01. Consejería de Salud

Foto de familia. Un estudio descriptivo de los recursos de información científica en las bibliotecas virtuales del sistema sanitario público español

2026-04-30T08:19:21Z

Foto de familia. Un estudio descriptivo de los recursos de información científica en las bibliotecas virtuales del sistema sanitario público español Grupo G17+1; Primo-Peña, Elena; Juan-Quilis, Verónica; Salas-Valero, Montserrat; Corrales, Mercedes; Lavandera-Fernández, Raquel; Páez Cervi, Virgili; Duque, Beatriz; Ribes-Cot, María Francisca; Alonso-Martín, María Luisa; Díaz-Ruiz, Pilar; Moreno-Romero, Francisco Javier; Roqué-Castellà, Pilar; Mejuto-Martí, Teresa; Estrada-Lorenzo, José Manuel; Sánchez-Sánchez, Juan-Antonio; Aguinaga Ontoso, Enrique; Aróstegui, Ricardo; Gaminde, Idoia; García-Martín, María Asunción Objetivos: Identificar y cuantificar los recursos de información científica y describir la situación actual de las bibliotecas del sistema sanitario público español.Material y métodos: Encuesta enviada a los responsables de las bibliotecas de ciencias de la salud del sistema sanitario público y a los responsables de las bibliotecas virtuales de las respectivas Consejerías de Sanidad. Variables: número de centros y usuarios y su distribución por tipología, número de bibliotecas y profesionales bibliotecarios, y recursos de información científica compartidos.Resultados: Han respondido 14 de las 17 CC.AA. Todas excepto Canarias, La Rioja y Comunidad Valenciana. En estas 14 CC.AA. existen 201 bibliotecas especializadas, con 295 bibliotecarios, que dan servicio a más de 130.000 profesionales del sistema sanitario público. Las respectivas Consejerías de Sanidad han iniciado la puesta en marcha de bibliotecas virtuales, que se encuentran en distintas fases de desarrollo. En 2006, el conjunto de las bibliotecas han suscrito, de forma compartida desde las bibliotecas virtuales, más de 17.000 revistas en formato electrónico y 36 bases de datos bibliográficas. Tienen escasa presencia aún los gestores bibliográficos, los metabuscadores y los ¿resolvedores¿ de enlaces.Conclusiones: Las bibliotecas del sistema sanitario público suscriben un volumen muy importante de recursos de información científica, fundamentado en el número de centros y usuarios a los que dan servicio. Una primera aproximación revela que la mayor parte de los recursos se solapan entre las distintas CC.AA. Un futuro estudio más detallado podría corroborar estos datos y proponer sistemas de cooperación intercomunidades. El reciente desarrollo de bibliotecas virtuales en las distintas CC.AA. está favoreciendo el acceso a todos los profesionales sanitarios a los recursos electrónicos, pero se hace necesaria una evaluación del uso de dichos recursos. Pese a estos avances tecnológicos, aún son remisas a la suscripción de recursos de ¿última generación¿, como metabuscadores o ¿resolvedores¿ de enlaces.

Indicadores de calidad de las aguas de consumo 2024

2026-04-22T08:21:04Z

Indicadores de calidad de las aguas de consumo 2024 Sintas-Lozano, Francisca; Gómez-Castelló, Dolores; Méndez-Romera, Manuel-José

Impact of the COVID-19 Pandemic on the Outcomes of a Multifaceted Program on Antibiotic Prescribing in Primary Care Among Children Under Three Years of Age

