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2.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-LISBR1.1-47654

RESUMEN

Diante das incertezas e falta de evidências científicas quanto à possibilidade de transmissão do novo coronavírus ao feto por mulheres grávidas diagnosticadas ou com suspeita de covid-19, médicos do Hospital das Clínicas (HC) da Faculdade de Medicina da USP (FMUSP), preparam protocolos de cuidados com os recém-nascidos durante e após o parto.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Neumonía Viral/prevención & control , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Cuidado del Lactante , Protocolos Clínicos , Partería
3.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-LISBR1.1-47618

RESUMEN

Em virtude da chegada e propagação do novo coronavírus (COVID-19) no Brasil, o Departamento Científico de Aleitamento Materno da Sociedade Brasileira de Pediatria (SBP) preparou uma nota de alerta aos pediatras sobre a amamentação em mulheres que estejam com suspeita ou infectadas pelo vírus.


Asunto(s)
Lactancia Materna , Nutrición Materna , Betacoronavirus , Neumonía Viral/prevención & control , Infecciones por Coronavirus/prevención & control
4.
MMWR Morb Mortal Wkly Rep ; 69(24): 751-758, 2020 Jun 19.
Artículo en Inglés | MEDLINE | ID: mdl-32555138

RESUMEN

SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), is thought to be transmitted mainly by person-to-person contact (1). Implementation of nationwide public health orders to limit person-to-person interaction and of guidance on personal protective practices can slow transmission (2,3). Such strategies can include stay-at-home orders, business closures, prohibitions against mass gatherings, use of cloth face coverings, and maintenance of a physical distance between persons (2,3). To assess and understand public attitudes, behaviors, and beliefs related to this guidance and COVID-19, representative panel surveys were conducted among adults aged ≥18 years in New York City (NYC) and Los Angeles, and broadly across the United States during May 5-12, 2020. Most respondents in the three cohorts supported stay-at-home orders and nonessential business closures* (United States, 79.5%; New York City, 86.7%; and Los Angeles, 81.5%), reported always or often wearing cloth face coverings in public areas (United States, 74.1%, New York City, 89.6%; and Los Angeles 89.8%), and believed that their state's restrictions were the right balance or not restrictive enough (United States, 84.3%; New York City, 89.7%; and Los Angeles, 79.7%). Periodic assessments of public attitudes, behaviors, and beliefs can guide evidence-based public health decision-making and related prevention messaging about mitigation strategies needed as the COVID-19 pandemic evolves.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Salud Pública/legislación & jurisprudencia , Adolescente , Adulto , Anciano , Comercio/legislación & jurisprudencia , Femenino , Humanos , Los Angeles/epidemiología , Masculino , Persona de Mediana Edad , Ciudad de Nueva York/epidemiología , Aislamiento Social , Encuestas y Cuestionarios , Estados Unidos/epidemiología , Adulto Joven
5.
J Infect Public Health ; 13(6): 856-864, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32475807

RESUMEN

BACKGROUND: Dental health care workers (DHCW's) are invariably at a higher risk of contracting COVID-19. The objectives were; to investigate the current knowledge on COVID-19 among the DHCW's; and to conduct quasi-experiment among the DHCW's who were unaware of the disseminated COVID-19 information. METHODS: A nationwide cross-sectional study targeting dental interns, auxiliaries, and specialists with a two-staged cluster sampling technique was performed. A 17-item questionnaire was subjected to reliability and validity tests before being administered. The participants for quasi-experiment were separated from the original sample after their initial response. Chi-square test assessed responses to knowledge statements between the participants. Difference in mean knowledge scores between the categories of DHCW's and sources of COVID-19 information was assessed using ANOVA. Data from the quasi experiment (pre vs post knowledge intervention) was subjected to paired t-test. Percentage of DHCWs providing correct or wrong responses to each knowledge statement at baseline and after 7 days were compared using McNemar test. RESULTS: The overall sample consisted of 706 (N) participants, and the DHCW's with no prior knowledge on COVID-19 (N=206) were part of the quasi experiment. Findings from cross-sectional study revealed that knowledge was significantly (p<0.05) related to the qualification level (interns vs auxiliaries vs specialists). However, the difference in the source of information (WHO/CDC vs Journal articles vs MoH) did not demonstrate any effect. Number of participants with correct responses to knowledge questions had significantly (p<0.05) increased after intervention. Also, the overall mean knowledge score (10.74±2.32 vs 12.47±1.68; p<0.001) had increased significantly after the intervention. CONCLUSION: In conclusion, the basic knowledge on COVID-19 among the DHCW's in Saudi Arabia is acceptable. Timely dissemination of information by the Ministry of Health, Saudi Arabia had a positive impact on the COVID-19 knowledge score of the DHCW's.


