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1.
Ned Tijdschr Tandheelkd ; 127(5): 302-308, 2020 May.
Artículo en Holandés | MEDLINE | ID: mdl-32609101

RESUMEN

In dental trauma, the first thought is often: 'Where is that tooth?' And, of course, it is certainly true that fast repositioning is beneficial for the prognosis of the tooth. Nevertheless, it is extremely important to focus on the condition of the patient before focussing on the treatment. A structured approach is mandatory for optimal diagnosis and treatment. This includes possible concomitant injuries such as neurotrauma. The principle of initial screening of the severity of the injury is called triage. There is a clear difference in the severity of injuries of patients with dental trauma presenting themselves in hospital or the dental practice. In hospital there are protocols for primary care; these principles can be applied in the dental practice as well.


Asunto(s)
Triaje , Humanos , Pronóstico
2.
Emergencias (Sant Vicenç dels Horts) ; 32(3): 162-168, jun. 2020. tab, ilus
Artículo en Español | IBECS | ID: ibc-187774

RESUMEN

OBJETIVO: Conocer las características clínico/epidemiológicas de los pacientes fallecidos en los servicios de urgencias (SU) de Aragón (España) y su relación con el índice de comorbilidad de Charlson. MÉTODO: Estudio observacional descriptivo y transversal realizado con datos recogidos entre los años 2013-2017. Las variables se obtuvieron de la base de datos "Puesto clínico hospitalario" (PCH) y estas se relacionaron con el índice de comorbilidad de Charlson mediante el estadístico ji cuadrado (ajustado a un nivel de significación de p < 0,05). RESULTADOS: Se obtuvo un valor medio de 6,58 en el índice de Charlson, con un total de 1.177 pacientes con valores mayores o igual a 7 puntos. La edad media fue de 81,1 años (DE: 12,1), con un 52,1% de hombres. El tiempo medio de fallecimiento en el servicio fue de 639 (DE: 777) minutos. Se encontró una relación estadísticamente significativa entre la variable Índice de Charlson con la mayoría de variables de estudio, exceptuando el sexo y año de fallecimiento. CONCLUSIONES: Los pacientes fallecidos en los SU de Aragón poseen elevados índices de comorbilidad. Entre estos se observa un grupo importante de pacientes con una elevada edad, alta frecuencia de patología crónica avanzada y polifarmacia. Se resalta la necesidad de incorporar estrategias de atención crónica y paliativa en los SU para este gru¬po cada vez más numeroso de pacientes por el progresivo envejecimiento poblacional


OBJECTIVE: To describe the clinical and personal characteristics of patients who died in hospital emergency departments in Aragon, Spain, and explore associations with the Charlson Comorbidity Index (CCI). METHODS: Descriptive, observational, cross-sectional study of deaths between 2013 and 2017. Data was extracted from the clinical database for hospital emergencies (official name, Puesto Clínico Hospitalario). Associations between variables and the CCI were explored with the χ2 test (significance level P<.05). RESULTS: The mean CCI was 6.58. A total of 1177 patients had CCIs of 7 or higher. The mean age was 81.1 years, and 52.1% were men. The mean (SD) time until death in the emergency department was 639 (777) minutes. The CCI was significantly associated with most clinical and personal variables studied, with the exception of sex and year. CONCLUSIONS: Patients who die in Aragon's emergency departments have high levels of comorbidity. A large proportion of patients are of advanced age. Polypharmacy and advanced chronic conditions are common. We stress the need to implement emergency department approaches to ongoing and palliative care for this group, which is growing as the population ages


Asunto(s)
Humanos , Masculino , Femenino , Anciano de 80 o más Años , Infecciones por Coronavirus/epidemiología , Servicios Médicos de Urgencia/tendencias , Comorbilidad , Mortalidad Hospitalaria , Cuidados Paliativos/métodos , España/epidemiología , Infecciones por Coronavirus/mortalidad , Estudios Transversales , Epidemiología Descriptiva , Triaje/métodos , Causas de Muerte
3.
Arch. esp. urol. (Ed. impr.) ; 73(5): 367-373, jun. 2020. tab
Artículo en Español | IBECS | ID: ibc-189693

