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High quality evidence supports treating residents with antiviral chemoprophylaxis with adamantine, as well as adamantine in combination with personal protective equipment.
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
En general, los resultados de las revisiones sistemáticas incluidas sugieren que la evidencia de alta calidad respalda el tratamiento en las casas de residencias con quimioprofilaxis antiviral con adamantina, así como con adamantina en combinación con equipo de protección personal. Para el resto de las estrategias, no hubo evidencia de efectividad o evidencia mixta de efectividad.The results suggest that high quality evidence supports treating residents with antiviral chemoprophylaxis with ...
ver más ... 2020There is no direct evidence from randomised trials that eye protection equipment alone prevents transmission of COVID-19
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
Indirect evidence suggests that healthcare workers’ conjunctivae could be exposed to infective droplets and aerosols from patients during close contact. It is important to assess contagion risk of every encounter and take appropriate precautions Where close contact is required, guidance for full personal protective equipment should be followed. Policy guidance from various bodies (e.g. Public Health England, World Health Organization (WHO)) emphasizes the need to assess the contagion risk ...
ver más ... 2020Based on the best available evidence, a restricted strategy may be suitable for diagnosing pneumonia in the community.
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
Recommended approach in emergency situation . Such a strategy may be particularly suitable during the current Covid-19 pandemic • Key equipment includes pulse oximeter,* a thermometer, and stethoscope (along with immediate therapy pack of amoxicillin, doxycycline and clarithromycin).** • Auscultation not essential if overall clinical judgement (‘gestalt’ – gut feeling) of CAP (partly based on temperature >=38, respiratory rate > 20, and heart rate >100 and new confusion) is already ...
ver más ... 2020Effectiveness of infection control measures is dependent upon a number of factors and a combination of strategies with the most significant being: Hand hygiene, Environmental decontamination, Staff ...
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
The authors identified the following factors that contributed to the outbreak: • staff continuing to work while symptomatic; • staff members working in more than one facility; • inadequate adherence to standard droplet and contact precautions, and eye protection recommendations; • poor infection control practices due, in part, to inadequate supplies of personal protective equipment and hand sanitizer; • delayed recognition of cases, limited testing availability, and difficulty ...
ver más ... 2020There is no evidence that any smartphone technology is accurate for the measurement of blood oxygen saturation.
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
The COVID crisis is requiring us to manage patients with as little in-person contact as possible. The assessment of a patient with respiratory problems usually includes measurement of blood oxygen saturation (abbreviated SpO2), using a validated pulse oximeter. This is particularly important in unwell patients with COVID-19, since hypoxia is a serious warning sign for severe pneumonia.1 Whilst in-person assessment would use a standard pulse oximeter on the patient’s finger, few patients have ...
ver más ... 2020