Actualmente no existe un protocolo de manejo estandarizado y usado universalmente para el SIM-N asociado a Covid-19, pero la mayoría de los pacientes son tratados con la inmuglobulina humana (IH) y/o los corticoesteroides.

The indiscriminate use of antimicrobials in pediatric intensive care units (PICU) can complicate the effectiveness of treatments. A tertiary pediatric hospital in Peru implemented an antimicrobial stewardship program (ASP) in its PICU. Our objective was to compare patients' survival before and after the ASP implementation in the study site's five PICU. Methods: We conducted a retrospective cohort observational study. The first group consisted of patients treated from mid-2016 to early 2017 (n=611), and the second group consisted of patients treated from late 2017 to mid-2018 (n=567). Results: Following the implementation of the ASP, we did not identify differences in PICU length of stay but observed variations in the duration of treatment with certain restricted antimicrobials. Additionally, we did not find a difference in survival after implementing the ASP in either crude or adjust...

Understanding the link between witnessing parental violence and alcohol abuse in Peruvian womenWitnessing violence between parents during childhood can leave deep emotional scars. This study explores whethersuch experiences are related to alcohol abuse among Peruvian women in their adult years. Using data from a nationalhealth survey in Peru, the experiences of nearly 20,000 women were analyzed to determine if witnessing violencebetween their parents during childhood was linked to alcohol problems later in life. Responses from the 2019Peruvian Demographic and Family Health Survey were examined, focusing on women’s reports of childhood exposureto violence between parents and current alcohol abuse, controlling for factors like age, education, and mental health.The study found that women who witnessed their parents engaging in violence were more likely to abuse alcoholas adults. About 41%...