Asunto(s)
Infecciones por Coronavirus , Auxiliares Dentales , Odontólogos , Conocimientos, Actitudes y Práctica en Salud , Internado y Residencia , Pandemias , Neumonía Viral , Betacoronavirus , Infecciones por Coronavirus/prevención & control , Estudios Transversales , Humanos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Reproducibilidad de los Resultados , Arabia Saudita , Encuestas y Cuestionarios
6.
J Infect Public Health ; 13(6): 849-855, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32493669

RESUMEN

BACKGROUND: The Coronavirus Disease 2019 (COVID-19) firstly announced in Wuhan of Hubei province, China is rapidly spreading to all the other 31 provinces of China and to more than 140 countries. Quarantine strategies play the key role on the disease controlling and public health in the world with this pandemic of the COVID-19 defined by the World Health Organization. METHODS: In this study, a SEIRQ epidemic model was developed to explore the dynamic changes of COVID-19 in Wuhan and mainland China, from January 27, 2020 to March 5, 2020. Moreover, to investigate the effects of the quarantine strategies, two perspectives are employed from the different quarantine magnitudes and quarantine time points. RESULTS: The major results suggest that the COVID-19 variations are well captured by the epidemic model with very high accuracy in the cumulative confirmed cases, confirmed cases, cumulative recovered cases and cumulative death cases. The quarantine magnitudes in the susceptible individuals play larger roles on the disease control than the impacts of the quarantines of the exposed individuals and infectious individuals. For the quarantine time points, it shows that the early quarantine strategy is significantly important for the disease controlling. The time delayed quarantining will seriously increase the COVID-19 disease patients and prolongs the days of the disease extinction. CONCLUSIONS: Our model can simulate and predict the COVID-19 variations and the quarantine strategies are important for the disease controlling, especially at the early period of the disease outbreak. These conclusions provide important scientific information for the government policymaker in the disease control strategies.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Cuarentena/métodos , Betacoronavirus , China/epidemiología , Simulación por Computador , Infecciones por Coronavirus/prevención & control , Humanos , Modelos Teóricos , Pandemias/prevención & control , Neumonía Viral/prevención & control
7.
In Vivo ; 34(3 Suppl): 1603-1611, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32503818

RESUMEN

The aim of this systematic review was to identify the challenges imposed on medical and surgical education by the COVID-19 pandemic, and the proposed innovations enabling the continuation of medical student and resident training. A systematic review on the MEDLINE and EMBASE databases was performed on April 18th, 2020, and yielded 1288 articles. Sixty-one of the included manuscripts were synthesized in a qualitative description focused on two major axes, "challenges" and "innovative solutions", and two minor axes, "mental health" and "medical students in the frontlines". Shortage of personal protective equipment, suspension of clinical clerkships and observerships and reduction in elective surgical cases unavoidably affect medical and surgical education. Interesting solutions involving the use of virtual learning, videoconferencing, social media and telemedicine could effectively tackle the sudden cease in medical education. Furthermore, trainee's mental health should be safeguarded, and medical students can be involved in the COVID-19 clinical treatment if needed.


Asunto(s)
Infecciones por Coronavirus , Educación Médica/organización & administración , Cirugía General/educación , Medicina Interna/educación , Pandemias , Neumonía Viral , Estudiantes de Medicina/psicología , Infecciones por Coronavirus/prevención & control , Educación a Distancia , Evaluación Educacional , Fuerza Laboral en Salud/estadística & datos numéricos , Humanos , Internado y Residencia , Pandemias/prevención & control , Neumonía Viral/prevención & control , Equipos de Seguridad/provisión & distribución , Entrenamiento Simulado , Medios de Comunicación Sociales , Telemedicina , Realidad Virtual , Carga de Trabajo
8.
In Vivo ; 34(3 Suppl): 1661-1665, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32503826

RESUMEN

COVID-19 has been officially declared as a pandemic by the WHO. Italy was the first European country to be strongly affected by this outbreak. All elective and health promotion activities were reduced. Accordingly, Italian Breast Units and breast cancer (BC) screening programs scaled down significantly their activities. The aim of this study was to evaluate measures that could potentially reduce the clinical impact of COVID-19 on BC patients. Temporary recommendations are needed that could assist specialists in preventing COVID-19 infection and optimizing resources for diagnosis and treatment of BC patients.


