ABSTRACT
OBJECTIVE: To communicate probable cases of COVID-19 reinfection in medical personnel. MATERIALS AND METHODS: A prospective, observational study performed from June to October 2020, in which information was collected on the cases of doctors who had COVID-19 reinfection. RESULTS: Twenty-four doctors with COVID-19 reinfection were included. The most frequent comorbidity in this group of cases was overweight or obesity in 15 patients (62%);7 individuals did not report any comorbidity and 3 of the cases suffered from systemic arterial hypertension, of which 2 also had obesity. CONCLUSIONS: The reinfection of COVID-19 is very likely and the SARS-CoV-2 virus does not provoke a perennial immunological memory in all infected individuals. © 2021 Comunicaciones Cientificas Mexicanas S.A. de C.V.. All rights reserved.
ABSTRACT
BACKGROUND: The COVID-19 pandemic developed rapidly, on 27 May there were 78,023 positive cases and 8597 deaths in Mexico, many of the seriously ill patients have been attended in secondary health care facilities. In this study, we developed a comprehensive management strategy for the critically ill patient with COVID-19 specific for second-level hospitals. COVID-19 patients present a systemic inflammatory response, mainly at the pulmonary level, thus reducing tissue perfusion. Therefore, the main objective of managing the seriously ill patient COVID-19 was to guarantee adequate tissue perfusion and maintain hemodynamic stability to avoid complications in organs and systems such as cardiac arrhythmias or QT segment prolongation, which are presented as a side effect of some of the treatments for COVID-19, as well as an adequate hydroelectrolytic and hemodynamic balance to minimize the risk of incidence of kidney injury. CLINICAL CASES: This paper report the case of three patients care at the intensive care unit of General Hospital Enrique Cabrera of Mexico City. CONCLUSIONS: This study presents strategies for the treatment of these patients only with non-invasive monitoring and offers measures of mechanical ventilation without alveolar recruitment. © 2020 Comunicaciones Cientificas Mexicanas S.A. de C.V.. All rights reserved.