RESUMEN

OBJETIVO: El objetivo de esta publicaciónes proporcionar recomendaciones en el manejo del cáncer de próstata (CP) en el marco de la nueva realidad que supone la presencia de la COVID-19. MATERIALES Y MÉTODOS: El documento se basa en la escasa evidencia sobre SARS/CoV-2 y la experiencia de los autores en el manejo de la COVID-19 en sus instituciones incluyendo especialistas de Andalucía, Cantabria, Cataluña, Madrid y Comunidad Valenciana. RESULTADOS: Los autores definieron diferentes prioridades para los distintos supuestos clínicos en CP. Emergencia/urgencia (riesgo vital o urgencia aún en situación de normalidad), alta prioridad/urgencia electiva (potencialmente peligrosa si se pospone más de 1mes), prioridad intermedia/electiva (se recomienda no retrasar más de 6 meses), baja prioridad/demorable (se puede posponer más de 6 meses). Acorde a esta clasificación, el grupo de trabajo consensuó la distribución de los diferentes escenarios diagnósticos, terapéuticos y de seguimiento del CP. El riesgo de morbilidad grave como resultado de la infección por SARS-CoV-2puede superar el riesgo de morbi-mortalidad por CP en muchos hombres; por lo tanto, a corto plazo es pocoprobable que los retrasos en el diagnóstico o tratamiento conduzcan a peores resultados oncológicos. CONCLUSIONES: La pandemia COVID-19 ha resultado en un desafío para nuestro sistema de salud, lo que plantea varias consideraciones en el tratamiento de pacientes con CP. La planificación de los procedimientos quirúrgicos en función de los grados de prioridades imprescindible durante el periodo de pandemia y transición a la nueva normalidad. La reorganización de las consultas incluyendo la adaptación a las medidas de seguridad para profesionales y pacientes y el desarrollo de un programa de telemedicina es altamente recomendable


OBJECTIVE: The objective of this publication is to provide recommendations in the management of prostate cancer (PC) in a new reality framework based on the presence of COVID-19 disease. MATERIAL AND METHODS: The document is based on the scarce evidence on SARS/Cov-2 and the experience of the authors in handling COVID-19 in their institutions, including specialists from Andalusia, Cantabria, Catalonia, Madrid and the Valencian Community. RESULTS: The authors defined different priorities for the different clinical situations in PC. Emergency/urgency (life-threatening or urgent even in normal situation), high priority/elective urgency (potentially dangerous if postponed for more than 1 month), intermediate/elective priority (it is recommended not to delay more than 6 months), low priority/delayed (can be postponed more than 6 months). According to this classification, the working panel agreed on the distribution of the different diagnostic, therapeutic and follow-up scenarios for PC. The risk of severe morbidity as a result of SARS-CoV-2 infection may outweigh the risk of PC morbidity/mortality in many men; therefore, in the short term it is unlikely that delays in diagnosis or treatment can led to worse cancer outcomes. CONCLUSIONS: The COVID-19 pandemic has resulted in a challenge for our health system, which raises several considerations in the treatment of patients with PC. The redistribution of surgical procedures according to the degrees of priority is essential during the period of the pandemic and the transition to the new normality. The change of the out-clinics with the adequate security measures for healthcare practitioners and patients, and the development of a telemedicine program is highly recommended


Asunto(s)
Humanos , Infecciones por Coronavirus/prevención & control , Pandemias , Neoplasias de la Próstata/terapia , Neoplasias de la Próstata/diagnóstico , Prioridades en Salud , Triaje
4.
Urol Oncol ; 38(7): 609-614, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32507546

RESUMEN

The Coronavirus Disease 2019 pandemic placed urologic surgeons, and especially urologic oncologists, in an unprecedented situation. Providers and healthcare systems were forced to rapidly create triage schemas in order to preserve resources and reduce potential viral transmission while continuing to provide care for patients. We reviewed United States and international triage proposals from professional societies, peer-reviewed publications, and publicly available institutional guidelines to identify common themes and critical differences. To date, there are varying levels of agreement on the optimal triaging of urologic oncology cases. As the need to preserve resources and prevent viral transmission grows, prioritizing only high priority surgical cases is paramount. A similar approach to prioritization will also be needed as nonemergent cases are allowed to proceed in the coming weeks. While these decisions will often be made on a case-by-case basis, more nuanced surgeon-driven consensus guidelines are needed for the near future.


