Fatal Case of Nosocomial Legionella pneumophila Pneumonia, Spain, 2018.

A nosocomial case of Legionella pneumophila pneumonia likely caused by a serogroup 3 strain was detected by a urinary antigen test in Spain in 2018. Although Legionella bacteria could not be isolated from respiratory samples, molecular methods implicated the sink faucet of the patient's room as the probable infection source.

[The impact of patient identification on an integrated program of palliative care in Basque Country].

Objective: Evaluate the process and the economic impact of an integrated palliative care program.

Design: Comparative cross-sectional study.

Location: Integrated Healthcare Organizations of Alto Deba and Goierri Alto-Urola, Basque Country.

Cost-utility analysis of an integrated care model for multimorbid patients based on a clinical trial.

Objective: To conduct a cost-utility analysis on an integrated healthcare model comprising an assigned internist and a hospital liaison nurse for patients with multimorbidity, compared to a conventional reactive healthcare system.

Methods: A cluster randomised clinical trial was conducted. The model consisted of a reference internist and a liaison nurse, who aimed to improve coordination and communication between levels and to enhance continuity of care after hospitalisation.