2020, Número 1
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Cir Plast 2020; 30 (1)
Reactivaci�n de la consulta y cirug�a electiva durante la pandemia: recomendaciones de seguridad. Medicina Basada en Evidencia
Cuenca-Pardo J, V�lez-Ben�tez E, Morales-Olivera M, Iribarren-Moreno R, Contreras-Bulnes L, Bucio-Duarte J
Idioma: Español
Referencias bibliográficas: 97
Paginas: 6-21
Archivo PDF: 3760.50 Kb.
RESUMEN
Realizamos una revisi�n sistem�tica sobre COVID 19 y la reactivaci�n de los procedimientos electivos y buscamos la mejor evidencia m�dica disponible. Con los datos obtenidos, elaboramos recomendaciones preventivas para el personal de salud y para los pacientes; de la misma manera elaboramos una infograf�a como una gu�a r�pida, sencilla, con la informaci�n suficiente, que permita al cirujano tomar las mejores decisiones. El diagn�stico de la enfermedad se realiza a trav�s de un cuestionario, PCR, pruebas inmunol�gicas, detecci�n de ant�genos del virus y tomograf�a simple de t�rax. La mayor sensibilidad se alcanza al combinar las pruebas. El personal de salud deber� realizarse pruebas diagn�sticas y el personal infectado o de alto riesgo no deber� atender pacientes. Todos los pacientes se deben considerar sospechosos y se les debe realizar pruebas diagn�sticas. Los casos positivos podr�n operarse hasta que se recuperen de la enfermedad. La estratificaci�n de riesgo de contagio es importante para la toma de decisiones y la protecci�n que se deber� utilizar. La pandemia por COVID-19 continuar� por un largo tiempo; el retorno a las actividades habituales se est� realizando con fines econ�micos y no porque la pandemia se haya controlado. Para disminuir el riesgo de contagio es necesario utilizar las gu�as emitidas por diferentes organizaciones y las recomendaciones indicadas por las autoridades sanitarias. Las recomendaciones que hacemos en este trabajo no son obligatorias, ni establecen un nuevo est�ndar de atenci�n. Los pacientes de cirug�a est�tica deber�n ser atendidos en �reas �libres de COVID� y no exponerlos a un contagio.
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