Esplugues de Llobregat, Spain
Esplugues de Llobregat, Spain

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Fumado Perez V.,University of Barcelona | Fumado Perez V.,Hospital Universitario Of Sant Joan Of Deu
Pediatria Integral | Year: 2013

In the initial evaluation of an immigrant child, we should give special attention to some factors that are not common in pediatrics. Knowing the origin country, migratory route and usual activities of the child will help us consider which imported infectious diseases we should consider and orient the diagnosis as early as possible. Furthermore, in these patients, we could have problems to know the backgrounds, as they may come from countries where infections diseases having worldwide distribution are much more prevalent than in our setting and where it is likely that neither the children nor their biological mothers will have received perinatal cares and that they also will not have been administered the usual immunizations as in our country, or they may have received others. These data should alert the pediatrician. The use of complementary tests protocol is useful to adequately screen the risk in the initial evaluation.


Parra Cotanda C.,Hospital Universitario Of Sant Joan Of Deu | Asensio Carretero S.,Hospital Universitario Of Sant Joan Of Deu | De La Maza V.T.S.,Hospital Universitario Of Sant Joan Of Deu | Luaces Cubells C.,Hospital Universitario Of Sant Joan Of Deu
Anales de Pediatria | Year: 2012

Paediatric Emergency Departments (PED) should have written disaster plans, to ensure a rapid and efficient response. Objectives: 1) to determine if Spanish PED have written disaster plans, 2) to describe the characteristics of these plans, and 3) if paediatric victims were included in them. Material and methods: Descriptive multicentre study based on questionnaires sent to physicians in charge of different Spanish PED. The structured survey included questions about external emergency plans (EEP) and internal emergency plans (IEP). Results: Twenty-five out of 44 surveys were replied. Eighteen PED had an EEP, most of them had been written 10 years ago and were reviewed every 3 years or more. In 11/18 PED, the EEP was well-known by health care providers. Drills were never performed in 13/18 PED. Twenty-one PED had an IEP, most of them had been written 8 years ago and were reviewed every 3 years or more. In 13/21 PED, IEP was well-known by health care providers but drills were never performed in 12/21 PED. IEP included evacuation plans (22), fire emergency plans (19), bomb threat plan (13) and flood plans (9). Nine PED have paediatric-specific disaster plans and in 7 PED, disaster plans included adult and paediatric victims. Children were not included In 1 EEP and in 5 IEP. Conclusions: Most of PED have written disaster plans, but these plans are old, unknown by health care providers and almost half of them do not include paediatric victims. It is necessary to improve disaster planning in Spanish PED. © 2011 Asociación Española de Pediatría.


Angel Sola J.,Hospital Universitario Of Sant Joan Of Deu | Sague Bravo S.,Hospital Universitario Of Sant Joan Of Deu | Parra Cotanda C.,Hospital Universitario Of Sant Joan Of Deu | Trenchs Sainz De La Maza V.,Hospital Universitario Of Sant Joan Of Deu | Luaces Cubells C.,Hospital Universitario Of Sant Joan Of Deu
Anales de Pediatria | Year: 2014

Introduction: In the recent years, parents are playing an important role in Pediatric EmergencyDepartment (PED), and wish to be present when invasive procedures (IP) are performed.Objectives: 1) To compare the presence of parents during IP in PED in Spain between 2008 and 2012. 2) To compare the arguments to restrict the presence and problems arising from this, and 3) To determine whether the views of health personnel have changed on this subject. Methodology: A descriptive multicenter comparative study was conducted in 2008 and 2012. Atotal of 42 questionaires were sent by email to PED managers, with the responding hospitals being included in the 2 periods of the study. Results: A total of 22 hospitals participated in the study. The presence of parents in the PED increased between 2008 and 2012 for all IP, significantly in the blood test and urine catheteri-zation. In 2012, managers state that children are not so nervous, and anxiety of the parents and staff fear of a poorer performance, as an argument to restrict family presence. There were fewproblems during the 2 periods, with the poor behavior of the children decreasing. According tomanagers, the opinion of health personnel has not changed in the last four years. Conclusions: The presence of parents during the IP in the PED has increased in the last fouryears, although the presence is low for more invasive procedures. Managers argue the presenceof fewer behavior problems to restrict family presence. The opinion of the staff has not changedin the last four years, although more studies are required on this issue. © 2013 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. Todos los derechos reservados.


