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Introduction: Coronavirus Disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has spread globally, becoming a long-lasting pandemic. Dengue is the most common arboviral disease in tropical and subtropical regions worldwide. COVID-19 and dengue coinfections have been reported, associated with worse outcomes with significant morbidity and mortality. Therefore, this study aims to determine the epidemiological situation of COVID-19 and dengue coinfection in Latin America. Methods: A systematic literature review was performed using PubMed, Scopus, Embase, Web of Science, LILACS, and BVS databases from January 1, 2020, to September 4, 2021. The key search terms used were "dengue" and "COVID-19". Results: Nineteen published articles were included. The studies were case reports with a detailed description of the coinfection's clinical, laboratory, diagnostic, and treatment features. Conclusion: Coinfection with SARS-CoV-2 and dengue virus is associated with worse outcomes with significant morbidity and mortality. The similar clinical and laboratory features of each infection are a challenge in accurately diagnosing and treating cases. Establishing an early diagnosis could be the answer to reducing the estimated significant burden of these conditions.
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INTRODUCTION: The prolongation and consequences left by the covid-19 pandemic generate an uncertain and devastating panorama in many populations, evidence shows a high prevalence of mental health problems in medical students. OBJECTIVE: The study's aim was to evaluate the association between mood disorders and sleep quality (SQ) in Peruvian medical students during the COVID-19 pandemic. METHODS: A cross-sectional study was performed on 310 medical students from a private university in Peru. The SQ was measurement through the Pittsburgh Sleep Quality Index (PSQI), while mood disorders were evaluated through the Depression Anxiety and Stress Scale - 21 (DASS-21). All information was collected by online surveys and then analyzed in programming language R. RESULTS: The SQ results measured by PSQI were bad in 83.9% of the medical students. In the Poison regression analysis, the results of the bivariate analysis in men show that all mood disorders found the prevalence of bad SQ, however, in the multivariate analysis only stress (PRa: 1.30; 95% CI 1.08 - 1.57; p <0.01) and anxiety (PRa: 1.34; 95% CI 1.09 - 1.56; p <0.01) increased the prevalence of poor SQ. Women had a similar pattern in bivariate analysis, whereas in multivariate analysis, only severe stress (PRa: 1.15; 95% CI 1.01 - 1.29; p <0.05) increased the prevalence of poor SQ. CONCLUSIONS: This study allows us to observe the consequences that the COVID-19 pandemic is leaving in medical students in Peru. And so it disclosed are a vulnerable population to poor quality of sleep and a bad mood, which in the future will impact on health. It is suggested to educate medical students about the importance of proper sleep hygiene and the consequences of poor sleep hygiene practices.
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Introducción: La prolongación y consecuencias que dejó la pandemia del covid-19 genera un panorama incierto y devastador en muchas poblaciones, la evidencia muestra una alta prevalencia de problemas de salud mental en estudiantes de medicina. Objetivo: El objetivo del estudio fue evaluar la asociación entre los trastornos del estado de ánimo y la calidad del sueño (SQ) en estudiantes de medicina peruanos durante la pandemia de COVID-19. Métodos: Se realizó un estudio transversal en 310 estudiantes de medicina de una universidad privada del Perú. El SQ se midió a través del Índice de Calidad del Sueño de Pittsburgh (PSQI), mientras que los trastornos del estado de ánimo se evaluaron mediante la Escala de Depresión, Ansiedad y Estrés - 21 (DASS-21). Toda la información se recopiló mediante encuestas en línea y luego se analizó en el lenguaje de programación R. Resultados: Los resultados de SQ medido por PSQI fue malo en un 83,9% de los estudiantes de medicina. En el análisis de regresión de Poison, los resultados del análisis bivariado en varones muestran que todos los trastornos del estado de ánimo aumentan la prevalencia de mal SQ, sin embargo, en el análisis multivariado solo el estrés (PRa: 1,30;IC95% 1,08 - 1,57;p <0,01) y la ansiedad (PRa: 1,34;IC95% 1,09 - 1,56;p <0,01) aumentaron la prevalencia de mala SQ. Las mujeres tuvieron un patrón similar en análisis bivariado, en cambio en el análisis multivariado solo el estrés severo (PRa: 1,15;IC95% 1,01 - 1,29;p <0,05) aumentó la prevalencia de mala SQ. Conclusiones: Este estudio nos permite observar las consecuencias que está dejando la pandemia COVID-19 en los estudiantes de medicina del Perú. Se da a conocer que son una población vulnerable a la mala calidad del sueño y al mal humor, lo que en el futuro repercutirá en su salud mental, física y como profesional de la salud. Se sugiere educar a los estudiantes de medicina sobre la importancia de una higiene adecuada del sueño y las consecuencias de las malas prácticas de higiene del sueño.