Asunto(s)
Betacoronavirus/patogenicidad , Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Triaje/normas , Enfermedades Urológicas/diagnóstico , Procedimientos Quirúrgicos Urológicos/normas , Toma de Decisiones Clínicas , Consenso , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Infecciones por Coronavirus/virología , Humanos , Oncología Médica/normas , Selección de Paciente , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Neumonía Viral/virología , Guías de Práctica Clínica como Asunto , Sociedades Médicas/normas , Enfermedades Urológicas/cirugía , Urología/normas
6.
ESMO Open ; 5(Suppl 3)2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32581069

RESUMEN

The COVID-19 pandemic, characterised by a fast and global spread during the first months of 2020, has prompted the development of a structured set of recommendations for cancer care management, to maintain the highest possible standards. Within this framework, it is crucial to ensure no disruption to essential oncological services and guarantee the optimal care.This is a structured proposal for the management of lung cancer, comprising three levels of priorities, namely: tier 1 (high priority), tier 2 (medium priority) and tier 3 (low priority)-defined according to the criteria of the Cancer Care Ontario, Huntsman Cancer Institute and Magnitude of Clinical Benefit Scale.The manuscript emphasises the impact of the COVID-19 pandemic on lung cancer care and reconsiders all steps from diagnosis, staging and treatment.These recommendations should, therefore, serve as guidance for prioritising the different aspects of cancer care to mitigate the possible negative impact of the COVID-19 pandemic on the management of our patients.As the situation is rapidly evolving, practical actions are required to guarantee the best patients' treatment while protecting and respecting their rights, safety and well-being. In this environment, cancer practitioners have great responsibilities: provide timely, appropriate, compassionate and justified cancer care, while protecting themselves and their patients from being infected with COVID-19. In case of shortages, resources must be distributed fairly. Consequently, the following recommendations can be applied with significant nuances, depending on the time and location for their use, considering variable constraints imposed to the health systems. An exceptional flexibility is required from cancer caregivers.


Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas/terapia , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/métodos , Neoplasias Pulmonares/terapia , Neumonía Viral/epidemiología , Carcinoma Pulmonar de Células Pequeñas/terapia , Atención Ambulatoria , Betacoronavirus , Carcinoma de Pulmón de Células no Pequeñas/patología , Quimioradioterapia , Humanos , Neoplasias Pulmonares/patología , Oncología Médica , Estadificación de Neoplasias , Pandemias , Neumonectomía , Guías de Práctica Clínica como Asunto , Oncología por Radiación , Radiocirugia , Carcinoma Pulmonar de Células Pequeñas/patología , Oncología Quirúrgica , Telemedicina , Tiempo de Tratamiento , Tomografía Computarizada por Rayos X , Triaje
7.
Rev Col Bras Cir ; 47: e20202570, 2020 Jun 03.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-32578822

RESUMEN

During the current COVID-19 pandemic, the surgical community faces the possible risk of infection of health care professionals involved in the surgical procedure. This leaves to concerns and questions referred to the most adequate surgical approach at this moment. With the objective of guiding surgeons, and based in many different protocols published until now, the Brazilian College of surgeons brings recommendations about this subject. The aim of this technical note is, trough a compilaton of publications and recommendations from Scientific Societies of Surgery worldwide, to provide guidelines regarding laparoscopic access during the COVID-19 pandemic.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Laparoscopía/normas , Pandemias/prevención & control , Neumonía Viral/prevención & control , Sociedades Médicas/normas , Cirujanos/normas , Betacoronavirus , Brasil , Infecciones por Coronavirus/transmisión , Humanos , Quirófanos/normas , Equipo de Protección Personal , Neumonía Viral/transmisión , Neumoperitoneo Artificial/normas , Triaje/normas
9.
Kaohsiung J Med Sci ; 36(6): 393-398, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32492290

