Revista médica de Chile
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Revista médica de Chile · Sep 2023
[Evolution of Infective Endocarditis Profiles in South-Central Chile: A Four-Decade Analysis of Surgical Patients].
To describe the changes observed in operated patients with infective endocarditis (IE) in the south-central region of Chile during the last four decades. ⋯ The IE profile of patients seen in a public hospital in the south-central region of Chile has undergone significant changes during the last four decades.
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Revista médica de Chile · Sep 2023
[Closing the Treatment Gap: Implementing a Fracture Liaison Service in Public Healthcare A Case Study from Chile].
Osteoporotic fractures, especially of the hip and spine, entail significant morbidity and mortality, with a 50% increased risk of hip fracture following a prior fracture. Globally - and in Chile, a low rate of post-fracture osteoporosis treatment persists. The International Osteoporosis Foundation's "Capture the Fracture" initiative advocates optimal practices, including Fracture Liaison Services (FLS); however, in Chile, there are only two FLS, both in the private healthcare system. ⋯ Addressing fragility fractures as a public health issue is pertinent, and hospital authorities' acceptance of our project for implementation is highlighted. This initiative is anticipated to inspire other public health centers in Chile to implement similar services, contributing to closing the treatment gap and enhancing patients' quality of life.
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Revista médica de Chile · Sep 2023
Multicenter Study[Antibiotic treatment of choice for urinary sepsis associated with ureteral lithiasis in Chile. Multicenter study].
Inadequate antibiotic coverage in septic patients is associated with higher morbidity and mortality. This multicentric study reports antibiotic susceptibility in patients with ureterolithiasis-associated urosepsis, aiming to propose an optimal empirical therapy for this disease in the Chilean population. ⋯ The microorganisms found in our cohort were similar to those in international reports. Since the highest level of susceptibility was for amikacin, we propose its use as empirical therapy for urosepsis associated with ureterolithiasis in Chile. It is always necessary to consider the potential nephrotoxic effects of amikacin. An association of beta-lactams and glycopeptides should be considered in patients with risk factors for enterococcal infections.
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Revista médica de Chile · Sep 2023
The contribution of histopathology to the diagnosis of tuberculosis. Lessons from archival biopsy samples.
Histopathological analysis of tissue samples is an ancillary complementary diagnostic tool in tuberculosis (TB) with variable sensitivity and specificity according to different clinical settings. We evaluated the spectrum of histological findings, their diagnostic sensitivity, diagnostic utility, and requests over time in a sample of archival biopsies. ⋯ Histological study continues to contribute to the diagnosis of TB, especially in extrapulmonary forms.
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Revista médica de Chile · Sep 2023
Comparative Study[Cardiorespiratory fitness in Chilean cancer patients: A comparative Analysis].
Physical activity and cardiorespiratory fitness (CRF) are protective factors in cancer development. However, the CRF in the Chilean population diagnosed with cancer is unknown. This study aimed to evaluate the association that the CRF had between people with and without a cancer diagnosis and, secondarily, to compare the trend of the CRF according to years of cancer diagnosis in the Chilean population. ⋯ Those diagnosed with cancer presented lower CRF compared to those not diagnosed. In addition, in people with cancer, the CRF decreased with increasing years since the first diagnosis. It would be essential to evaluate and increase CRF in cancer patients.