Asunto(s)
Neoplasias de la Mama/diagnóstico por imagen , Neoplasias de la Mama/terapia , Infecciones por Coronavirus , Procedimientos Quirúrgicos Electivos/psicología , Hospitales Universitarios , Hospitales Urbanos , Mastectomía/psicología , Pandemias , Neumonía Viral , Negativa del Paciente al Tratamiento/psicología , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias de la Mama/psicología , Neoplasias de la Mama/cirugía , Carcinoma/diagnóstico por imagen , Carcinoma/psicología , Carcinoma/cirugía , Carcinoma/terapia , Carcinoma Intraductal no Infiltrante/diagnóstico por imagen , Carcinoma Intraductal no Infiltrante/psicología , Carcinoma Intraductal no Infiltrante/cirugía , Terapia Combinada , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Diagnóstico Tardío , Manejo de la Enfermedad , Detección Precoz del Cáncer , Estrógenos , Femenino , Humanos , Mamografía , Tamizaje Masivo , Terapia Neoadyuvante , Neoplasias Hormono-Dependientes/diagnóstico por imagen , Neoplasias Hormono-Dependientes/psicología , Neoplasias Hormono-Dependientes/cirugía , Neoplasias Hormono-Dependientes/terapia , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Roma , Neoplasias de la Mama Triple Negativas/diagnóstico por imagen , Neoplasias de la Mama Triple Negativas/psicología , Neoplasias de la Mama Triple Negativas/cirugía , Neoplasias de la Mama Triple Negativas/terapia
9.
In Vivo ; 34(3 Suppl): 1667-1673, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32503827

RESUMEN

BACKGROUND: COVID-19 pandemic required a marked re-allocation of healthcare resources, including at Breast Units. A patient-tailored program was developed to assess its efficacy regarding prevention of COVID-19 infection among patients with breast cancer undergoing surgery and healthcare workers (HCWs). PATIENTS AND METHODS: From March 9th to April 9th 2020, 91 patients were selected for elective surgery by means of: i) Pre-hospital screening aimed at avoiding hospitalization of symptomatic or suspicious COVID-19 patients, and ii) prioritisation of surgical procedure according to specific disease features. RESULTS: Eighty-five patients (93.4%) were fit for surgery, while five patients (5.5%) were temporarily excluded through 'telephone triage'; another two patients were excluded at in-hospital triage. A total of 71 out of 85 patients (83.5%) were diagnosed with invasive cancer, most of whom were undergoing breast-conserving surgery (61 out of 85 patients, 71.8%). The mean in-hospital stay was 2.2 days (SD=0.7 days). After hospital discharge, no patient needed re-admission due to post-operative complications; moreover, no COVID-19 infection among patients or HCWs was detected. CONCLUSION: Safe breast cancer surgery was accomplished for both patients and HCWs by means of a careful preoperative selection of patients and in-hospital preventative measures. This screening program can be transferred to high-volume Breast Units and it may be useful in implementing European Community recommendations for prevention of COVID-19 infection.


Asunto(s)
Neoplasias de la Mama/cirugía , Carcinoma/cirugía , Infecciones por Coronavirus/prevención & control , Procedimientos Quirúrgicos Electivos/estadística & datos numéricos , Control de Infecciones/métodos , Mastectomía/estadística & datos numéricos , Pandemias/prevención & control , Selección de Paciente , Neumonía Viral/prevención & control , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias de la Mama/tratamiento farmacológico , Neoplasias de la Mama/epidemiología , Neoplasias de la Mama/enfermería , Carcinoma/tratamiento farmacológico , Carcinoma/epidemiología , Carcinoma/enfermería , Técnicas de Laboratorio Clínico , Terapia Combinada , Infecciones por Coronavirus/diagnóstico , Femenino , Unidades Hospitalarias/organización & administración , Humanos , Italia/epidemiología , Tiempo de Internación/estadística & datos numéricos , Metástasis Linfática/diagnóstico por imagen , Linfocintigrafia , Mastectomía Segmentaria/estadística & datos numéricos , Terapia Neoadyuvante , Alta del Paciente , Equipos de Seguridad , Biopsia del Ganglio Linfático Centinela , Evaluación de Síntomas , Telemedicina , Triaje
10.
In Vivo ; 34(3 Suppl): 1675-1680, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32503828