Fumado V.,Hospital Universitario Of Sant Joan Of Deu
Pediatria Integral | Year: 2015

Parasitic infections affecting more the pediatric population rather than the adult. Although in most cases this will be banal pathology, some parasites can cause significant morbidity and even mortality. Is important to recognize the clinical manifestations, and actively look for the parasites, also is important know when you should treat, and how give the treatment. The goal of treatment is adequate healing parasite clearance, reduce the number of parasites, and get reduce morbidity and complications they may cause. It must know how to prevent and reduce the risk of transmission © 2015, Ediciones Ergon SA. All Righrts Reserved.


Parra Cotanda C.,Hospital Universitario Of Sant Joan Of Deu | Luaces Cubells C.,Hospital Universitario Of Sant Joan Of Deu
Anales de Pediatria | Year: 2011

Disasters are situations or events that overwhelm local capacity and can cause great damage and human suffering. Disasters are uncommon but their consequences may be extremely serious; that is why it is absolutely necessary that health care providers become fully prepared. The paediatric population is especially vulnerable to disasters effects, and so paediatricians have to play an essential role, not only during the disaster but also previously, during disaster planning. This review aims to provide an overview of the different types of disaster, the role of paediatricians in disaster preparedness, the stages of disaster managing and finally, hospital preparedness. © 2010 Asociación Española de Pediatría. Published by Elsevier España, S.L. All rights reserved.


PubMed | Hospital Universitario Of Sant Joan Of Deu
Type: Journal Article | Journal: Anales de pediatria (Barcelona, Spain : 2003) | Year: 2010

Parental participation in medical decisions involving their children is essential and family presence during invasive procedures (IP) is fundamental.1) To determine the frequency of parental presence during different IP in Spanish Paediatrics Emergency Departments (PED). 2) To assess the reasons for restricting parental presence. 3) To evaluate the agreement of health care professionals with regards to parental presence.Descriptive multicentre study based on questionnaires sent to physicians in charge of different Spanish PED.Thirty-two out of 43 questionnaires were replied. Family presence during IP is never allowed in 11 hospitals. In the rest, this varies depending on the type of IP: blood sampling (15 hospitals), wound suture (14), urethral catheterization (9), lumbar puncture (7), intubation (1) and cardiopulmonary resuscitation (1), with no significant differences between hospitals. The main arguments for restricting parental presence are parental anxiety (26/30) and a lower performance by health personnel (23/30). Occasional problems, such as nausea (22/28), have arisen due to family presence. The interviewed physicians in charge think that health care professionals agreement rates for parental presence decrease significantly with the increasing invasiveness of the procedure. Two hospitals have a working group and one a specific protocol to address parental presence.Parental presence during IP is limited in Spanish PED, due to parental anxiety and is detrimental to the success of the procedure. Physicians and nurses disagree with family presence, especially during the most invasive procedures.


PubMed | Hospital Universitario Of Sant Joan Of Deu
Type: Journal Article | Journal: Anales de pediatria (Barcelona, Spain : 2003) | Year: 2012

Paediatric Emergency Departments (PED) should have written disaster plans, to ensure a rapid and efficient response.1) to determine if Spanish PED have written disaster plans, 2) to describe the characteristics of these plans, and 3) if paediatric victims were included in them.Descriptive multicentre study based on questionnaires sent to physicians in charge of different Spanish PED. The structured survey included questions about external emergency plans (EEP) and internal emergency plans (IEP).Twenty-five out of 44 surveys were replied. Eighteen PED had an EEP, most of them had been written 10 years ago and were reviewed every 3 years or more. In 11/18 PED, the EEP was well-known by health care providers. Drills were never performed in 13/18 PED. Twenty-one PED had an IEP, most of them had been written 8 years ago and were reviewed every 3 years or more. In 13/21 PED, IEP was well-known by health care providers but drills were never performed in 12/21 PED. IEP included evacuation plans (22), fire emergency plans (19), bomb threat plan (13) and flood plans (9). Nine PED have paediatric-specific disaster plans and in 7 PED, disaster plans included adult and paediatric victims. Children were not included In 1 EEP and in 5 IEP.Most of PED have written disaster plans, but these plans are old, unknown by health care providers and almost half of them do not include paediatric victims. It is necessary to improve disaster planning in Spanish PED.


