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Water, sanitation and hygiene (WASH) interventions focused on handwashing and provision of soap directly to households may be effective and cost-effective for controlling diarrhea
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
The COVID-19 pandemic, like other humanitarian crises, may leave people without proper access to clean water and soap. It is important to have reliable evidence on the effects of water, sanitation and hygiene (WASH) interventions on health outcomes to inform decisions in such situations. In a systematic review, the authors searched for quantitative studies on the effects of WASH interventions on health outcomes during humanitarian crises occurring from 1980 to 2014. They restricted their search ...
ver más ... 2015Prone respiratory support did not appear to have any beneficial effects in all participants requiring respiratory support, although in participants with more severe lung damage it appeared to have a ...
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento de la hipoxemia)
- The most frequent complications were compression ulcers and blockage or obstruction of the tracheal tube. Low blood pressure and abnormal heart rhythms were also observed. - Applying the prone position to all intensive care patients with low oxygen levels is not warranted, but some particular groups of patients, for example, those with especially low oxygen levels, would benefit from the prone position.
ver más ... 2015No studies were found evaluating the effects of wearing gloves, gowns, or masks for contact with hospitalized MRSA patients, or with their immediate environment, on the transmission of MRSA to ...
Evidencias COVID-19
Cochrane - Colección Especial - medidas de prevención y control de la infección
- No studies eligible for this review were identified, either completed or ongoing. - This lack of evidence should not be interpreted as evidence of any effect of these interventions. The effects of gloves, gowns, and masks in these circumstances have yet to be determined by rigorous experimental studies such as group randomized trials involving multiple wards or hospitals, or discontinued time series studies.
ver más ... 2015There is no certainty to recommend pressure‐controlled versus volume‐controlled ventilation for acute respiratory failure due to acute lung injury (ALI) or acute respiratory distress syndrome ...
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (asistencia respiratoria y ventilación mecánica)
We could not be sure whether the proportions of patients who died in hospital were very different between those treated with PCV and with VCV. For every 1000 persons treated with VCV, 636 deaths were reported. On the basis of our results, we could expect to see between 210 fewer deaths and 13 more deaths with PCV. We found that effects on mortality in the ICU and on mortality at 28 days were similarly uncertain. Our results include the possibility that VCV or PCV could be better for reducing ...
ver más ... 2015Creatine kinase‐myocardial band tests should not be ordered routinely for patients suspected of having acute coronary syndrome. Hospitals should remove CK‐MB from pathology lab catalogs or ...
Choosing Wisely ® : Things we do for no reason
Trost J. J. Hosp. Med. 2015 December;10(12):827-829
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ver más ... 2015