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1.
Orv Hetil ; 161(21): 854-860, 2020 05.
Artículo en Húngaro | MEDLINE | ID: covidwho-340058

RESUMEN

The first Hungarian COVID-19 case was reported on March 4, 2020 by Hungarian officials. Healthcare workers (HCWs) are at the highest risk of contracting the novel coronavirus (SARS-CoV-2), with 12% of total coronavirus cases confirmed among them recently. 80% of the infected persons show only mild, moderate symptoms or stay asymptomatic. The single-stranded viral RNA can be detected by RT-PCR from the respiratory tract, urine, blood and, particulary in children, from stool samples for 30-40 days. We have no valid data of how many HCWs have been infected since the Hungarian SARS-CoV-2 outbreak, due to the lack of the systematic screening. HCWs could play a critical role in transmission and might jeopardize the health of both their patients and their own family members. Both cross-sectional and longitudinal sudies are recommended to evaluate the ratio of the recovered, i.e., "already protected", the ones in the acute phase, i.e., "the infectious", and the virus-naive, i.e., "at risk" workers. Of the available molecular diagnostic options, in addition to RT-PCR it would be advisable to introduce the novel rapid antibody tests which can give quick results, reveal the timeline of the infection, are easy to handle, inexpensive and can be used periodically to monitor HCWs' viral status during the still unkown duration of the SARS-CoV-2 pandemic. Orv Hetil. 2020; 161(21): 854-860.


Asunto(s)
Anticuerpos Antivirales/sangre , Betacoronavirus/aislamiento & purificación , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/diagnóstico , Personal de Salud , Neumonía Viral/diagnóstico , Infecciones Asintomáticas , Humanos , Hungría , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Pandemias
2.
Orv Hetil ; 161(19): 767-770, 2020 05.
Artículo en Húngaro | MEDLINE | ID: covidwho-274996

RESUMEN

Recently, 6 percent of COVID-19 patients required prolonged mechanical ventilation due to severe respiratory failure. Early tracheostomy prevents the risk of postintubation upper airway stenosis. In the pandemic, all surgical interventions that generate aerosol increase the risk of contamination of the medical staff, for which reason the "traditional" indications of tracheostomy have to be revised. Authors present their recommendations based on international experiences. Orv Hetil. 2020; 161(19): 767-770.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Control de Infecciones/métodos , Pandemias , Neumonía Viral , Respiración Artificial , Traqueostomía , Aerosoles , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Humanos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Traqueostomía/métodos
3.
Orv Hetil ; 161(19): 767-770, 2020 05.
Artículo en Húngaro | MEDLINE | ID: covidwho-177786

RESUMEN

Recently, 6 percent of COVID-19 patients required prolonged mechanical ventilation due to severe respiratory failure. Early tracheostomy prevents the risk of postintubation upper airway stenosis. In the pandemic, all surgical interventions that generate aerosol increase the risk of contamination of the medical staff, for which reason the "traditional" indications of tracheostomy have to be revised. Authors present their recommendations based on international experiences. Orv Hetil. 2020; 161(19): 767-770.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Control de Infecciones/métodos , Pandemias , Neumonía Viral , Respiración Artificial , Traqueostomía , Aerosoles , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Humanos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Traqueostomía/métodos
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