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Asociación de Infectología emitió nuevas recomendaciones para el SARSCoV-2-COVID-19
La Asociación de Infectologia dio a conocer una revisión detallada de los nuevos datos y estudios clínicos sobre el SARSCoV-2-COVID-19 y algunas recomendaciones.
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La Asociación Colombiana de Infectología – ACIN – dio a conocer los detalles de una reunión establecida en días pasados con expertos de Conceso Colombiano de Atención, diagnóstico y mano de la infección por SAR COv-2 (covid-19) en donde se llevó acabo la revisión detallada de los nuevos datos y estudios clínicos y se actualizaron las siguientes recomendaciones para el covid-19
Medicamentos para el por SAR COv-2 covid-19
- Se sugiere no usar en la práctica clínica hidroxicloroquina o cloroquina para el manejo de pacientes con SAR COv-2 covid-19. El uso de estos medicamentos solo se considera en el escenario de un experimento clínico probado.
- No se emite recomendación a favor o en contra para el uso de la lopinavir/Ritonavir en paciente con SAR COv-2 covid-19. El uso de estos medicamentos solo se considera en el escenario de igual manera clínico aprobado.
- No hay consenso para emitir una recomendación ni a favor ni en contra para el uso de Tocilizumab en pacientes con infección por SAR COv-2 covid-19.
- Se recomienda no usar Azitromicina como antiviral sola o en combinación en pacientes con infección por SAR COv-2 covid-19.
- Se sugiere que la terapia con interferón B como antiviral en infección SAR COv-2 covid-19 se considere solo en escenarios de experimentos clínicos probados.
Otras de las recomendaciones dadas conocer por la ACIN son las siguientes:
- Se sugiere que el uso de Remdesivir como antiviral en la infección por SAR COv-2 covid-19 se considere solo en escenarios clínicos probados.
- Se sugiere que el uso de ivermectina como antiviral en SARSCoV-2-COVID-19 se considere en el escenario de experimentos clínicos probados.
- No se emite recomendación a favor o en contra para el uso de corticoesteroides en caso de SAR COv-2 covid-19.
Buenas prácticas
- Considerar el uso de corticoesteroides con otras indicaciones diferentes a covid-19 en las cuales se considere eficaz (exacerbación de EPOC, crisis asmática shock séptico con uso de dosis altas de vasopresores, insuficiencia adrenal).
- Se recomienda no usar inhibidores de neuroaminidasa (oseltamivir) en infección por SAR COv-2 ya que no tiene actividad frente al SARSCoV-2-COVID-19.
- Por último, si se sospecha infección por influenza o se tiene evidencia de la misma está indicado el uso de oseltamivir.
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