Warning: Unknown: Unable to allocate memory for pool. in Unknown on line 0 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/index.php on line 17 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-blog-header.php on line 12 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-load.php on line 29 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-config.php on line 92 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 21 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 22 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 23 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 68 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 69 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 70 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 71 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 72 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-includes/load.php on line 331 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-includes/load.php on line 392 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 85 Warning: require(): Unable to 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/var/www/vhost/sidalava.org/home/html/wp-settings.php on line 120 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 121 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 122 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 123 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 124 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 125 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 126 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 127 Warning: require(): Unable to allocate memory for pool. in 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for pool. in /var/www/vhost/sidalava.org/home/html/wp-includes/script-loader.php on line 28 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-includes/script-loader.php on line 31 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-includes/script-loader.php on line 34 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-includes/script-loader.php on line 37 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 135 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 136 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 137 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 138 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 139 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 140 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 141 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 142 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 143 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 144 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 145 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 184 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/breadcrumb-navxt/breadcrumb_navxt_admin.php on line 50 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/breadcrumb-navxt/breadcrumb_navxt_admin.php on line 52 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/breadcrumb-navxt/breadcrumb_navxt_admin.php on line 56 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress-activity-plus/bpfb.php on line 131 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress-auto-group-join/bp-auto-group-join.php on line 71 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress-group-documents/index.php on line 54 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress-group-documents/index.php on line 55 Warning: require(): Unable to allocate memory for pool. in 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/var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress-group-documents/index.php on line 62 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress-restrict-group-creation/bp-restrict-group-creation-loader.php on line 28 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-loader.php on line 19 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-core.php on line 15 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-core.php on line 19 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-core.php on line 33 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-core.php on line 34 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-core.php on line 35 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-core.php on line 36 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-core.php on line 37 Warning: require(): Unable to allocate memory for pool. in 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Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-activity.php on line 9 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-activity.php on line 10 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-activity.php on line 11 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-loader.php on line 30 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-blogs.php on line 9 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-blogs.php on line 10 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-loader.php on line 38 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-friends.php on line 9 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-friends.php on line 10 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-loader.php on line 42 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-groups.php on line 9 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-groups.php on line 10 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-groups.php on line 11 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-groups.php on line 12 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-loader.php on line 46 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-messages.php on line 9 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-messages.php on line 10 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-messages.php on line 11 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-messages.php on line 12 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-loader.php on line 50 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-xprofile.php on line 8 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-xprofile.php on line 9 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-xprofile.php on line 10 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-xprofile.php on line 11 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/buddypress/bp-xprofile.php on line 12 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/contact-form-7/wp-contact-form-7.php on line 69 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/contact-form-7/settings.php on line 42 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/contact-form-7/settings.php on line 43 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/contact-form-7/settings.php on line 44 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/contact-form-7/settings.php on line 45 Warning: require_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/contact-form-7/settings.php on line 46 Warning: require_once(): Unable to 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/var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/jet-event-system.php on line 65 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 9 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 11 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 13 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 15 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 17 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 19 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 21 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 23 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 25 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 27 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 29 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 31 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 33 Warning: require(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 35 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 384 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 390 Warning: include(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-content/plugins/jet-event-system-for-buddypress/main/jet-event-start.php on line 396 Warning: include_once(): Unable to allocate memory for pool. in /var/www/vhost/sidalava.org/home/html/wp-settings.php on line 196 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Inicio > Noticias > Actualidad > Medir las consecuencias

Medir las consecuencias

 http://sociedad.elpais.com/sociedad/2012/07/17/actualidad/1342539992_919131.html

 Dejar sin asistencia a inmigrantes con VIH será más costoso a medio plazo

 El pasado 24 de abril se publicaba en el BOE el real decreto ley 12/2012, de medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud y mejorar la calidad y seguridad de sus prestaciones (sic). La aplicación de ese decreto significará que a partir del próximo 31 de agosto dejarán de estar en vigor las tarjetas sanitarias expedidas a inmigrantes que no puedan acreditar la residencia legal en nuestro país. Dicho de otra forma, la población inmigrante en situación irregular perderá los derechos a la asistencia de los que gozaba desde el año 2000.

 No corresponde a un grupo de investigación como el nuestro juzgar la calidad moral de esta decisión, sobre la que cada cual puede tener sus propias convicciones, pero sí medir su eficacia con respecto a los fines pretendidos, evaluando sus consecuencias sanitarias y económicas. Creemos además que ese ejercicio debería haberlo hecho también previamente el Gobierno antes de poner en marcha esta medida, y debería hacerlo siempre que afronte cualquier medida reforma del sistema sanitario, so riesgo de cosechar más perjuicios que beneficios en las decisiones adoptadas.

