The burden of unspecified febrile syndrome in a community hospital of Cuba | ||||
Microbes and Infectious Diseases | ||||
Article 3, Volume 1, Issue 1, May 2020, Page 6-14 PDF (261.18 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mid.2020.26826.1000 | ||||
View on SCiNiTO | ||||
Authors | ||||
Humberto Guanche Garcell 1; Carlos R Pérez Díaz 2; 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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