RESUMEN

The COVID-19 has swept the world causing suffering, death, loss, and massive economy damage. The dialysis population is vulnerable and the dialysis facility is critical in maintaining operations and avoiding disease transmission. The present information regarding the clinical features of COVID-19 infection in the dialysis population was collected, and the useful measures of COVID-19 infection prevention and infection control in the dialysis facilities were summarized. Leadership, education, preparedness, management, and recovery phase were determined to be the critical procedures. It is hoped this updated interim review might provide information for medical professionals to take proactive action to best prepare and mitigate damage when facing the COVID-19 pandemic challenge.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/prevención & control , Control de Infecciones/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Diálisis Renal , Instituciones de Atención Ambulatoria , Comorbilidad , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Educación en Salud , Humanos , Control de Infecciones/organización & administración , Equipo de Protección Personal , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Insuficiencia Renal/epidemiología , Insuficiencia Renal/terapia , Taiwán/epidemiología , Triaje
11.
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
12.
J Med Internet Res ; 22(6): e20586, 2020 06 23.
Artículo en Inglés | MEDLINE | ID: mdl-32544072

RESUMEN

BACKGROUND: Frontline health care workers, including physicians, are at high risk of contracting coronavirus disease (COVID-19) owing to their exposure to patients suspected of having COVID-19. OBJECTIVE: The aim of this study was to evaluate the benefits and feasibility of a double triage and telemedicine protocol in improving infection control in the emergency department (ED). METHODS: In this retrospective study, we recruited patients aged ≥20 years referred to the ED of the National Taiwan University Hospital between March 1 and April 30, 2020. A double triage and telemedicine protocol was developed to triage suggested COVID-19 cases and minimize health workers' exposure to this disease. We categorized patients attending video interviews into a telemedicine group and patients experiencing face-to-face interviews into a conventional group. A questionnaire was used to assess how patients perceived the quality of the interviews and their communication with physicians as well as perceptions of stress, discrimination, and privacy. Each question was evaluated using a 5-point Likert scale. Physicians' total exposure time and total evaluation time were treated as primary outcomes, and the mean scores of the questions were treated as secondary outcomes. RESULTS: The final sample included 198 patients, including 93 cases (47.0%) in the telemedicine group and 105 cases (53.0%) in the conventional group. The total exposure time in the telemedicine group was significantly shorter than that in the conventional group (4.7 minutes vs 8.9 minutes, P<.001), whereas the total evaluation time in the telemedicine group was significantly longer than that in the conventional group (12.2 minutes vs 8.9 minutes, P<.001). After controlling for potential confounders, the total exposure time in the telemedicine group was 4.6 minutes shorter than that in the conventional group (95% CI -5.7 to -3.5, P<.001), whereas the total evaluation time in the telemedicine group was 2.8 minutes longer than that in the conventional group (95% CI -1.6 to -4.0, P<.001). The mean scores of the patient questionnaire were high in both groups (4.5/5 to 4.7/5 points). CONCLUSIONS: The implementation of the double triage and telemedicine protocol in the ED during the COVID-19 pandemic has high potential to improve infection control.


Asunto(s)
Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/prevención & control , Servicio de Urgencia en Hospital , Control de Infecciones/métodos , Pandemias/prevención & control , Neumonía Viral/diagnóstico , Neumonía Viral/prevención & control , Telemedicina/métodos , Triaje/métodos , Adulto , Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Estudios de Factibilidad , Femenino , Personal de Salud , Humanos , Control de Infecciones/normas , Masculino , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Estudios Retrospectivos , Taiwán/epidemiología
13.
PLoS One ; 15(6): e0234956, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32555723