En GESIDA sí hemos hecho ese estudio sobre las consecuencias sanitarias y económicas que la exclusión de los inmigrantes sin papales puede tener sobre el control del VIH en nuestro país, y los resultados son bastante alarmantes. Así, el estudio, que está en vías de publicación en la revista Enfermedades Infecciosas y Microbiología Clínica, indexada en los registros internacionales de revistas biomédicas y órgano de expresión de la Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC), muestra con datos inequívocos que el real decreto ley 12/2012 tendrá un impacto muy negativo en la Salud Pública en el país en el campo del VIH y supondrá un ahorro económico muy inferior al esperado, incluso a corto plazo, siendo manifiestamente ineficientemente a medio y largo plazo, pues generará más gasto que ahorro.

El real decreto ley tendrá un impacto muy grande en la salud pública”

De modo que la pérdida de derechos sanitarios por parte de la población inmigrante irregular no ayudará por supuesto ni a mejorar la calidad y seguridad de las prestaciones, lo cual ya parecía bastante obvio a pesar del nombre del real decreto, ni tampoco siquiera será una contribución efectiva a la sostenibilidad del Sistema Nacional de Salud, al menos en lo que al diagnóstico y tratamiento del VIH se refiere. En el primer capítulo, el de la calidad de las prestaciones sanitarias, el estudio muestra que, de entrada, vamos a tener un incremento del número de personas infectadas por VIH, incremento que, sólo en el primer año puede ser de casi una quinta parte de la actual población inmigrante irregular afectada y en tratamiento, que se estima en varios miles de personas. Vamos a tener por tanto más infectados, pero, además y como consecuencia inevitable de esa desatención, un aumento de la mortalidad de los individuos infectados, un incremento de aparición de enfermedades oportunistas, un crecimiento de los ingresos hospitalarios; más posibilidades de infecciones (tanto por el VIH como por otros patógenos); y mayor probabilidad de transmisión materno-fetal, entre otras consecuencias sanitarias.

 Y como consecuencia de ese enorme perjuicio sanitario, lejos de tener a medio-largo plazo un ahorro, lo que vamos a obtener es un incremento de los costes de atención. Pero es que ni siquiera a corto plazo el ahorro se va a parecer en nada al que ha estimado el Gobierno (en una horquilla entre 12,2 y 21.8 millones). Con previsiones muy a la baja, los costes directos que va a tener el Decreto por hospitalizaciones y visitas a urgencias supondrán de entrada dividir por dos ese ahorro conseguido con la denegación del tratamiento. Súmense a esos costes los que se derivarán del tratamiento de personas nuevamente infectadas con derecho a asistencia sanitaria, y el tratamiento de enfermedades transmisibles asociadas al VIH que se transmitirán como consecuencia de la falta de diagnóstico y tratamiento de los pacientes fuente, y podremos valorar hasta qué punto el Gobierno ha medido y sopesado suficientemente las consecuencias de este real decreto.

¿Va a haber ciudadanos españoles más expuestos a la infección que otros en función de la comunidad autónoma en la que vivan?” 

Corregir es de sabios, y, a la vista de los datos, el Gobierno aún está a tiempo de evitar un problema mucho mayor que él rédito que pretende lograrse. Con la exclusión de los inmigrantes ilegales afectados por VIH de la atención pública sanitaria, principalmente ese colectivo, pero todo el sistema sanitario español y toda la sociedad española sale perdiendo. La derivación a ONG ni es aceptada lógicamente por éstas ni es viable técnicamente, pues el complicado manejo de esta enfermedad exige que la asistencia siga prestándose como hasta ahora en los hospitales españoles. Y menos lógico aún parece que esa asistencia se preste en unas comunidades autónomas sí y en otras no. ¿Alguien se ha parado a pensar qué significa eso en términos de Salud Pública para los ciudadanos de las regiones que no asuman la asistencia? ¿Va a haber ciudadanos españoles más expuestos a la infección que otros en función de la comunidad autónoma en la que vivan? Si de lo que se trata es de tomar decisiones técnicas para la sostenibilidad del sistema, y que afecten en la menor medida posible a la calidad asistencial, la exclusión de los inmigrantes irregulares de la atención sanitaria vinculada al VIH, no resulta en absoluto una medida ni aconsejable ni inteligente.

Pere Domingo Pedrol es presidente de GESIDA (Grupo de Estudio de SIDA de la Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica, SEIMC).

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