T F Aiello, C Teijon-Lumbreras, A Gallardo-Pizarro, P Monzó-Gallo, A Martinez-Urrea, G Cuervo, A Del Rio, M Hernández-Meneses, L Morata, J Mensa, A Soriano, C Garcia-Vidal
{"title":"Strengths and weaknesses of computerized clinical decision support systems: insights from a digital control center (C3 COVID-19) for early and personalized treatment for COVID-19.","authors":"T F Aiello, C Teijon-Lumbreras, A Gallardo-Pizarro, P Monzó-Gallo, A Martinez-Urrea, G Cuervo, A Del Rio, M Hernández-Meneses, L Morata, J Mensa, A Soriano, C Garcia-Vidal","doi":"10.37201/req/088.2024","DOIUrl":"10.37201/req/088.2024","url":null,"abstract":"<p><p>Clinical Decision Support Systems (CDSS) are computer-based tools that leverage the analysis of large volumes of health data to assist healthcare professionals in making clinical decisions, whether preventive, diagnostic, or therapeutic. This review examines the impact of CDSS on clinical practice, highlighting both their potential benefits and their limitations and challenges. We detail the experience of clinical medical professionals in the development of a virtual control center for COVID-19 patients (C3 COVID-19) in Spain during the SARS-CoV-2 pandemic. This tool enabled real-time monitoring of clinical data for hospitalized COVID-19 patients, optimizing personalized and informed medical decision-making. CDSS can offer significant advantages, such as improving the quality of inpatient care, promoting evidence-based clinical and therapeutic decision-making, facilitating treatment personalization, and enhancing healthcare system efficiency and productivity. However, the implementation of CDSS presents challenges, including the need for physicians to become familiar with the systems and software, and the necessity for ongoing updates and technical support of the systems.</p>","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142524013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M J Munoz-Davila, C Candel-Perez, E García Villalba, M A Muñoz Pérez
{"title":"Prevalence of anal infection by human papillomavirus in men who have sex with men and its associated clinical and epidemiological factors.","authors":"M J Munoz-Davila, C Candel-Perez, E García Villalba, M A Muñoz Pérez","doi":"10.37201/req/085.2024","DOIUrl":"10.37201/req/085.2024","url":null,"abstract":"","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"70-71"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I Pérez-Catalán, C Roig-Martí, B Gomila-Sard, T Cebolla-Beltrán, P Ortí-Juan, S Fabra-Juana, R A Córdoba-Rojas, J Usó-Blasco, M D Bellés-Medall
{"title":"Infective endocarditis on prosthetic valve due to vancomycin-resistant Enterococcus faecium with VanA/VanB genotype.","authors":"I Pérez-Catalán, C Roig-Martí, B Gomila-Sard, T Cebolla-Beltrán, P Ortí-Juan, S Fabra-Juana, R A Córdoba-Rojas, J Usó-Blasco, M D Bellés-Medall","doi":"10.37201/req/079.2024","DOIUrl":"10.37201/req/079.2024","url":null,"abstract":"","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"62-63"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L R Iotti, M de Frutos, I Bermúdez-Castellanos, V Rodríguez López, J M Eiros
{"title":"[Microbiological view of the anophtalmic cavity].","authors":"L R Iotti, M de Frutos, I Bermúdez-Castellanos, V Rodríguez López, J M Eiros","doi":"10.37201/req/089.2024","DOIUrl":"10.37201/req/089.2024","url":null,"abstract":"","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"72-74"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Splenic abscess caused by Coprobacillus catenaformis. A case report].","authors":"F Vioque, D Tena","doi":"10.37201/req/084.2024","DOIUrl":"10.37201/req/084.2024","url":null,"abstract":"","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"67-69"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J M Barbero Allende, I Ureña, L Cañivano, S García, C Paz, A Olmo-Ruiloba, K Jauregi, S Coronado, L López Requejo, L Porcel, V Perea, M Irigoyen, J Cano, A García, E León, N Fernández-Domingo, P Lanchares, B Lino, M Ortolá, A Lizasoain, V Sánchez, C Arévalo-Cañas, J Arévalo-Serrano
