[Changes in epidemiological pattern of methicillin-resistant Staphylococcus aureus infections in a tertiary hospital. Experience of 5 years]. / Cambios en los patrones epidemiológicos de la infección por Staphylococcus aureus resistente a la meticilina en un hospital de tercer nivel. Experiencia de 5 años.

OBJECTIVE: To describe the demographic pattern and tendency of the infections by MRSA between 1992 and 1997. DESIGN AND METHODS: Descriptive study of the infections by MRSA in a tertiary-care hospital. RESULTS: 267 MRSA infections, 131 infections were included within 58 buds and 136 cases isolated form. The more affected services were Internal Medicine, Urology, Neurology, Vascular surgery and intensive care unit. A tendency was observed to the increase in > 65 years cases and in medical services. CONCLUSIONS: The increase of elderly cases in medical services and > 65 years carriers in their nose could translate the existent situation in the community.

[The role of cancer registries in the planning of primary care. A special reference to the Calatayud health area]. / El papel de los registros de cáncer en la planificación de la asistencia primaria. Referencia especial al sector de salud de Calatayud.

The present study is based on the analysis of records concerning 2,123 cases of cancer registered between 1973 and 1982 in the Health Sector of Calatayud. We pretend to find out what sort of role is played by the gathered cancer information registries on the Community Health Diagnosis elaboration and, therefore, on the Primary Care Planning. An important loss of cases (23% in men and 13% in women) and a clear influence of socioeconomic factors concerning Epidemiology and even Cancer Care are remarked. Delay times of diagnosis are higher than on the other series: breast (17.4 months), skin (39.9 months), larynx (7.7 months). A preferential care about the improvement of the Sanitary Education of population, their accessibility to Sanitary System and medical praxis of the Primary Care professionals are proposed.