Key issues in the infected patient care in the Emergency Department.

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Title: Key issues in the infected patient care in the Emergency Department.
Authors: Chiarella, Flavia1, Castillo, Juan González-Del2,3 jgonzalezcast@gmail.com, Javier Candel, Francisco1,3, García-Lamberechts, Eric Jorge2,3, Núñez-Orantos, María José4, Martín-Sánchez, Francisco Javier2,3
Source: Revista Española de Quimioterapia. dic2016, Vol. 29 Issue 6, p318-327. 10p.
Subjects: EMERGENCY medicine, MEDICAL care, COMMUNICABLE disease treatment, COMMUNICABLE disease diagnosis, HEALTH surveys
Geographic Terms: SPAIN
Abstract (English): Objective. To develop a set of recommendations, by consensus of Emergency Medicine experts, on key aspects related to the care of adult patients with acute infection attended in Spanish emergency departments (ED). Methodology. The study was divided into three phases: 1) To design a questionnaire by a coordinating group; 2) To conduct a survey in ED physicians in order to know their opinion on the issues raised by the coordinating group; 3) To develop a number of recommendations based on the responses to the questionnaire and their subsequent discussion. Results: A group of 28 experts from different Spanish ED, as well as 5 members of the coordinating group, with knowledge and experience in the management of infectious diseases in ED, conducted a round of voting to a questionnaire of 18 issues grouped into three sections: 1) identification and stratification of the severity; 2) diagnosis and treatment; 3) management. Conclusions: A monitoring system and proper training of the entire healthcare team are required, as well as extensive knowledge on these issues, to ensure adequate and effective care for these patients. It is essential to educate and train all health staff, especially in the ED, because it is the initial point of contact for most patients with an infection. The experts established proposals based on survey questions and the discussion. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Elaborar un conjunto de recomendaciones basadas en la opinión de expertos en medicina de urgencias sobre aspectos claves relacionados con la atención del paciente con sospecha de infección en los servicios de urgencias. Metodología. El estudio se desarrolló en tres fases: 1) Diseño de un cuestionario por un grupo coordinador; 2) Realización de una encuesta para conocer la opinión de los profesionales en urgencias y emergencias sobre las cuestiones formuladas por el grupo coordinador; 3) Elaboración de una serie de recomendaciones basadas en las respuestas al cuestionario y su posterior discusión. Resultados: Un grupo de 28 expertos procedentes de distintos servicio de urgencias hospitalarios españoles, así como 5 miembros del grupo coordinador, formado por médicos con experiencia en urgencias y patología infecciosa, realizaron una ronda de votación a un cuestionario de 18 preguntas clasificadas en tres bloques: identificación y estratificación del paciente infectado, diagnóstico y tratamiento, y gestión hospitalaria. Conclusiones: Para garantizar una atención adecuada y eficaz de estos pacientes se requiere una atención estructurada y un entrenamiento adecuado de todo el equipo sanitario, así como un amplio conocimiento en estos temas. Resulta fundamental educar y concienciar a todo el personal sanitario especialmente en los servicios de urgencias, punto de contacto inicial de la mayoría de los pacientes que padecen una infección. En base a las preguntas y su discusión, se consensuaron una serie de propuestas. [ABSTRACT FROM AUTHOR]
Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Key issues in the infected patient care in the Emergency Department.
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  Data: <searchLink fieldCode="JN" term="%22Revista+Española+de+Quimioterapia%22">Revista Española de Quimioterapia</searchLink>. dic2016, Vol. 29 Issue 6, p318-327. 10p.
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  Data: <searchLink fieldCode="DE" term="%22EMERGENCY+medicine%22">EMERGENCY medicine</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br /><searchLink fieldCode="DE" term="%22COMMUNICABLE+disease+treatment%22">COMMUNICABLE disease treatment</searchLink><br /><searchLink fieldCode="DE" term="%22COMMUNICABLE+disease+diagnosis%22">COMMUNICABLE disease diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+surveys%22">HEALTH surveys</searchLink>
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective. To develop a set of recommendations, by consensus of Emergency Medicine experts, on key aspects related to the care of adult patients with acute infection attended in Spanish emergency departments (ED). Methodology. The study was divided into three phases: 1) To design a questionnaire by a coordinating group; 2) To conduct a survey in ED physicians in order to know their opinion on the issues raised by the coordinating group; 3) To develop a number of recommendations based on the responses to the questionnaire and their subsequent discussion. Results: A group of 28 experts from different Spanish ED, as well as 5 members of the coordinating group, with knowledge and experience in the management of infectious diseases in ED, conducted a round of voting to a questionnaire of 18 issues grouped into three sections: 1) identification and stratification of the severity; 2) diagnosis and treatment; 3) management. Conclusions: A monitoring system and proper training of the entire healthcare team are required, as well as extensive knowledge on these issues, to ensure adequate and effective care for these patients. It is essential to educate and train all health staff, especially in the ED, because it is the initial point of contact for most patients with an infection. The experts established proposals based on survey questions and the discussion. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Elaborar un conjunto de recomendaciones basadas en la opinión de expertos en medicina de urgencias sobre aspectos claves relacionados con la atención del paciente con sospecha de infección en los servicios de urgencias. Metodología. El estudio se desarrolló en tres fases: 1) Diseño de un cuestionario por un grupo coordinador; 2) Realización de una encuesta para conocer la opinión de los profesionales en urgencias y emergencias sobre las cuestiones formuladas por el grupo coordinador; 3) Elaboración de una serie de recomendaciones basadas en las respuestas al cuestionario y su posterior discusión. Resultados: Un grupo de 28 expertos procedentes de distintos servicio de urgencias hospitalarios españoles, así como 5 miembros del grupo coordinador, formado por médicos con experiencia en urgencias y patología infecciosa, realizaron una ronda de votación a un cuestionario de 18 preguntas clasificadas en tres bloques: identificación y estratificación del paciente infectado, diagnóstico y tratamiento, y gestión hospitalaria. Conclusiones: Para garantizar una atención adecuada y eficaz de estos pacientes se requiere una atención estructurada y un entrenamiento adecuado de todo el equipo sanitario, así como un amplio conocimiento en estos temas. Resulta fundamental educar y concienciar a todo el personal sanitario especialmente en los servicios de urgencias, punto de contacto inicial de la mayoría de los pacientes que padecen una infección. En base a las preguntas y su discusión, se consensuaron una serie de propuestas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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