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Italian Journal of Medicine ; 16(SUPPL 1):75, 2022.
Article in English | EMBASE | ID: covidwho-1913174


Introduction and Purpose of the study: The sensitivity of genomic tests to identify SARS-CoV2 is around 65-75%. It is very common to find clinical and radiological pictures suggestive of infection but with a negative nasopharyngeal swab. The aim of our study was to use BAL fibrobronchoscopy in subjects with negative swab but with clinical and radiological signs suggesting SARS-CoV2 infection. Materials and Methods: 52 subjects admitted to the observation area (gray area) Covid of the F. Miulli Hospital in 2020 were examined. All had negative nasopharyngeal swab (even in several determinations), also performed on sputum, but a clinical and radiological picture (Ground Glass Opacity with or without consolidations) suggestive of infection. In all subjects a fibrobronchoscopy with BAL was performed with the microbiological research also of bacteria and other viruses (pneumo plus film array). The examination was performed about 10 days after the onset of symptoms. Results: The BAL allowed microbiological diagnosis (Covid and non-Covid) in 30.8% of cases, while the positivity rate for SARSCoV 2 was 11.5%. Conclusions: Our data shows that the negativity of BAL in the search for the SARS-CoV 2 virus agrees with the outcome of the nasopharyngeal and sputum swab (89.5%), highlighting 11.5% of positive subjects. However, BAL negativity does not exclude SARS-CoV2 etiology, especially in typical radiological cases. The time interval between the onset of infection and BAL may have allowed the clearance of the virus.

Ciencias Psicologicas ; 16(1), 2022.
Article in English | Scopus | ID: covidwho-1761511


As of March 2020, the COVID-19 pandemic made an important impact on work on a global scale. In the absence of a vaccine, the most adopted measures were social distance and preference for remote work. The present study sought to understand the meanings that eight health professionals attributed to their practices in this context. Meetings held with a dentist, a physician, an occupational therapist, a nurse, a psychologist, a physiotherapist, a speech therapist, and a nutritionist, were registered through comprehensive narratives. Three categories of results were found: 1) the meaning of work, 2) the option for liberal practice, and 3) the implications of the pandemic. It was possible to see how the effects of the pandemic were peculiarly experienced by each of the participants, in some cases making them reconsider the meaning of work in their lives. © 2022 Universidad Catolica del Uruguay. All right reserved.