RESUMO
OBJECTIVE: To describe other reasons for requesting HIV serology in emergency departments (ED) other than the 6 defined in the SEMES-GESIDA consensus document (DC-SEMES-GESIDA) and to analyze whether it would be efficient to include any of them in the future. METHODS: Review of all HIV serologies performed during 2 years in 20 Catalan EDs. Serologies requested for reasons not defined by the DC-SEMES-GESIDA were grouped by common conditions, the prevalence (IC95%) of seropositivity for each condition was calculated, and those whose 95% confidence lower limit was >0.1% were considered efficient. Sensitivity analysis considered that serology would have been performed on 20% of cases attended and the remaining 80% would have been seronegative. RESULTS: There were 8044 serologies performed for 248 conditions not recommended by DC-SEMES-GESIDA, in 17 there were seropositive, and in 12 the performance of HIV serology would be efficient. The highest prevalence of detection corresponded to patients from endemic countries (7.41%, 0.91-24.3), lymphopenia (4.76%, 0.12-23.8), plateletopenia (4.37%, 1.20-10.9), adenopathy (3.45%, 0.42-11.9), meningoencephalitis (3.12%, 0.38-10.8) and drug use (2.50%, 0.68-6.28). Sensitivity analysis confirmed efficiency in 6 of them: endemic country origin, plateletopenia, drug abuse, toxic syndrome, behavioral-confusional disorder-agitation and fever of unknown origin. CONCLUSION: The DC-SEMES-GESIDA targeted HIV screening strategy in the ED could efficiently include other circumstances not previously considered; the most cost-effective would be origin from an endemic country, plateletopenia, drug abuse, toxic syndrome, behavioral-confusional-agitation disorder and fever of unknown origin.
RESUMO
Objetivo: Determinar la mortalidad de dientes permanentes y sus principales causas en usuarios atendidos en las Unidades Comunitarias de Salud Familiar, en El Salvador durante el año 2016. Metodología: La investigación corresponde a un estudio observacional, descriptivo y transversal, con una muestra de 1065 usuarios, en edades de 7 a más de 60 años del sistema público de salud que acudieron a consulta odontológica de septiembre a diciembre; en donde se describe la mortalidad de dientes permanentes con sus principales causas de pérdida y factores sociodemográficos; se utilizó una entrevista y una guía de observación donde se determinó el porcentaje de mortalidad referida y mortalidad indicada, haciendo uso del programa SPSS para el vaciado, análisis e interpretación de resultados. Resultados: La caries dental representa la causa más frecuente de mortalidad dental en los tres municipios con 64.85%, seguida de la enfermedad periodontal con 27.41%, otras causas con 5.16% y por trauma con 2.58%. Los órganos dentales con mayor frecuencia de perdida fueron el 3-6, 4-7 por caries dental y 3-1, 4-2 por enfermedad periodontal. Conclusión: La mortalidad de dientes permanentes se presentó mayormente por caries dental, afectando a hombres mayores de 60 años con baja escolaridad, residentes en zona rural, con oficio o trabajo informal y residentes de viviendas con piso de cemento.
Objective: Determinate the permanent teeth mortality and its main causes on users atended in the family health community centers in El Salvador. Methodology: This is a decriptive, observational and transversal study, it has a sample of 1065 users, between 7 to +60 years old, who were attended in the public dental health system, betweeen September to December, wich describes the permanent teeth mortality and principal lost causes and sociodemographic factors; and interview and mortality indicated was determined; the data was processed using the SPSS program for emptying, analize and results. Results: Tooth decay represents the most frequent cause of dental morality in the three municipalities with 64.85%, followed by periodontal disease with 27.41%, other causeswith 5.16% and dental trauma with 2.58%. The most extracted dental pieces were 3-6 and 4-7 due to cavities; the teeth 3-1 and 4-2 were the most extracted dental pieces becsause of periodontal disease. Conclusion: Permanent teeth mortality were shown mostly due to cavities, affecting males with 60 years or more. With low scholarship, were rural residents living in hpuses with concrete floors , and non-formal jobs as well.
