Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 1 de 1
Filtrar
Mais filtros











Base de dados
Intervalo de ano de publicação
1.
Rev. guatemalteca cir ; 27(1): 16-19, 2021. tab
Artigo em Espanhol | LILACS, LIGCSA | ID: biblio-1381660

RESUMO

Antecedentes: La pandemia de COVID-19 en Guatemala provocó el rebalse de los ya colapsados hospitales. Los servicios de otras especialidades además de Medicina Interna tuvieron que emplearse de lleno en atender la pandemia. En el Hospital General San Juan de Dios, el servicio de operados de emergencia atendió durante 4 meses pacientes con esta enfermedad, a cargo del personal quirúrgico, residentes de infectología y de medicina de emergencias para apoyar a la especialidad de Medicina Interna; mostrando la necesidad de la intervención de todas las especialidades en la atención a la pandemia. Material y Métodos: Estudio descriptivo transversal sobre la experiencia del servicio de operados de Emergencia en la atención a pacientes con enfermedad COVID-19 de julio a octubre del 2020. Resultados: Se atendieron 178 pacientes con COVID-19, con predominio de sexo masculino 57%, con edades de 16 a 91 con una media de 65 años.70 pacientes eran hipertensos, 69 diabéticos y 13 con enfermedad renal. 169 casos tuvieron neumonía por SARS-COV2, 2 con choque y fallo orgánico múltiple. La mortalidad fue de 13 casos (7 %). Los medicamento más utilizados fueron las heparinas de bajo peso molecular. El 86 % recibió terapia con esteroides, 50% con anticuerpos monoclonales, especialmente tocilizumab. El antibiótico más usado fue la Ceftriaxona (32 %). 6 pacientes recibieron remdesivir (3%). CONCLUSIONES: Este estudio evidencia la experiencia del servicio de operados de emergencia durante la pandemia de COVID19, donde médicos no expertos en enfermedades virales infecciosas, aprendieron sobre la marcha el manejo de esta enfermedad. Un significativo número de pacientes fueron beneficiados con la implementación de estos servicios. El aprendizaje, las competencias y los servicios que presta el médico dedicado a urgencias debe adaptarse para responder a las necesidades de la población (AU)


Background: The COVID-19 pandemic in Guatemala collapsed hospitals due to overflow. The services of other specialties in addition to Internal Medicine had to be fully used to attend the pandemic. At the San Juan de Dios General Hospital, the emergency surgery service treated patients with this disease for 4 months, in charge of surgical personnel, infectology residents and emergency medicine support the Internal Medicine specialty; showing the need for the intervention of all specialties in the care of the pandemic. METHODOLOGY: Cross-sectional descriptive study on the experience of the Emergency Service in caring for patients with COVID-19 disease from July to October 2020. Results: A total of 178 patients with COVID-19 were treated, with a male predominance of 57%, aged from 16 to 91 with an average of 65 years. In addition to COVID-19 disease, 70 patients were hypertensive, 69 diabetics, and 13 with kidney disease. 169 cases had SARS-COV2 pneumonia, 2 with shock and multiple organ failure. Mortality was 13 cases (7%). Because most of the cases required oxygen and were moderate, severe and severe, drug treatment was used with high frequency. The drug that was used the most was heparins in all cases, most of them low molecular weight. 86% received steroid therapy, 50% with monoclonal antibodies, especially tocilizumab. Antibiotics were used frequently, the majority (32%) received Ceftriaxone. 6 cases received remdesivir (3%). CONCLUSIONS: The COVID-19 pandemic has demanded that doctors from all specialties join the response and fight against this disease. This study shows that all specialties have the capacity to handle patients with COVID-19 since internal medicine and related services have exceeded their capacity to care (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , SARS-CoV-2/patogenicidade , COVID-19/tratamento farmacológico , Serviços Técnicos Hospitalares , Complicações do Diabetes/cirurgia , COVID-19/complicações , Guatemala/epidemiologia , Hipertensão/complicações , Nefropatias/cirurgia , Hipóxia/dietoterapia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA