspecified febrile syndrome in a community hospital of Cuba". EKB Journal Management System, 1, 1, 2020, 6-14. doi: 10.21608/mid.2020.26826.1000
Guanche Garcell, H., Pérez Díaz, C., Ramirez Nodal, M., Ruiz Lozano, A., Martinez Quesada, C., Mitjans Fuente, C. (2020). 'The burden of unspecified febrile syndrome in a community hospital of Cuba', EKB Journal Management System, 1(1), pp. 6-14. doi: 10.21608/mid.2020.26826.1000
Guanche Garcell, H., Pérez Díaz, C., Ramirez Nodal, M., Ruiz Lozano, A., Martinez Quesada, C., Mitjans Fuente, C. The burden of unspecified febrile syndrome in a community hospital of Cuba. EKB Journal Management System, 2020; 1(1): 6-14. doi: 10.21608/mid.2020.26826.1000

The burden of unspecified febrile syndrome in a community hospital of Cuba

Microbes and Infectious Diseases
Article 3, Volume 1, Issue 1, May 2020, Pages 6-14    PDF (261.18 K)
Document Type: Original Article
DOI: 10.21608/mid.2020.26826.1000
Authors
Humberto Guanche Garcell* 1; Carlos R Pérez Díaz2; Manuel Ramirez Nodal3; Alfredo Ruiz Lozano4; Carlos Martinez Quesada5; Carlos Omar Mitjans Fuente4
1Hospital Epidemiology Department, Hospital Docente Clínico Quirúrgico, Joaquín Albarrán, Cuba
2Medical administration, Hospital Docente Clínico Quirúrgico, Joaquín Albarrán, Cuba
3Internal Medicine Department. Hospital Docente Clínico Quirúrgico, Joaquín Albarrán, Cuba
4Medical Administration, Hospital Docente Clínico Quirúrgico, Joaquín Albarrán, Cuba
5Emergency Department, Hospital Docente Clínico Quirúrgico, Joaquín Albarrán, Cuba
Abstract
Background: The Cuban health-care system recommends the hospital admissions of patients with unspecified febrile syndrome (UFS) to rule out arboviral diseases and to prevent healthcare associated adverse outcomes. Aim: Evaluate the burden of unspecified febrile syndrome in a Cuban hospital. Methods: A cross-sectional study was carried out in the Hospital Joaquín Albarrán (La Habana, Cuba) from 1 January 2017 to 31 December 2019. It was collected the admissions and patients days (total and UFS patients) and laboratory test for dengue diagnosis. Results: During the three-year period, the epidemic curve starts in April-May and decline in November, with the highest peak in August 2019. It was admitted 16964 patients with UFS representing 43% of the hospital admissions, and 43512 patients’ days were documented. In 2019 the 51.9% of the hospital admissions and 22.9% of patients’ days were related to UFS, and were performed 7492 IgM test (repeated test in 89 patients) and 46.2% were reactive. Conclusion: The hospital admission related to unspecified febrile syndrome constitute a challenge to the organization and the healthcare system to provide the best care for all and minimize its economic impact.
Keywords
unspecified febrile syndrome; dengue; hospital; cost; Cuba
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