Abstract
Immunology is highly specialized and utilized in prophylactic vaccines, laboratory tests and treatments for patient care. It is also an essential tool for cutting-edge biomedical research designed to deepen scientific understanding and produce new therapies and technologies.[1] At the William Soler Pediatric University Hospital in Havana, as pediatric immunologists, we work to improve our patients’ […]
Highlights
Immunology is highly specialized and utilized in prophylactic vaccines, laboratory tests and treatments for patient care
Necessary referrals are when patients fulfill clinical criteria for immune system diseases established by clinical immunological societies and national groups.[2,3]
Each polyclinic has a Basic Work Group that includes, among others, an internist, obstetrician-gynecologist and pediatrician; this team attends patients referred for specialist services by their family doctor
Summary
Immunology is highly specialized and utilized in prophylactic vaccines, laboratory tests and treatments for patient care. In my personal experience in the hospital’s Immunology Department, approximately 80% of patients referred to our service do not fulfill the aforementioned criteria. These patients present with allergic rhinoconjunctivitis and allergies resulting from insect bites that should be treated by an allergist; acute rhinopharyngitis without complications; and other pediatric respiratory infections that should be treated by a pediatrician. Each polyclinic has a Basic Work Group that includes, among others, an internist, obstetrician-gynecologist and pediatrician; this team attends patients referred for specialist services by their family doctor. If the pediatrician from the Basic Work Group determines a patient needs an immunologist, the youngster is referred to the corresponding pediatric hospital; care moving forward is coordinated between that facility and the polyclinic. Hospitalized children are supposed to be evaluated by their pediatrician before referral to an immunologist as well, but this process isn’t observed satisfactorily
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