RESUMEN

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic poses an unprecedented challenge to health-care systems around the world. As approximately one-third of the world´s population is living under "lockdown" conditions, medical resources are being reallocated and hospital admissions are limited to emergencies. We examined the decision-making impact of these actions and their effects on access to hospital treatment in patients with neurosurgical conditions. METHODS: This retrospective cohort study analyzes hospital admissions of two major neurosurgical services in Germany during the nationwide lockdown period (March 16th to April 16th, 2020). Spinal or cranial conditions requiring immediate hospital admission and treatment constituted emergencies. RESULTS: A total of 243 in-patients were treated between March 16th and April 16th 2020 (122 patients at the University Medical Center Mainz, 121 patients at the University Medical Center Göttingen). Of these, 38.0±16% qualified as emergency admission. Another 1,688 admissions were reviewed during the same periods in 2018 and 2019, providing a frame of reference. Overall, emergency admissions declined by 44.7±0.7% during lockdown. Admissions for cranial emergencies fell by 48.1±4.44%, spinal emergencies by 30.9±14.6%. CONCLUSION: Above findings indicate that in addition to postponing elective procedures, emergency admissions were dramatically curtailed during the COVID-19 lockdown. As this surely is unexpected and unintended, reasons are undoubtedly complex. As consequences in morbidity and mortality are still unpredictable, efforts should be made to accommodate all patients in need of hospital access going forward.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Procedimientos Quirúrgicos Electivos , Procedimientos Neuroquirúrgicos , Pandemias , Admisión del Paciente , Neumonía Viral/epidemiología , Triaje/métodos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Infecciones por Coronavirus/virología , Urgencias Médicas , Servicio de Urgencia en Hospital , Femenino , Alemania/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Neumonía Viral/virología , Cuarentena , Estudios Retrospectivos , Adulto Joven
15.
Rev Invest Clin ; 72(3): 127-134, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32584321

RESUMEN

Background: The coronavirus disease 2019 (COVID-19) has been declared a global pandemic. Older adults have been found as a vulnerable group for developing severe forms of disease and increased mortality. Objective: The objective of the study was to propose a pathway to assist the decision-making process for hospital resource allocation for older adults with COVID-19 using simple geriatric assessment-based tools. Methods: We reviewed the available literature at this point of the COVID-19 outbreak, focusing in older adult care to extract key recommendations for those health-care professionals who will be treating older adults in the hospital emergency ward (HEW) in developing countries during the COVID-19 pandemic. Results: We listed a series of easy recommendations for non-geriatrician doctors in the HEW and suggested simple tools for hospital resource allocation during critical care evaluation of older adults with COVID-19 in low- and middle-income countries. Conclusions: Age must not be used as the sole criterion for resource allocation among older adults with COVID-19. Simple and efficient tools are available to identify components of the comprehensive geriatric assessment, which could be useful to predict outcomes and provide high-quality care that would fit the particular needs of older adults in resource-limited settings amidst this global pandemic.


Asunto(s)
Betacoronavirus , Toma de Decisiones Clínicas , Infecciones por Coronavirus , Países en Desarrollo , Servicio de Urgencia en Hospital , Pandemias , Neumonía Viral , Asignación de Recursos/normas , Actividades Cotidianas , Anciano , Anciano de 80 o más Años , Infecciones por Coronavirus/economía , Infecciones por Coronavirus/epidemiología , Países en Desarrollo/economía , Servicio de Urgencia en Hospital/economía , Femenino , Anciano Frágil , Evaluación Geriátrica/métodos , Humanos , Masculino , Pandemias/economía , Prioridad del Paciente , Neumonía Viral/economía , Neumonía Viral/epidemiología , Pronóstico , Asignación de Recursos/ética , Triaje , Poblaciones Vulnerables
16.
Euro Surveill ; 25(21)2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32489176

RESUMEN

The coronavirus disease (COVID-19) pandemic has caused tremendous pressure on hospital infrastructures such as emergency rooms (ER) and outpatient departments. To avoid malfunctioning of critical services because of large numbers of potentially infected patients seeking consultation, we established a COVID-19 rapid response infrastructure (CRRI), which instantly restored ER functionality. The CRRI was also used for testing of hospital personnel, provided epidemiological data and was a highly effective response to increasing numbers of suspected COVID-19 cases.


