RESUMO
OBJETIVO: La interconsulta médica es una labor asistencial generalmente poco valorada y estudiada. El principal objetivo ha sido describir y analizar las interconsultas solicitadas a Dermatología y los aspectos que inciden en su resolución. PACIENTES Y MÉTODOS: Estudio observacional retrospectivo en el que se recogieron las interconsultas de los pacientes ingresados durante 36 meses. Se analizaron variables con relación al manejo de los pacientes y a la calidad asistencial. RESULTADOS: Se incluyó a 750 pacientes, con una edad media de 64,85 ± 20,23 años. Los servicios médicos fueron los más solicitantes y, principalmente, Medicina Interna (37,9%). Destacaron las dermatosis inflamatorias (36,2%). El diagnóstico individual más frecuente correspondió al exantema medicamentoso (8,1%). CONCLUSIONES: La actividad consultora conlleva un importante impacto en el manejo de los pacientes ingresados, implica una mejora en la calidad asistencial y una reducción del coste sanitario, y conforma un valor formativo para los médicos residentes
OBJECTIVE: Medical consultations are a healthcare task that is generally undervalued and understudied. The main objective of this study was to describe and analyse the consultations requested of dermatology departments and the aspects that are involve in resolving the consultations. PATIENTS AND METHODS: We conducted an observational retrospective study that collected the consultations for patients hospitalised over a period of 36 months. We analysed variables related to the management of patients and the quality of the care. RESULTS: The study included 750 patients with a mean age of 64.85 (±20.23) years. The medical departments requested the most consultations, mainly internal medicine departments (37.9%). The most common topic for the consultations was inflammatory dermatoses (36.2%). The most common individual diagnosis was drug rash (8.1%). CONCLUSIONS: Consultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians
Assuntos
Humanos , Hospitalização/estatística & dados numéricos , Dermatopatias/epidemiologia , Equipe de Assistência ao Paciente/organização & administração , Encaminhamento e Consulta/estatística & dados numéricos , Estudos Retrospectivos , Comunicação Interdisciplinar , Atenção Terciária à Saúde/organização & administraçãoRESUMO
OBJECTIVES: Preliminary evaluation of the efficacy of two commercial ear solutions composed of (1) chlorhexidine-Tris-ethylenediaminetetraacetic acid (EDTA) or (2) medical grade honey, for the treatment of otitis externa in dogs. MATERIALS AND METHODS: Dogs affected with otitis externa housed in an animal shelter were eligible for inclusion. Treatment was applied daily for 10 days and effect was measured by otitis clinical scores and microbiological counts. One of the treatments was applied to affected left ears, while the other was applied to affected right ears. RESULTS: A total of 24 ears from 13 dogs were included in the study. During the treatment period, with both treatments it was observed an improvement in clinical scores and a decrease in microbiological counts. At the end of the study 22 of 24 ears were deemed to have mild (4 ears), or no (18 ears) pain, with only two ears still showing pruritus. CLINICAL SIGNIFICANCE: The application of ear solutions composed of chlorhexidine-Tris-EDTA or medical grade honey, in the absence of antimicrobial treatment, might be effective for the control of clinical signs and microbial colonisation in dogs with otitis externa. Additional randomised studies on clinical patients are required to validate these findings.
Assuntos
Doenças do Cão , Mel , Otite Externa , Animais , Antibacterianos/uso terapêutico , Clorexidina , Doenças do Cão/tratamento farmacológico , Cães , Otite Externa/tratamento farmacológico , Otite Externa/veterináriaRESUMO
OBJECTIVE: Medical consultations are a healthcare task that is generally undervalued and understudied. The main objective of this study was to describe and analyse the consultations requested of dermatology departments and the aspects that are involve in resolving the consultations. PATIENTS AND METHODS: We conducted an observational retrospective study that collected the consultations for patients hospitalised over a period of 36 months. We analysed variables related to the management of patients and the quality of the care. RESULTS: The study included 750 patients with a mean age of 64.85 (±20.23) years. The medical departments requested the most consultations, mainly internal medicine departments (37.9%). The most common topic for the consultations was inflammatory dermatoses (36.2%). The most common individual diagnosis was drug rash (8.1%). CONCLUSIONS: Consultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians.