RESUMEN

BACKGROUND: Coronavirus disease 2019 (COVID-19) is now a global pandemic. It is unclear to radiotherapy practitioners how to carry out radiotherapy during the epidemic. PATIENTS AND METHODS: After the outbreak of COVID-19, our Institute established measures for the prevention and control of COVID-19, and continues to treat patients according to these measures. The Radiotherapy Department has been divided into a clean zone and a semi-contaminated zone, and corresponding personal protective equipment is used in these zones. The temperature of patients and their escorts, and history of fever are assessed daily. Special procedures are performed during radiotherapy setup and intracavitary brachytherapy. RESULTS: Over a period of 2 months, 655 patients were treated in the Department. Sixteen patients with fever were identified and no patient undergoing radiotherapy or medical staff have been infected with COVID-19. CONCLUSION: Our protective measures were found to be effective and can be used as a reference in places where COVID-19 situations are not markedly serious.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Control de Infecciones/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Servicio de Radiología en Hospital/organización & administración , Radioterapia/métodos , Adulto , Beijing , Niño , Técnicas de Laboratorio Clínico/métodos , Contención de Riesgos Biológicos/métodos , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/transmisión , Desinfección , Contaminación de Equipos/prevención & control , Fiebre/etiología , Personal de Salud/educación , Humanos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Transmisión de Enfermedad Infecciosa de Profesional a Paciente/prevención & control , Neoplasias/radioterapia , Neumonía Viral/diagnóstico , Neumonía Viral/transmisión , Utilización de Procedimientos y Técnicas , Equipos de Seguridad , Evaluación de Síntomas , Termometría
11.
In Vivo ; 34(3 Suppl): 1681-1684, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32503829

RESUMEN

AIM: To describe the incidental detection of COVID-19 disease on positron-emission tomography/computed tomography (PET/CT) in a patient with cancer despite initial negative swab by polymerase chain reaction (PCR). CASE REPORT: Clinical and radiographic data were obtained from the electronic medical record. Nasopharyngeal swabs were obtained and evaluated for COVID-19 by the Food and Drug Administration-approved reverse transcription-PCR assays. On radiographic examination, PET/CT was consistent with COVID-19-related pneumonia not seen on prior imaging. Initial nasopharyngeal swab 2 days after PET/CT imaging was negative for COVID-19. Subsequent repeat swab 10 days later was positive for COVID-19, while the patient was febrile on screening assessment. The patient remained COVID-19-positive until 1 month after abnormal PET/CT imaging. CONCLUSION: PET/CT can be sensitive for early COVID-19 detection, even in the setting of a negative confirmatory PCR test. This highlights the importance of continued patient surveillance and use of appropriate personal protective equipment to minimize COVID-19 transmission.


Asunto(s)
Carcinoma de Células Escamosas/diagnóstico por imagen , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/diagnóstico , Neumonía Viral/diagnóstico , Tomografía Computarizada por Tomografía de Emisión de Positrones , Neoplasias Tonsilares/diagnóstico por imagen , Enfermedades Asintomáticas , Betacoronavirus/genética , Carcinoma de Células Escamosas/complicaciones , Técnicas de Laboratorio Clínico/métodos , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Reacciones Falso Negativas , Humanos , Hallazgos Incidentales , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Masculino , Persona de Mediana Edad , Nasofaringe/virología , Ciudad de Nueva York , Pandemias/prevención & control , Neumonía Viral/complicaciones , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Equipos de Seguridad , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Sensibilidad y Especificidad , Neoplasias Tonsilares/complicaciones
12.
In Vivo ; 34(3 Suppl): 1695-1699, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32503831

