ABSTRACT
This is a review of the basic concepts of evidence, medicine, evidence-based medicine and its effects. Evidence-based medicine is a contribution for statistical design and management, that allows the gathering of scientific information, but does not completely exclude bias. Its methodology proceeds with order and caution, generating a highly probable mass of knowledge. The quality of the information obtained from diverse sources such as meta-analysis to expert opinions is classified in different levels according to the «strength¼ of the evidence in which it is based. The best contribution of evidence-based medicine is probably for diseases of incidence and does not replace clinical experience and patients-physician relationship. Basically we treat ill people and not illnesses. Without clinical experience, medical practice can be tyrannized by evidence-based medicine that can become inapplicable or inappropriate. Without evidence-based medicine, medical practice will not be updated, limiting our professional skills.
Subject(s)
Humans , Evidence-Based Medicine , Bias , Meta-Analysis as Topic , Practice Patterns, Physicians' , Professional PracticeABSTRACT
La encefalitis herpética es la causa más frecuente de encefalitis esporádica de curso grave. Su sospecha y diagnóstico de certeza son difíciles. Por esta razón se analizaron 5 fichas clínicas con diagnóstico de encefalitis herpética, demostrado por aislamiento (+) del virus en cultivo de LCR. Se revisó la clínica y exámenes y se correlacionó con lo descrito en la literatura. Se hizo especial mención al cultivo de LCR, como alternativa en el diagnóstico definitivo