Asunto(s)
Defensa Civil/organización & administración , Infecciones por Coronavirus/epidemiología , Coronavirus , Brotes de Enfermedades , Manejo de Atención al Paciente , Neumonía Viral/epidemiología , Adulto , Betacoronavirus , Alemania/epidemiología , Humanos , Persona de Mediana Edad , Pandemias , Medición de Riesgo , Centros de Atención Terciaria , Triaje
17.
Infez Med ; 28(suppl 1): 64-70, 2020 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-32532941

RESUMEN

Preparing for emerging respiratory pathogens is a fundamental requirement for enhancements of the safeguard in healthcare settings. We are facing an increasing pressure to be prepared more than before. Healthcare organizations should be ready to deal with such emerging infectious disease. Here, we share some points that are essential to be considered while we prepare our institutions to prevent the transmission of emerging respiratory pathogens such as MERS-CoV and the recently emerging pandemic of SARS-CoV-2, the causative agent of COVID-19.


Asunto(s)
Betacoronavirus , Defensa Civil/métodos , Enfermedades Transmisibles Emergentes/prevención & control , Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Coronavirus del Síndrome Respiratorio de Oriente Medio , Pandemias/prevención & control , Neumonía Viral/epidemiología , Virus del SRAS , Síndrome Respiratorio Agudo Grave/prevención & control , Técnicas de Laboratorio Clínico , Enfermedades Transmisibles Emergentes/epidemiología , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Adhesión a Directriz , Administración Hospitalaria , Humanos , Comunicación Interdisciplinaria , Aislamiento de Pacientes , Personal de Hospital/educación , Neumonía Viral/diagnóstico , Neumonía Viral/virología , Equipos de Seguridad , Arabia Saudita , Síndrome Respiratorio Agudo Grave/epidemiología , Evaluación de Síntomas , Triaje
20.
Acta Biomed ; 91(2): 75-79, 2020 May 11.
Artículo en Inglés | MEDLINE | ID: mdl-32420929

RESUMEN

BACKGROUND: The new Coronavirus identified in Whuan at the end of 2019 (SARS-CoV-2) belongs to the Beta Coronavirus genus and is responsible for the new Coronavirus 2019 pandemia (COVID-19). Infected children may be asymptomatic or present fever, dry cough, fatigue or gastrointestinal symptoms. The CDC recommends that clinicians should decide to test patients based on the presence of signs and symptoms compatible with COVID-19. MATERIAL AND METHODS: 42 children (the majority < 5 years of age) were referred, to our Pediatric Department, as possible cases of COVID-19 infection. Blood analysis, chest X-ray, and naso-oropharyngeal swab specimens for viral identification of COVID-19 were requested. RESULTS: None of the screened children resulted positive for COVID-19 infection. At first presentation, the most frequent signs and symptoms were: fever (71.4%), fatigue (35.7%) and cough (30.9%).  An  high  C-reactive protein value and abnormalities of chest  X-ray (bronchial wall thickening) were detected in 26.2% and 19% of patients, respectively. Almost half of patients (45.2%) required hospitalization in our Pediatric Unit and one patient in Intensive Care Unit. CONCLUSIONS: Testing people who meet the COVID-19 suspected case definition criteria is essential for clinical management and outbreak control. Children of all ages can get COVID-19, although they appear to be affected less frequently than adults, as reported in our preliminary survey. Further studies are needed to confirm our observations.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/diagnóstico , Admisión del Paciente , Neumonía Viral/diagnóstico , Enfermedad Aguda , Adolescente , Niño , Preescolar , Infecciones por Coronavirus/complicaciones , Servicio de Urgencia en Hospital , Femenino , Enfermedades Gastrointestinales/virología , Humanos , Lactante , Recién Nacido , Masculino , Pandemias , Neumonía Viral/complicaciones , Triaje
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