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      Recomendaciones para la atención kinésica respiratoria en el contexto de paciente sospechoso y confirmado para Covid-19 en las unidades de Hospitalización Domiciliaria Translated title: Recommendations for respiratory physiotherapy in the context of suspicious and confirmed patient for Covid-19 in hospital at home

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          Abstract

          Resumen Propósito: Ante la crisis sanitaria que vive el país y el mundo actualmente, se confeccionó este documento por la iniciativa autónoma de kinesiólogos de doce unidades de Hospitalización Domiciliaria (HD) de hospitales públicos de Chile, con el fin de unificar criterios en base a sus experiencias y la evidencia científica disponible para poder realizar una atención kinésica respiratoria segura en pacientes con sospecha o confirmados para COVID-19. Además, este documento tiene el objetivo de ser una guía para quienes tengan la necesidad de protocolizar y/o estandarizar su atención en HD, pudiendo ser adaptado según la necesidad y disponibilidad de recursos e infraestructura de cada unidad. Es importante señalar, que este documento puede variar según la evolución de esta pandemia y la actualización de la evidencia científica. Campo de aplicación: Este documento está diseñado para ser aplicado en el domicilio de los pacientes adultos y pediátricos ingresados a las Unidades de Hospitalización Domiciliaria (UHD) con sospecha de infección por SARS-CoV-2 o con resultado positivo para COVID-19.

          Translated abstract

          Abstract Porpuse: Given the health crisis that the country and the world are currently experiencing, this document was prepared by the autonomous initiative of kinesiologists from twelve Hospital at Home units of public hospitals in Chile, in order to unify criteria based on their experiences and the available scientific evidence in order to carry out safe respiratory physiotherapy care in patients with suspected or confirmed COVID-19. In addition, this document is intended to be a guide for those who need to protocolize and / or standardize their care at Hospital at home, and can be adapted according to the need and availability of resources and infrastructure of each unit. It is important to note that this document may vary depending on the evolution of this pandemic and the updating of scientific evidence. Scope: This document is designed to be applied in the home of adult and pediatric patients admitted to Hospital at Home Units (UHD) with suspected SARS-CoV-2 infection or with a positive result for COVID-19.

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          COVID-19 infection: Origin, transmission, and characteristics of human coronaviruses

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            Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations

            Summary As coronavirus disease 2019 (COVID-19) spreads across the world, the intensive care unit (ICU) community must prepare for the challenges associated with this pandemic. Streamlining of workflows for rapid diagnosis and isolation, clinical management, and infection prevention will matter not only to patients with COVID-19, but also to health-care workers and other patients who are at risk from nosocomial transmission. Management of acute respiratory failure and haemodynamics is key. ICU practitioners, hospital administrators, governments, and policy makers must prepare for a substantial increase in critical care bed capacity, with a focus not just on infrastructure and supplies, but also on staff management. Critical care triage to allow the rationing of scarce ICU resources might be needed. Researchers must address unanswered questions, including the role of repurposed and experimental therapies. Collaboration at the local, regional, national, and international level offers the best chance of survival for the critically ill.
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              Laboratory diagnosis of emerging human coronavirus infections – the state of the art

              ABSTRACT The three unprecedented outbreaks of emerging human coronavirus (HCoV) infections at the beginning of the twenty-first century have highlighted the necessity for readily available, accurate and fast diagnostic testing methods. The laboratory diagnostic methods for human coronavirus infections have evolved substantially, with the development of novel assays as well as the availability of updated tests for emerging ones. Newer laboratory methods are fast, highly sensitive and specific, and are gradually replacing the conventional gold standards. This presentation reviews the current laboratory methods available for testing coronaviruses by focusing on the coronavirus disease 2019 (COVID-19) outbreak going on in Wuhan. Viral pneumonias typically do not result in the production of purulent sputum. Thus, a nasopharyngeal swab is usually the collection method used to obtain a specimen for testing. Nasopharyngeal specimens may miss some infections; a deeper specimen may need to be obtained by bronchoscopy. Alternatively, repeated testing can be used because over time, the likelihood of the SARS-CoV-2 being present in the nasopharynx increases. Several integrated, random-access, point-of-care molecular devices are currently under development for fast and accurate diagnosis of SARS-CoV-2 infections. These assays are simple, fast and safe and can be used in the local hospitals and clinics bearing the burden of identifying and treating patients.
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                Author and article information

                Journal
                had
                Hospital a Domicilio
                Hosp. domic.
                Centro Internacional Virtual de Investigación en Nutrición (CIVIN) (Alicante, Alicante, Spain )
                2530-5115
                September 2020
                : 4
                : 3
                : 133-152
                Affiliations
                [10] Santiago de Chile orgnameHospital del Salvador orgdiv1Hospitalización Domiciliaria Chile
                [7] orgnameComplejo Asistencial Dr. Víctor Ríos Ruiz orgdiv1Hospitalización Domiciliaria Chile
                [4] orgnameHospital base de Valdivia orgdiv1Hospitalización Domiciliaria Chile
                [8] orgnameHospital Dr. Ernesto Torres Galdames orgdiv1Hospitalización Domiciliaria Chile
                [2] Santiago orgnameHospital San Juan de Dios orgdiv1Hospitalización Domiciliaria Chile
                [6] orgnameHospital Eduardo Schutz Schroeder orgdiv1Hospitalización Domiciliaria Chile
                [9] Santiago orgnameHospital San Juan de Dios orgdiv1Hospitalización Domiciliaria Chile
                [5] orgnameHospital clínico Herminda Martin orgdiv1Hospitalización Domiciliaria Chile
                [3] orgnameHospital Sanatorio el Pino orgdiv1Hospitalización Domiciliaria Chile
                [11] orgnameHospital Padre Hurtado orgdiv1Hospitalización Domiciliaria Chile
                [12] orgnameHospital de Quilpué orgdiv1Hospitalización Domiciliaria Chile
                [1] Santiago de Chile orgnameComplejo Asistencial Doctor Sótero del Río orgdiv1Hospitalización Domiciliaria Chile
                Article
                S2530-51152020000300133 S2530-5115(20)00400300133
                10.22585/hospdomic.v4i3.107
                1cb46b3b-6186-4293-92cc-04cb380bae8e

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 25 May 2020
                : 20 May 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 20
                Product

                SciELO Spain

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                Artículos especiales

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