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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2004 October;163(5):159-64
Influence of extra-community patients on the admission at the units of "infectious diseases" in the Calabria Region (2000-2003)
Pellicanò S. 1, Calzone R. 2, Del Giudice A. C. 3, Ranieri F. S. 3, Kunkar A. 4, Ieropoli G. 4, Bertuccio S. N. 3, Foti G. 4
1 Regione Calabria, A.S.L. 5, P.O. S. Giovanni di Dio, Crotone, U.O. Malattie Infettive;
3 Regione Calabria, A.S.L. 8, P.O. G. Jazzolino, Vibo Valentia, U.O. Malattie Infettive;
4 Azienda Ospedaliera Bianchi-Melacrinò-Morelli, P.O. Riuniti, U.O. Malattie Infettive, Reggio Calabria
Aim. In the last years the migratory phenomenon in Calabria has progressively increased. The aim of this paper is to evaluate the migratory flow in the period 2000-2003 and establish if this flow has modified the admission at the Unit of Infectious Diseases in the Calabria Region.
Methods. A statistical epidemiological research on patients coming from extra-community countries hospitalized in the Units of Infectious Diseases in Calabria during the period 2000-2003, has been carried out. Age, sex, provenance, pathology, hospital stay and the monthly and annual course of Admission have been examined. All patients received medical therapy and adequate dietetic treatment.
Results. In the period 2000-2003, at the Units of Infectious Diseases of the Calabria Region, 12155 patients were hospitalizes: 617 (5%) were extra-community subjects, 400 males (65%) and 217 females (35%) with age ranging from 4 to 75 years (mean 39.5±35.5). The annual course is increasing from 4% in the year 2000 to 7% in the 2003. In the period examined, there were 2882 days of hospitalization with a range of 1-60 days (mean 30.5±29.5). The annual period of most admission was: June and September (63 patients, 10%), October (62 cases, 10%) and January (58 cases, 10%). The main reasons of admission were diseases of the liver and digestive apparatus (18%) and respiratory apparatus and HIV infection (14%). As to the provenance continent, 293 patients came from Africa (48%), 173 from Europe (28%), 70 from America (11%), 64 from Asia (10%) and 17 from Australia (3%).
Conclusion. The diseases of immigrants were mainly related to their social-economic and hygienic condi tions of life. The immigration has relatively modified, at present, the typology of patients at the Units of Infectious Diseases in the Calabria Region but the national trend, as a whole, leads to the hypothesis of an increase of hospitalizations. In the considered period, the cost in euro’s thousand make evident the necessity of a sanitary intra- extra hospitalier, increasing and open eventually new consulting-rooms for cost’s containment and a better utilize of sanitary resources.