RESUMEN

BACKGROUND/AIM: Coronavirus is an ongoing pandemic challenging health systems worldwide. The aim of this report was to evaluate the effectiveness of lockdown in different countries, highlighting the performance of Greek society and authorities. METHODS: We analyzed publicly available data from the "Worldometer". We evaluated the efficacy of lockdown at one month after implementation. Delta Days (DD) referred to the difference in the days of reaching 1 case/million people to the adoption of lockdown. RESULTS: Higher healthcare expenditure as % of the national GDP was not correlated with better 30-day mortality outcomes. DD index was significantly correlated to the incidence of COVID-19 per million people at 30 days (p-value=0.001). The correlation between DD and 30-day mortality was not statistically significant (p-value=0.087). CONCLUSION: Early lockdown was proven to be the appropriate policy to limit the spread of COVID-19. Greece was a success story in preventing spread despite limited resources.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Política de Salud , Pandemias/prevención & control , Neumonía Viral/prevención & control , Cuarentena , Técnicas de Laboratorio Clínico/estadística & datos numéricos , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/economía , Infecciones por Coronavirus/mortalidad , Infecciones por Coronavirus/transmisión , Salud Global , Grecia/epidemiología , Gastos en Salud/estadística & datos numéricos , Recursos en Salud/economía , Humanos , Incidencia , Pandemias/economía , Neumonía Viral/economía , Neumonía Viral/mortalidad , Neumonía Viral/transmisión , Utilización de Procedimientos y Técnicas/estadística & datos numéricos , Evaluación de Programas y Proyectos de Salud , Cuarentena/estadística & datos numéricos , Asignación de Recursos
13.
Saudi Med J ; 41(6): 657-660, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32518935

RESUMEN

OBJECTIVES: To analyze healthcare workers experiences in dealing with the Coronavirus (COVID-19) pandemic. Methods: An anonymous open web-based survey study was conducted among healthcare workers from the March 2020 to April 2020. A total of 24 relevant questions were asked based on participants' characteristics, obligations, and preparedness in healthcare workers in the event of COVID-19 pandemic. Results: Approximately 1036 healthcare workers participated in this study with high response rate. Out of all the participants, 70% were women, 52% belonged to the 26-34 year age range, 50% were nurses, 33.7% were clinicians, 74.3% agreed to work overtime, 93.1% understand why they should stay past their shift end, 97.7% thought that preventing illness among healthcare workers and providing safety to family members, nearly 94% thought that personal protective equipment (PPE) for employees will enhance their willingness to report to work. Approximately 89.3% express a desire for incentives and financial support for family members. Conclusion: We recommend that providing PPE, reducing psychological stress, financial support and safety to family members of healthcare workers will increase the willingness to report to work.


Asunto(s)
Actitud del Personal de Salud , Betacoronavirus , Infecciones por Coronavirus , Personal de Salud/psicología , Estrés Laboral/etiología , Pandemias , Neumonía Viral , Adulto , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Familia , Femenino , Salud Global , Humanos , Control de Infecciones/instrumentación , Control de Infecciones/métodos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Masculino , Estrés Laboral/economía , Estrés Laboral/prevención & control , Estrés Laboral/psicología , Pandemias/prevención & control , Equipo de Protección Personal , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Arabia Saudita/epidemiología , Encuestas y Cuestionarios , Carga de Trabajo/economía
14.
Rocz Panstw Zakl Hig ; 71(2): 223-229, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32519827

RESUMEN

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or COVID-19) continues to spread globally. It has become a major cause of concern for health care professionals all over the world. Objective: The aim of this study was to assess knowledge, awareness and hygiene practices regarding COVID-19 among private dental practitioners practicing in Tricity (Chandigarh, Panchkula and Mohali) in India during these critical times. Materials and Methods: A total of 245 private dentists participated in this cross-sectional survey and finally 215 constituted the final sample size. A self-administered, multiple choice type questionnaire (verified by a specialist) was administered to obtain information from the subjects. The questionnaire was divided into two parts and included 15 questions on knowledge and awareness regarding COVID-19. Statistical analysis was done using ANOVA and Student's t-test. Results: Percentage of subjects who answered correctly regarding main symptoms of COVID-19 and primary mode of transmission was 87% and 82.5% respectively. One-third of the subjects were not aware regarding Personal Protective Equipment (PPE) to be used while rendering dental treatment. 75% of subjects were of the opinion that supportive care is the current treatment regime for COVID-19. Less than one-third of subjects (30.2%) reported high scores. Education level (p=0.018) and health sector profile (p=0.024) of the subjects were significantly associated with mean knowledge scores. Conclusion: The findings of the present study showed that some notable deficiencies in knowledge existed among dental professionals regarding some vital aspects of COVID-19. Therefore, there is an urgent need for improving dentists'knowledge via health education and training programs. Further studies on the subject are also warranted once the situation normalizes.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/prevención & control , Odontólogos/psicología , Desinfectantes/uso terapéutico , Desinfección/normas , Salud Bucal/normas , Higiene Bucal/normas , Pandemias/prevención & control , Neumonía Viral/prevención & control , Adulto , Actitud del Personal de Salud , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , India , Masculino , Guías de Práctica Clínica como Asunto , Encuestas y Cuestionarios
16.
Clinics (Sao Paulo) ; 75: e1962, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32520223