PubMed | Hospital Universitario Of Sant Joan Of Deu
Type: Journal Article | Journal: Anales de pediatria (Barcelona, Spain : 2003) | Year: 2011

Disasters are situations or events that overwhelm local capacity and can cause great damage and human suffering. Disasters are uncommon but their consequences may be extremely serious; that is why it is absolutely necessary that health care providers become fully prepared. The paediatric population is especially vulnerable to disasters effects, and so paediatricians have to play an essential role, not only during the disaster but also previously, during disaster planning. This review aims to provide an overview of the different types of disaster, the role of paediatricians in disaster preparedness, the stages of disaster managing and finally, hospital preparedness.


PubMed | Hospital Universitario Of Sant Joan Of Deu
Type: Comparative Study | Journal: Anales de pediatria (Barcelona, Spain : 2003) | Year: 2015

In the recent years, parents are playing an important role in Pediatric Emergency Department (PED), and wish to be present when invasive procedures (IP) are performed.1) To compare the presence of parents during IP in PED in Spain between 2008 and 2012. 2) To compare the arguments to restrict the presence and problems arising from this, and 3) To determine whether the views of health personnel have changed on this subject.A descriptive multicenter comparative study was conducted in 2008 and 2012. A total of 42 questionaires were sent by email to PED managers, with the responding hospitals being included in the 2 periods of the study.A total of 22 hospitals participated in the study. The presence of parents in the PED increased between 2008 and 2012 for all IP, significantly in the blood test and urine catheterization. In 2012, managers state that children are not so nervous, and anxiety of the parents and staff fear of a poorer performance, as an argument to restrict family presence. There were few problems during the 2 periods, with the poor behavior of the children decreasing. According to managers, the opinion of health personnel has not changed in the last four years.The presence of parents during the IP in the PED has increased in the last four years, although the presence is low for more invasive procedures. Managers argue the presence of fewer behavior problems to restrict family presence. The opinion of the staff has not changed in the last four years, although more studies are required on this issue.


Gamell Fulla A.,Hospital Universitario Of Sant Joan Of Deu | Corniero Alonso P.,Hospital Universitario Of Sant Joan Of Deu | Parra Cotanda C.,Hospital Universitario Of Sant Joan Of Deu | Trenchs Sainz De La Maza V.,Hospital Universitario Of Sant Joan Of Deu | Luaces Cubells C.,Hospital Universitario Of Sant Joan Of Deu
Anales de Pediatria | Year: 2010

Introduction: Parental participation in medical decisions involving their children is essential and family presence during invasive procedures (IP) is fundamental. Objectives: 1) To determine the frequency of parental presence during different IP in Spanish Paediatrics Emergency Departments (PED). 2) To assess the reasons for restricting parental presence. 3) To evaluate the agreement of health care professionals with regards to parental presence. Materials and methods: Descriptive multicentre study based on questionnaires sent to physicians in charge of different Spanish PED. Results: Thirty-two out of 43 questionnaires were replied. Family presence during IP is never allowed in 11 hospitals. In the rest, this varies depending on the type of IP: blood sampling (15 hospitals), wound suture (14), urethral catheterization (9), lumbar puncture (7), intubation (1) and cardiopulmonary resuscitation (1), with no significant differences between hospitals. The main arguments for restricting parental presence are parental anxiety (26/30) and a lower performance by health personnel (23/30). Occasional problems, such as nausea (22/28), have arisen due to family presence. The interviewed physicians in charge think that health care professionals' agreement rates for parental presence decrease significantly with the increasing invasiveness of the procedure. Two hospitals have a working group and one a specific protocol to address parental presence. Conclusions: Parental presence during IP is limited in Spanish PED, due to parental anxiety and is detrimental to the success of the procedure. Physicians and nurses disagree with family presence, especially during the most invasive procedures. © 2009 Asociación Española de Pediatría. Published by ElsevierEspaña, S.L. All rights reserved.

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