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2.
Artigo em Inglês | MEDLINE | ID: mdl-32350745

RESUMO

COVID-19 is a rapidly evolving public health emergency that has largely impacted the provision of healthcare services around the world. The challenge for electrophysiology teams is double; on one side preventing disease spread by limiting all nonessential face-to-face interactions, but at the same time ensuring continued care for patients who need it. These guidelines contain recommendations regarding triaging in order to define what procedures, device checks and clinic visits can be postponed during the pandemic. We also discuss best practices to protect patients and healthcare workers and provide guidance for the management of COVID-19 patients with arrhythmic conditions.

6.
Ann Clin Microbiol Antimicrob ; 19(1): 16, 2020 Apr 24.
Artigo em Inglês | MEDLINE | ID: mdl-32331519

RESUMO

BACKGROUND: COVID-19 pandemics is a challenge for public health and infectious diseases clinicians, especially for the therapeutical approach that is not yet adequately defined. Amid this situation, investigational agents are being used, including chloroquine. We report here the clinical features and therapeutic course of the first reported patient with confirmed COVID-19 pneumonia that recovered in Colombia, after the use of chloroquine and clarithromycin. CASE PRESENTATION: A 34-year-old male, returning from Spain, presented with complaints of fever, and cough, and class-II obesity, being hospitalized. The respiratory viruses and bacteria tested by FilmArray® PCR were negative. Two days later, clarithromycin was started because the patient was suspected as community-acquired pneumonia. At the third day, the rRT-PCR confirmed the SARS-CoV-2 infection. A day later, chloroquine was started because of that. His chest computed tomography was performed and showed bilateral multifocal ground-glass opacities with consolidation, which suggested viral pneumonia as a differential diagnosis. Progressively his clinical condition improved and at day 9, patient rRT-PCR for SARS-CoV-2 became negative. The patient was discharged and isolated at home per 14 days. CONCLUSIONS: Our patient improved significantly. This and other COVID-19 cases are urgently demanding results from clinical trials that support evidence-based therapeutical approaches to this pandemic and the clinical management of patients, especially those at critical care.


Assuntos
Cloroquina/uso terapêutico , Claritromicina/uso terapêutico , Infecções por Coronavirus/tratamento farmacológico , Pneumonia Viral/tratamento farmacológico , Adulto , Betacoronavirus , Colômbia , Infecções por Coronavirus/diagnóstico , Humanos , Masculino , Pandemias , Pneumonia Viral/diagnóstico
7.
J Neurosurg Sci ; 2020 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-32347685

RESUMO

BACKGROUND: More than a million and a half people are infected worldwide with more than 90.000 casualties. The ongoing COVID-19 pandemic is radically altering both socio-economic and health care scenarios. METHODS: On April 4, 2020, at 13.30 CET, a webinar was broadcasted, organized by Global Neuro and supported by WFNS. Expert neurosurgeons from 6 different countries (China, Italy, South Korea, USA, Colombia and United Kingdom) reported on the impact of the COVID-19 pandemic on their health care systems and neurosurgical activity. RESULTS: The first part focused on the epidemiology until that date. The USA were the most affected State with 450.000 cases, followed by Italy (140.000 cases and 19.000 casualties), China (83.305 cases and 3.345 had died), South Korea (10.156 cases with 177 casualties), the UK (38.168 cases and 3.605 deaths) and Colombia (1.267 cases and 25 deaths). The second part concerned Institution and staff reorganization. In every country all surgical plans have been modified. In Wuhan the staff was enrolled in COVID-units. In New York, the Mount Sinai Health System was in lockdown mode. In South Korea, sterilizing chambers have been placed. In Italy some Departments were reorganized in a Hub and Spoke fashion. In the Latin American region, they adopted special measures for every case. In the UK a conference center has been used to accommodate intensive care unit (ICU) beds. The third part was about neurosurgical practice during the COVID-19 pandemic. In Wuhan the main hospital was used for urgent non-COVID patients. In New York the neurosurgeon staff work in ICU as advanced practitioner (APP). In South Korea every patient is screened. In Italy the on-duty Hub neurosurgeons have been doubled. In the Latin American region recommendations have been developed by some neurosurgical societies. In the UK local non-specialists and traumatologists neurosurgical experts are collaborating in terms of best practice. The final part touched upon how to perform safe surgery and re-start after the pandemic. In China elective surgical procedures are performed very carefully. In New York, surgery planning will be based on patient's viral load. In South Korea and in Italy disinfection plans and negative-pressure O.R. were created. In the Latin American region, the aim is to have a rapid testing system. In the UK they have developed flowcharts to guide trauma patient management. CONCLUSIONS: In general, the pandemic scenario was presented as a thought-provoking challenge in all countries which requires tireless efforts for both maintaining emergency and elective neurosurgical procedures.

9.
10.
Washington; Organización Panamericana de la Salud; abr. 2, 2020. 8 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096608
11.
Washington; Organización Panamericana de la Salud; abr. 1, 2020. 8 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096610
12.
13.
Washington; Organización Panamericana de la Salud; abr. 15, 2020. 7 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096691
14.
Washington; Organización Panamericana de la Salud; abr. 14, 2020. 6 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096693
15.
Washington; Organización Panamericana de la Salud; abr. 13, 2020. 7 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096696
16.
Washington; Organización Panamericana de la Salud; abr. 12, 2020.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096697
17.
Washington; Organización Panamericana de la Salud; abr. 8, 2020. 6 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096699
18.
Washington; Organización Panamericana de la Salud; abr. 10, 2020. 6 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096700
19.
Washington; Organización Panamericana de la Salud; abr. 9, 2020. 7 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096702
20.
Washington; Organización Panamericana de la Salud; abr. 27, 2020. 9 p.
Não convencional em Espanhol | Coleciona SUS | ID: biblio-1096771
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