Cortés-Meza HM, Arellano-Hernández N, Colín-Martínez T, Bañuelos-Huerta R, Bravo-Gutiérrez JV, Loria-Castellanos J, Sánchez-Echeverría JC, Sosa-Barragán R, Bocanegra-Flores L, Zapata-Centeno I, Villalobos-Aguilar Y, Hinojosa-Aguilar I, Hernández-Reyes G, Rangel-González VN, Rodríguez-González EF, García-Regalado JF, Martínez-Leoni A, Espinosa-Moncayo MÁ, Fernández-Durán RE

Idioma: Español
Referencias bibliográficas: 11
Paginas: 18-22
Archivo PDF: 381.21 Kb.

FRAGMENTO

TRIAGE RESPIRATORIO

Debido a que 80% de los contactos con SARS-CoV-2 son portadores asintomáticos o pacientes con síntomas leves, deben ser tratados con aislamiento domiciliario, manejo sintomático y vigilancia por el servicio de salud.
A continuación, mencionamos las recomendaciones hechas por la Organización Mundial de la Salud:

• El área de triage debe tener una entrada y salida separadas e independientes del resto del área de urgencias. El flujo de personas debe ser unidireccional y debe estar en la entrada la unidad médica para evitar que el paciente pase por otras áreas y las contamine.

REFERENCIAS (EN ESTE ARTÍCULO)

1. 2020. Handbook Of COVID-19 Prevention and Treatment. 1st ed. Zhejiang, China: Zhejiang University.

2. Kuriyama A, Urushidani S, Nakayama T. Five-level emergency triage systems: variation in assessment of validity. Emergency Medicine Journal 2017;34(11):703-710. doi: 10.1136/emermed-2016-206295.

3. McNally M, et al. Validity of British Thoracic Society guidance (the CRB-65 rule) for predicting the severity of pneumonia in general practice: systematic review and meta-analysis. Br J Gen Pract 2010;60(579):e423-33. doi: 10.3399/bjgp10X532422.

4. Ebell MH, Walsh ME, Fahey T, et al. Meta-analysis of calibration, discrimination, and stratum-specific likelihood ratios for the CRB-65 score. J Gen Intern Med 2019;34:1304-1313. https://doi.org/10.1007/s11606-019-04869-z.

5. Li Q, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020. https://doi.org/10.1056/NEJMoa2001316.

6. World Health Organization. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. March 2020 [internet publication].

7. Soldati G, Smargiassi A, Inchingolo R, Buonsenso D, Perrone T, Briganti DF, et al. Is there a role for lung ultrasound during the COVID-19 pandemic? J Ultrasound Med 2020. doi: 10.1002/jum.15284.

8. Buonsenso D, Piano A, Raffaelli F, Bonadia N, de Gaetano Donati K, Franceschi F. Point-of-care lung ultrasound findings in novel coronavirus disease-19 pneumoniae: a case report and potential applications during COVID-19 outbreak. Eur Rev Med Pharmacol Sci 2020;24(5):2776-80. doi: 10.26355/eurrev_202003_20549.

9. Miger KC, Fabricius-Bjerre A, Maschmann CP, Wamberg J, Winkler Wille MM, Abild-Nielsen AG, et al. Clinical applicability of lung ultrasound methods in the emergency department to detect pulmonary congestion on computed tomography. Ultraschall Med 2019. doi: 10.1055/a-1021-1470.

10. Davenport L. Coronavirus Resource Center [Internet]. 1, editor. www.medscape.com: Medscape. 2020. [cited 2020]. Available from: https://www.medscape.com/ viewarticle/927470.

11. Moro F, Buonsenso D, Moruzzi MC, Inchingolo R, Smargiassi A, Demi L, et al. How to perform lung ultrasound in pregnant women with suspected COVID-19 infection. Ultrasound Obstet Gynecol 2020. https://doi.org/10.1002/ uog.22028.