ABSTRACT
No disponible
Subject(s)
Adult , Aged , Female , Humans , Male , Hallucinations/chemically induced , Hallucinations/complications , Hallucinations/diagnosis , Carbapenems/adverse effects , Carbapenems/therapeutic use , Liver Cirrhosis/complications , Renal Insufficiency/complications , Pacemaker, Artificial , Gait Disorders, Neurologic/chemically induced , Gait Disorders, Neurologic/complications , Gait Disorders, Neurologic/diagnosis , Leukoaraiosis/complicationsABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Bacteriuria/diagnosis , Acute Kidney Injury/complications , Edema/etiology , Urinary CatheterizationSubject(s)
Acute Kidney Injury/etiology , Adenocarcinoma/secondary , Indoles/urine , Klebsiella Infections/urine , Klebsiella pneumoniae/metabolism , Ovarian Neoplasms/complications , Peritoneal Neoplasms/secondary , Proteus Infections/urine , Proteus mirabilis/metabolism , Urinary Tract Infections/urine , Urine , Adenocarcinoma/complications , Aged , Biotransformation , Color , Female , Humans , Hydrogen-Ion Concentration , Indigo Carmine , Klebsiella Infections/complications , Peritoneal Neoplasms/complications , Proteus Infections/complications , Tryptophan/metabolism , Urinary Tract Infections/complicationsSubject(s)
Cholecystectomy, Laparoscopic/adverse effects , Dyspnea/etiology , Fever/etiology , Aged, 80 and over , Humans , MaleSubject(s)
Humans , Male , Aged, 80 and over , Dyspnea/complications , Dyspnea/diagnosis , Fever/complications , Fever/diagnosis , Cholecystectomy, Laparoscopic/adverse effects , Cholecystectomy, Laparoscopic/methods , Cholecystitis/complications , Cholangiopancreatography, Endoscopic Retrograde , Imipenem/therapeutic use , Dyspnea/surgery , Dyspnea , Postcholecystectomy Syndrome/complications , Hypertension/complications , Hypercholesterolemia/complications , Cholelithiasis/complications , Cholecystitis , Cholangiopancreatography, Endoscopic Retrograde/instrumentation , Cholangiopancreatography, Endoscopic Retrograde/methods , Radiography, ThoracicABSTRACT
OBJECTIVES: To improve and evaluate the travel advice by community pharmacists. DESIGN: Cross-sectional and prospective study. SETTING: Community pharmacies from Asturias, Barcelona, Madrid and Valencia. PARTICIPANTS: 483 travellers to high health risk countries who visit the community pharmacies and were agreed with the aims of the study. METHOD: Community pharmacists gave information regarding immunization and prophylaxis about travel-related disease according to the destination, type and duration of travel and other features of the tourist (age, taking medicines, diseases, etc.). MAIN MEASUREMENTS: Destination, adherence to the prophylaxis and vaccinations recommended, adverse effects and diseases the tourists have in the travel and one month after they are back. RESULTS: Only 6.3% of the travellers were effective vaccinated and took prophylaxis (all vaccines and prophylaxis according to the destination). 36.2% of the travellers experienced an illness while abroad. The commonest disease were travellers' diarrhoea (15.7%). The pharmacists were the only source of information about sunscreens, repellents, and other sanitary goods. CONCLUSIONS: The community pharmacists can give accurate information regarding immunization and prophylaxis about international travels. It is necessary to improve the communication between family physician, the tropical travel clinic and community pharmacists in order to improving compliance. It is necessary keep the bureaucratic barriers away to get this kind of drugs. The international tourists still travel without the necessary vaccines and prophylaxis to the high health risk areas.
Subject(s)
Travel , Vaccination , Adult , Community Pharmacy Services , Cross-Sectional Studies , Female , Humans , Internationality , Male , Prospective StudiesABSTRACT
Objetivos. Mejorar la captación de viajeros a zonas de riesgo sanitario por los farmacéuticos comunitarios y evaluar dicha actuación sanitaria. Diseño. Estudio observacional prospectivo. Emplazamiento. Farmacias comunitarias de Asturias, Barcelona, Madrid y Valencia. Participantes. Un total de 483 viajeros a zonas de riesgo que iban a las farmacias participantes y que dieron su consentimiento verbal para participar en el estudio. Intervenciones. Asesoramiento por parte de los farmacéuticos comunitarios a los viajeros sobre las vacunas, la quimioprofilaxis y el botiquín de viaje necesarios según el destino, la duración y las características de los viajeros (medicación concomitante, embarazo, comorbilidades, edad, etc.).Mediciones principales. Destino y duración del viaje, cumplimiento de vacunas y/o quimioprofilaxis recomendadas, reacciones adversas a ellas. Problemas de salud durante el viaje y al mes del regreso. Resultados. El 6,3 por ciento de los viajeros estaba protegido correctamente (todas las vacunas y quimioprofilaxis que necesitaban). El 36,2 por ciento de los viajeros tuvieron algún problema de salud durante el viaje, siendo la diarrea el más frecuente (15,7 por ciento). El botiquín de viaje fue recomendado sobre todo por el farmacéutico comunitario (89-95 por ciento).Conclusiones. Los farmacéuticos convenientemente formados están capacitados para asesorar a los viajeros sobre las vacunas, la quimioprofilaxis y el botiquín de viaje necesarios. Hay que mejorar la coordinación con los departamentos de medicina exterior y los médicos de familia correspondientes. Conviene disminuir las trabas burocráticas (visado de inspección) para la obtención de estos medicamentos. Los viajeros internacionales aún no van correctamente vacunados a las zonas de riesgo sanitario (AU)
