Reporte de 4 casos COVID-19 hospitalizados en unidad de cuidados intensivos en una institución hospitalaria en Barranquilla, Colombia
dc.contributor.author | Iglesias Pertuz, Shirley | |
dc.contributor.author | Aroca-Martinez, Gustavo | |
dc.contributor.author | Velez-Verbel, María | |
dc.contributor.author | Cadena Osorio, Andrés | |
dc.contributor.author | Correa-Monterrosa, Mileidys | |
dc.contributor.author | Cadena-Bonfanti, Andrés | |
dc.contributor.author | Lemus Castro, Jorge | |
dc.contributor.author | Brochado, Leonardo | |
dc.contributor.author | Armesto, Wilfredo | |
dc.contributor.author | Camargo Vasquez, Tomas | |
dc.contributor.author | Martínez Bula, Eduardo | |
dc.contributor.author | Avendaño Echavez, Lil Geraldine | |
dc.contributor.author | Hernández-Agudelo, Sandra | |
dc.contributor.author | Turizo Turizo, Erika | |
dc.contributor.author | Peña Vargas, William | |
dc.contributor.author | Riascos, William | |
dc.contributor.author | Sierra, Angélica | |
dc.contributor.author | Varón Suarez, Favio | |
dc.contributor.author | Gómez Giraldo, Luisa | |
dc.contributor.author | Gonzalez-Torres, Henry | |
dc.contributor.author | Navarro Quiroz, Elkin | |
dc.contributor.author | Vásquez Obeso, Esteban | |
dc.contributor.author | Ángel Depine, Santos | |
dc.contributor.author | Ospino Herrera, Daniel | |
dc.date.accessioned | 2020-04-14T23:50:55Z | |
dc.date.available | 2020-04-14T23:50:55Z | |
dc.date.issued | 2020 | |
dc.description.abstract | Objetivo: Presentar una serie de casos de COVID-19 con requerimiento de ingreso a Unidad de Cuidados Intensivos. Métodos: La información fue tomada de las historias clínicas, y su evaluación y diagnóstico fue realizado mediante estudios paraclínicos en sangre, orina, PCR e imágenes diagnósticas en 4 pacientes con diferentes comorbilidades y nexo epidemiológico presente para desarrollo de la enfermedad. El caso 1 desarrolló falla orgánica múltiple, incluyendo injuria renal aguda con una estancia en UCI de 4 dias antes de su fallecimiento, mientras los casos 2, 3 y 4 tuvieron una evolución favorable y fueron dados de alta de UCI. Los cuatro casos fueron manejados con cloroquina 300 mg via oral cada 12 horas y azitromicina 1 gr via oral cada 24 horas durante 5 dias sin complicaciones ni toxicidad asociada. Conclusiones: Se requieren estudios multicéntricos rápidos que orienten científicamente hacia un mejor abordaje diagnóstico y manejo, en el contexto de una enfermedad con un comportamiento clínico-epidemiologico que debe estudiarse en profundidad y que probablemente cobrará muchas vidas, ademas, debido a la ausencia de pruebas diagnósticas rápidas, la utilización de una clasificación basada en la severidad de lesiones radiológicas llamada CO-RADS (Covid-19 Imaging Reporting and Data System), podría ser de gran importancia para instalar de manera temprana los tratamientos farmacológicos disponibles y la asistencia respiratoria mecánica precoz. | spa |
dc.description.abstract | Objective: To present a COVID-19 case series with clinical admission criteria to Intensive Care Unit. Methods: Patients information was obtained from medical records, and daily clinical evaluation whereas diagnosis was carried out through paraclinical studies in blood, urine, PCR and diagnostic images in 4 patients with different comorbidities and epidemiological link for the development of COVID19. The case 1 developed multiple organ failure, including acute kidney injury with an ICU stay of 4 days before his death, while cases 2, 3 and 4 had a favorable evolution and were discharged from the ICU. All four cases were managed with chloroquine 300 mg orally every 12 hours and azithromycin orally every 24 hours for 5 days without complications or associated toxicity. Conclusions: rapid multicenter studies are required to scientifically guide a better diagnostic and management approach, in the context of a disease with a clinical-epidemiological behavior that must be studied in depth and will probably take many lives. In addition, due to the absence of sufficiently rapid tests, the use of a classification based on the severity of radiological lesions called CO-RADS (Covid-19 Imaging Reporting and Data System), could be of great importance to install ava | spa |
dc.format.mimetype | spa | |
dc.identifier.doi | https://doi.org/10.22265/acnef.7.Supl%202.420 | |
dc.identifier.issn | 25005006 | spa |
dc.identifier.uri | https://hdl.handle.net/20.500.12442/5107 | |
dc.identifier.url | https://revistanefrologia.org/index.php/rcn/article/view/420 | |
dc.language.iso | spa | spa |
dc.publisher | Asociación Colombiana de Nefrología e Hipertensión Arterial | spa |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | eng |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.source | Revista Colombiana de Nefrología | |
dc.source | Vol. 7, No. supl 2 (20) (2020) | |
dc.subject | Coronavirus | spa |
dc.subject | COVID-19 | spa |
dc.subject | Sars-CoV-2 | spa |
dc.subject | Injuria renal aguda | spa |
dc.subject | Falla multisistémica | spa |
dc.subject | Cloroquina | spa |
dc.subject | Azitromicina | spa |
dc.subject | UCI | spa |
dc.subject | Acute kidney injury | eng |
dc.subject | Multi-system failure, | eng |
dc.subject | Chloroquine | eng |
dc.subject | Azithromycin | eng |
dc.subject | ICU | eng |
dc.subject | COVID-19 | eng |
dc.subject | Sars-CoV-2 | eng |
dc.subject | Coronavirus | eng |
dc.title | Reporte de 4 casos COVID-19 hospitalizados en unidad de cuidados intensivos en una institución hospitalaria en Barranquilla, Colombia | spa |
dc.title.translated | Case-Serie of 4 COVID-19 patients hospitalized in an intensive care unit in a hospital institution in Barranquilla, Colombia | eng |
dc.type | article | spa |
dc.type.driver | article | spa |
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oaire.version | info:eu-repo/semantics/publishedVersion | spa |