Revista médica de Chile
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Revista médica de Chile · Feb 2023
Mortality in patients with severe COVID-19 who underwent tracheostomy due to prolonged mechanical ventilation.
The usefulness of tracheostomy has been questioned in patients with COVID-19 and prolonged invasive mechanical ventilation (IMV). ⋯ In patients with COVID-19 undergoing prolonged IMV, performing a tracheostomy is not associated with excess mortality, and it is a safe procedure for healthcare personnel.
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Revista médica de Chile · Feb 2023
[Culture and metagenomics as bacterial identification methods in patients with diabetic foot ulcers: a systematic review].
Diabetic foot osteomyelitis (DFO) is a serious complication of infected ulcers in a diabetic patient. The identification of the infecting microorganisms is generally by culture, which causes a bias. Recently, metagenomics has been used for microbial identification. ⋯ Comparing results, there is a certain complementarity between microbiological culture and sequencing to identify bacteria present in DFO.
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Revista médica de Chile · Feb 2023
Priorities and root cause analysis of quality and safety problems in chilean hospitals.
Quality improvement is an important component of hospital operations. ⋯ Hospitals can systematically use the proposed approach to categorize their main clinical quality and safety problems, analyze their causes, and then design solutions.
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Revista médica de Chile · Feb 2023
[Performance of severity indexes for the prediction of adverse events among patients hospitalized for SARS-CoV-2].
Severity assessment in adult patients with community-acquired pneumonia (CAP) allows to guide the site of care (ambulatory or hospitalization), diagnostic workup and treatment. ⋯ The performance of the prognostic indices differs significantly for the prediction of adverse events in immunocompetent adult patients hospitalized for community-acquired pneumonia associated with COVID-19.
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Revista médica de Chile · Feb 2023
Case Reports[Invasive mucormycosis during COVID-19 infection. Report of two cases].
COVID-19 disease is associated with a significant number of opportunistic infections, including invasive fungal infections such as mucormycosis. The prevalence of the latter is rare, estimated to be between 0.005 and 1.7 per million inhabitants. ⋯ Both patients had a deficient metabolic control of their diabetes as a predisposing risk factor added to severe COVID-19 infection. High suspicion and early diagnosis are essential for prompt treatment, especially considering the associated high morbidity and mortality of this fungal infection.