Practical Diagnosis of Red Cell Disorders in Southern Spain

Molina-Arrebola, María Angustias; Avivar-Oyonarte, Cristóbal; Salas-Coronas, Joaquín; Pérez-Moyano, Rosario; Giménez-López, María José; García-Bautista, J.A.; Jiménez-Gila, A.M.; Porrino-Herrera, Carmen

doi:10.1159/000331479

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…Screening of structural hemoglobinopathies was conducted by high-performance liquid chromatography method. 5 Findings were compared based on immigrant's origin: Sub-Saharan Africa or North Africa.…”

Section: Methodsmentioning

confidence: 99%

Newly Arrived African Migrants to Spain: Epidemiology and Burden of Disease

Salas-Coronas

Cabezas-Fernández

Lozano-Serrano

et al. 2018

The American Journal of Tropical Medicine and Hygiene

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The aim of this study is to describe the epidemiological profile, clinical characteristics, and microbiological findings in African immigrants newly arrived to Spain attended at a specialized reference unit from October 2004 to February 2017. A common protocol for the screening of imported and cosmopolitan diseases was designed to evaluate patients with ≤ 12 months of stay in Spain. A total of 523 patients were included in the study, 488 (93.3%) of sub-Saharan origin. A high number of helminthic infections were diagnosed in sub-Saharan patients, including geohelminthiasis (hookworms 14.3%; 4.1%; 3.1%), schistosomiasis (12.3%), strongyloidiasis (17.2%), and filariasis (8.4%). Thirty-five patients (7.2%) had malaria, most by Among communicable diseases, 33.6% of sub-Saharans presented HBsAg positivity compared with 5.7% of North African patients ( = 0.001). Thirteen patients were diagnosed with active tuberculosis. Seventy percent of the sub-Saharans and 40% of the North Africans who were tested had a latent tuberculosis infection (LTI). Treatment of LTI was administered in selected cases (14%), achieving end of treatment in 80% of them. In light of these results, effective screening strategies, particularly within the sub-Saharan immigrant population, including potentially communicable diseases and certain potentially serious parasitic diseases (, ), should be implemented. It is necessary to facilitate fully and free of charge access to the public health system to newly arrived immigrants, as well as to implement programs and actions aimed at favoring care and follow-up, especially for communicable diseases. Empirical treatment of some parasitic diseases could be a cost-effective action.

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Section: Methodsmentioning

confidence: 99%

Newly Arrived African Migrants to Spain: Epidemiology and Burden of Disease

Salas-Coronas

Cabezas-Fernández

Lozano-Serrano

et al. 2018

The American Journal of Tropical Medicine and Hygiene

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show abstract

“…To offer them better care, our hospital founded the Tropical Medicine Unit (TMU) in 2004. It works as a multidisciplinary group and, since its launch, has drawn up several practical guidelines based on other proven protocols already in existence [8,9] so as to focus on the diagnosis of red cell disorders, unusual in the autochthonous population, by carrying out variant haemoglobin screening [10].…”

Section: Discussionmentioning

confidence: 99%