RESUMEN

Pediatric gastroenterologists, family members, and caregivers of patients with inflammatory bowel disease (IBD) are on alert; they are all focused on implementing prophylactic measures to prevent infection by severe acute respiratory syndrome coronavirus 2, evaluating the risks in each patient, guiding them in their treatment, and keeping IBD in remission. To face the current issues of the coronavirus disease pandemic, we have developed a synthesis of the main recommendations of the literature directed at pediatric gastroenterologists in control of patients with pediatric IBD and adapted to the national reality.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/prevención & control , Enfermedades Inflamatorias del Intestino/terapia , Pandemias/prevención & control , Neumonía Viral/prevención & control , Niño , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/transmisión , Humanos , Neumonía Viral/diagnóstico , Neumonía Viral/transmisión , Pautas de la Práctica en Medicina , Prevención Primaria , Telemedicina
18.
J Infect Dev Ctries ; 14(5): 440-446, 2020 05 31.
Artículo en Inglés | MEDLINE | ID: mdl-32525828

RESUMEN

INTRODUCTION: COVID-19 is a newly emerging life-threatening respiratory disease caused by a newly identified coronavirus SARS-CoV-2. METHODOLOGY: We included 28 COVID-19 patients admitted to Nantong Third Hospital from January 23 to February 26, 2020. SARS-CoV-2 infection was confirmed using real-time RT-PCR. The demographic, epidemiological, clinical, laboratory parameters were obtained from each patient. RESULTS: The vast majority (71.4%) of confirmed COVID-19 patients were brought in from outside of the city, and all others had contact history with these confirmed cases. The median age of patients was 50 years old and half had underlying diseases. The most common symptoms at the onset of illness were fever (96.4%), cough (67.9%), and chilly (28.6%), and 75.0% patients had two or more symptoms. Increased erythrocyte sedimentation rate, serum ferritin and C-reactive protein levels, and reduced absolute counts of total lymphocytes and T lymphocyte subsets were observed among the patients. The vast majority (85.7%) of patients showed bilateral or unilateral pneumonia, and three symptomatic patients and one asymptomatic case did not show abnormalities in their CT image. Among the 28 admitted patients, 24 were discharged as of February 26, 2020, with an average hospital stay of 14.96 (±4.27) days, which was not significantly associated with the interval between the onset of symptoms and admission. CONCLUSIONS: In the absence of specific antiviral drugs or a vaccine, quarantine or isolation is the most effective intervention strategy for preventing the spread of the virus. Adequate supportive medical care is crucial for good prognosis of COVID-19 patients.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Adulto , Anciano , China/epidemiología , Infecciones por Coronavirus/diagnóstico por imagen , Infecciones por Coronavirus/mortalidad , Infecciones por Coronavirus/prevención & control , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/prevención & control , Neumonía Viral/diagnóstico por imagen , Neumonía Viral/mortalidad , Neumonía Viral/prevención & control , Tomografía Computarizada por Rayos X
19.
J Infect Dev Ctries ; 14(5): 433-437, 2020 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-32525826

RESUMEN

We are living in times where a viral disease has brought normal life in much of the world to a halt. The novel coronavirus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) started in December 2019 in Wuhan, China initially and in a short time crossed the European borders. After mitigating the epidemic in China, Italy became one of the most COVID-19 affected countries worldwide. International travelers are important sources of infectious diseases and a possible source of epidemic. Due to its political, geographic, and cultural similarities, Italy is one of the main economic partners of Southeast European (SEE) countries. Our data show that infection in index cases in all 11 SEE countries was travel-related with Italy being a source country for 8/11 countries. After the first case identifications on February 25, the number of cases in SEE countries is continually rising reaching the total number of 15,612 with 565 fatal cases and overall case fatality ratio (CFR) of 3.6 (median 3.8, range 0.8-5.5) by April 10, 2020. At a time when the COVID-19 pandemic is approaching its peak, apart from the problems with treatment of the disease and care for critically ill patients, there are other equally important problems, such as organization of outbreak response, provision of health care, lack of hospital personnel, disruption of personal protective equipment supply chains and health care workers (HCWs) protection. But what is more important is the heroic behavior of the HCWs who are showing their humanity by disregarding their lives.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Infecciones por Coronavirus/prevención & control , Europa (Continente)/epidemiología , Personal de Salud , Humanos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Enfermedad Relacionada con los Viajes
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