2026-04-20T09:52:42Z

Impact of the COVID-19 Pandemic on the Outcomes of a Multifaceted Program on Antibiotic Prescribing in Primary Care Among Children Under Three Years of Age Martín-Ayala, Gema; Alfayate-Miguélez, Santiago; Jiménez-Guillén, Casimiro; AlcarazQuiñonero, Manuel; Iofrio-de-Arce, Antonio; Arnau-Sánchez, José Background/objective: Inappropriate antibiotic use in paediatric populations is a leading driver of antimicrobial resistance. In the Murcia Region, Spain, the Purapi program promotes the rational use of antibiotics among children under 3 years of age. This study aimed to analyse antibiotic use in this age group during the pandemic period (2020-2023) and to assess the impact of the COVID-19 pandemic on the effectiveness of a multifaceted program promoting appropriate antibiotic use. Methods: A retrospective, multicentre, population-based study was conducted in primary care using data from 2019 to 2024. Systemic antibiotic use (ATC J01 group) among children under three years was measured as defined daily doses per 1000 inhabitants per day (DHD). Differences across years and healthcare areas were assessed using analysis of variance (ANOVA) with Bonferroni correction. Results: Antibiotic consumption decreased by 49% in 2020 compared to 2019, coinciding with the implementation of national COVID-19 containment measures. From 2021 onward, a gradual increase was observed; however, by 2024, levels remained 9% below pre-pandemic values. Penicillins account for 75% of prescriptions, mainly amoxicillin and amoxicillin-clavulanic acid. While variability across healthcare areas decreased during the pandemic, variability among primary care centres increased. Conclusions: The pandemic resulted in a temporary reduction in antibiotic use, followed by a partial rebound. Ongoing educational and stewardship interventions within the Purapi framework were instrumental in maintaining rational prescribing and may have contributed to maintaining reduced antibiotic consumption among children under three years of age during and after the pandemic. Strengthening and harmonising these initiatives is essential to ensure consistent paediatric antibiotic stewardship in primary care.

Development of a blood-based lipidomic fat quality score for the risk of ischemic stroke

2026-04-20T09:52:40Z

Development of a blood-based lipidomic fat quality score for the risk of ischemic stroke Lazaro, Iolanda; Lujan-Barroso, Leila; Soldevila-Domenech, Natalia; Amor, Antonio-J; Ortega, Emilio; Ros, Emilio; Sánchez, María-José; Rodríguez-Barranco, Miguel; Guevara, Marcela; Moreno-Iribas, Conchi; Schroder, Helmut; Fito, Montserrat; Tintle, Nathan-L; Ryder, Nathan; Harris, William-S; Agudo, Antonio; Sala-Vila, Aleix Introduction: Poor-quality diets promote ischemic stroke. Red blood cell fatty acids (RBC-FAs) are objective, longterm biomarkers of diet. In a case-control study nested in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Spain, we developed a blood-based lipidomic fat quality (LFQ) score considering pre-defined RBC-FA diet-related biomarkers, and examined whether LFQ score relates to the risk of ischemic stroke. Patients and methods: We determined the RBC-FAs (n = 438 cases of incident ischemic stroke, n= 438 matched controls). For each participant, we scored 1 for each beneficial metric (C15:0+C17:0; C18:2n-6; C18:3n-3; C20:5n-3; C22:6n-3) >= the median of the control group; and 1 for each detrimental metric (C16:0; C16:1n-7; C18:0) < the median of the control group. LFQ score resulted from the 8-component sum (range = 0-8; higher values, higher fat quality). We explored the validity of findings in a different background (n = 2468 participants from the Framingham Offspring Study without ischemic stroke at baseline, 12-year median follow-up, n= 121 cases). Results: In a fully adjusted model, the Odds Ratio (OR) for ischemic stroke was 0.86 (95% confidence interval [CI] = 0.77-0.95) for each 1-unit increase of the LFQ score. Compared to individuals at the lowest category of LFQ score (0-3 points), those at the top category (5-8 points) had lower odds (OR = 0.64, 95% CI = 0.44-0.94). The findings were similar in the Framingham Offspring Study (Hazard Ratio [HR] for each 1-unit increase = 0.83; 95% CI = 0.70-0.99; HR for those at top category = 0.49; 95% CI = 0.29-0.84, compared to those at the lowest category). Conclusion: Low blood-based LFQ scores relate to a high risk of ischemic stroke.