THELANCETID-D-16-00800 S1473-3099(16)30318-8
San José, Costa Rica, Noviembre 4–5 noviembre 2008
WHO published guidance for clinicians and health care decision-makers on the use of corticosteroids in patients with COVID-19.
We recommend systemic corticosteroids for the treatment of patients with severe and critical COVID-19. We suggest not to use corticosteroids in the treatment of patients ...with non-severe COVID-19 as the treatment brought no benefits, and could even prove harmful. Treatment should be under supervision of a clinician.
Corticosteroids are listed in the WHO model list of essential medicines, readily available globally at a low cost. WHO encourages countries to maintain sufficient stocks of corticosteroids to treat COVID-19 and the other disease for which they are effective, while not maintaining excessive stocks which could deny other countries access.
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Antimicrobial resistance (AMR) surveillance plays an important role in the early detection of resistant strains of public health importance and prompt response to outbreaks in hospitals and the community. Surveillance findings are needed to inform medical practice, antibiotic stewardship, and policy... and interventions to combat AMR. Appropriate use of antimicrobials, informed by surveillance, improves patients’ treatment outcomes and reduces the emergence and spread of AMR. This protocol describes the steps and procedures to establish/enhance AMR surveillance in Latin America and the Caribbean.
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El Laboratorio de Micología del Centro Nacional de Salud Pública del Instituto Nacional de Salud (INS) ha elaborado el presente manual de procedimientos micológicos, a fin de actualizar y uniformizar los conocimientos referidos al diagnóstico micológico que se basa en la identificación precisa... de los agentes causales de las micosis, aislados a partir de muestras clínicas representativas, así como también en pruebas de susceptibilidad antifúngica.
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The report reveals that good IPC programmes can reduce health care infections by 70 %. oday, out of every 100 patients in acute-care hospitals, seven patients in high-income countries and 15 patients in low- and middle-income countries will acquire at least one health care-associated infection (HAI)... during their hospital stay. On average, 1 in every 10 affected patients will die from their HAI.
People in intensive care and newborns are particularly at risk. And the report reveals that approximately one in four hospital-treated sepsis cases and almost half of all cases of sepsis with organ dysfunction treated in adult intensive-care units are health care-associated.
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Guía de Práctica Clínica para el manejo de la hipertensión arterial primaria (HTA)
El VIH/sida, desconocido 30 años atrás, se ha constituido en un problema de salud
mundial de una magnitud sin precedentes, considerándose que aproximadamente 25 millones de personas han fallecido en todo el mundo a causa del VIH.
Updated 22 august 2016. This document aims to provide interim guidance on the case definition of GBS and strategies to manage the syndrome, in the context of Zika virus and its potential association with GBS. This document is intended to inform the development of local clinical protocols and health ...policies related to the care of patients with GBS
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Updated 6 September 2016. This guidance has been developed to provide advice on the prevention of potential sexual transmission of Zika virus. The primary transmission route of Zika virus is via the Aedes mosquito. However, sexual transmission of Zika virus may also be possible, with limited evidenc...e recorded in a few cases. This is of concern due to an association between Zika virus infection and potential complications, including microcephaly and Guillain-Barré syndrome.
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Actualização das orientações provisórias 7 de Junho de 2016
Actualización de las orientaciones provisionales 7 de junio de 2016
Lignes directrices provisoires actualisées 7 juin 2016
O presente documento destina-se afornecer orientações provisórias para a definição de casos de GBSe estratégias para gerir a síndrome, no contexto do vírus Zikae sua potencial associação com a GBS. Odocumento pretende informar a elaboração de protocolos clínicos locais e de políticas d...e saúde relacionadas com os cuidados a dispensar aos doentes com GBS. Em Março de 2016, será organizada uma reunião de peritos para elaborar outras orientações destinadas a identificar e gerir a GBS e outros possíveis distúrbios neurológicos,no contexto da transmissão do vírus Zika.
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El objetivo del presente documento consiste en ofrecer
orientaciones provisionales sobre la definición de los casos
de SGB y las estrategias para tratar el síndrome en el
contexto del brote de virus de Zika y de su posible relación
con el SGB. Asimismo, pretende servir como base para la
elab...oración de protocolos clínicos y políticas sanitarias
locales relacionadas con la atención a los pacientes con
SGB. En marzo de 2016 se organizará una reunión de
expertos para elaborar más orientaciones sobre la
identificación y el tratamiento del SGB y otros posibles
trastornos neurológicos en el contexto de la transmisión del
virus de Zika.
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