{"title":"[Evaluation of the management of Clostridioides difficile infection as a risk factor for recurrence. A retrospective observational study].","authors":"J M Barbero Allende, I Ureña, L Cañivano, S García, C Paz, A Olmo-Ruiloba, K Jauregi, S Coronado, L López Requejo, L Porcel, V Perea, M Irigoyen, J Cano, A García, E León, N Fernández-Domingo, P Lanchares, B Lino, M Ortolá, A Lizasoain, V Sánchez, C Arévalo-Cañas, J Arévalo-Serrano","doi":"10.37201/req/086.2024","DOIUrl":"10.37201/req/086.2024","url":null,"abstract":"<p><strong>Objective: </strong>One of the main problems with Clostridioides difficile infection (CDI) is its tendency to recur. The objective of the study is to analyze which factors in the clinical management of CDI favor recurrence.</p><p><strong>Methods: </strong>This is a retrospective study conducted at the Hospital Universitario Príncipe de Asturias on cases of CDI between January 2021 and June 2023. Demographic variables, comorbidities, risk factors for recurrence, and treatments used for CDI were recorded. Non-optimal clinical management was defined as: not discontinuing treatment with proton pump inhibitors (PPIs) if the patient was on them, not discontinuing concomitant antibiotic treatments if the patient was on these, the use of metronidazole monotherapy in any case, or the use of standard-dose vancomycin if there were risk factors for recurrence.</p><p><strong>Results: </strong>A total of 327 cases were found in 256 patients. 69 patients died within 8 weeks after the episode (26.9%). Among the remaining 258 episodes, there were 68 recurrences (26.3%). Of these 68 recurrences, 63 cases received nonoptimal treatment (93.2%), compared to 112/190 (58.9%) among those who did not recur. In the multivariate analysis adjusted for confounding factors, patients who received optimal treatment had an 89% lower risk of recurrence compared to those who did not receive it (OR 0.1; p < 0.001).</p><p><strong>Conclusions: </strong>Reducing the use of PPIs and antibiotics and prioritizing more effective treatments against CDI could improve the recurrence rates of this infection.</p>","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"48-54"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142718132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Iglesias-Linares, A Román-de-la-Torre, M Aguilera-Franco, A Puertas-Prieto, M J Medina-Pascual, J Gutiérrez-Fernández
{"title":"Threat of preterm labor and preterm birth in the presence of Lachnoanaerobaculum gingivalis.","authors":"L Iglesias-Linares, A Román-de-la-Torre, M Aguilera-Franco, A Puertas-Prieto, M J Medina-Pascual, J Gutiérrez-Fernández","doi":"10.37201/req/050.2024","DOIUrl":"10.37201/req/050.2024","url":null,"abstract":"","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"515-517"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antibiotic use in Barcelona in 2023 in primary care and the potential reduction by adjusting box sizes to current guidelines.","authors":"C Llor, C Rodríguez-Bernuz, A Troncoso-Mariño","doi":"10.37201/req/054.2024","DOIUrl":"10.37201/req/054.2024","url":null,"abstract":"<p><strong>Objective: </strong>Prior research has not examined the size of antibiotic packages prescribed. We assessed 2023 prescription rates in Barcelona and the most prescribed presentations in pharmacies, while evaluating potential reductions if all amoxicillin and amoxicillin/clavulanate containers had 20 doses.</p><p><strong>Methods: </strong>Antibiotics prescribed by primary care doctors working for the Catalonian Health Institute in Barcelona in 2023 were analysed by calculating the defined daily doses per 1,000 inhabitants and day (DID).</p><p><strong>Results: </strong>The observed prescribing rate was 8 DID, with penicillins accounting for 4.6 DID (57.2%). The most frequently prescribed antibiotics were amoxicillin and amoxicillin/clavulanate, making up 4.4 DID. If all the 30-dose presentations of amoxicillin and amoxicillin/clavulanate had been 20-dose containers, the total number of DIDs would have been 3.3, resulting in a reduction of 1.1 DID (25.4% less).</p><p><strong>Conclusions: </strong>Antibiotic prescribing rate in Barcelona was low. Aligning the dosage of antibiotics with established guidelines could further reduce antibiotic consumption.</p>","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"504-508"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Target lesions and fever, an unexpected microorganism].","authors":"P Andres-Ibarrola, L Guío Carrión","doi":"10.37201/req/065.2024","DOIUrl":"10.37201/req/065.2024","url":null,"abstract":"","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"521-522"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L E Franco-Fobe, M L Monforte, M V Fuentelsaz Del Barrio, R Cebollada, C López-Gómez, C Aspiroz
{"title":"[The importance of early diagnosis. Tinea capitis caused by Trichophyton tonsurans in an adolescent].","authors":"L E Franco-Fobe, M L Monforte, M V Fuentelsaz Del Barrio, R Cebollada, C López-Gómez, C Aspiroz","doi":"10.37201/req/007.2024","DOIUrl":"10.37201/req/007.2024","url":null,"abstract":"","PeriodicalId":94198,"journal":{"name":"Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia","volume":" ","pages":"509-511"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}