Objective: To describe the clinical–epidemiological characteristics and the survival time of deceased COVID-19 patients treated at hospitals belonging to Red Sabogal–Callao in 2020. Materials and methods: An observational, descriptive and retrospective study conducted in a population of 23 patients who died of COVID-19 from the beginning of the state of emergency (March 11, 2020) to April 15 at two hospitals belonging to Red Sabogal–Callao. The data was analyzed using the Stata Statistical Software: Release 16. The survival time was assessed by means of the Kaplan-Meier survival analysis and the log-rank test, with a 95 % confidence interval. Results: The predominant epidemiological characteristics were male sex, 60 to 79 years of age and comorbidities (hypertension and obesity). The main signs and symptoms at hospital admission were dyspnea, fever, cough and increased respiratory ...

Objective: To explore the therapeutic regimen and factors associated with mortality in patients with severe COVID-19 infection treated at the Hospital Nacional Alberto Sabogal Sologuren in 2020. Materials and methods: An observational, case-control, analytical and prospective study conducted in patients with severe COVID-19 infection at hospital admission between June and September 2020. The study population was classified into two groups: case group (61 deceased patients) and control group (60 discharged patients). Data were analyzed using Stata statistical software. Bivariate and multivariate logistic regression analyses were performed with a 95 % confidence level. Results: As for patients with severe COVID-19 infection, ages older than 60 years are associated with mortality (p = 0.035; OR = 2.21; CI: [1.05 – 4.63]). Different therapeutic regimens were included in the research: patie...

Material y método: Se realizo un estudio tipo observacional, descriptivo y retrospectivo. Se incluyó a todos los pacientes adultos mayores de 18 años con ERC estadio 5 que ingresaron al programa diálisis peritoneal continua ambulatoria en el periodo 2007 al 2012. Se utilizaron medidas estadísticas de resumen descriptivo. Resultados: Se reportaron 70 episodios de peritonitis en 40 pacientes, de los cuales 60% fueron del sexo femenino, con una edad promedio de 53.1 ± 16.9 años. Lo que representa una tasa de 0.48 episodios/paciente-año. Se aisló pseudomona aeruginosa en 06 casos (27.3%), estafilococo aureus y estafilococo epidermidis en 5 casos respectivamente (22.7%) y Eschericia coli en 3 casos (13.8%); se halló cultivo negativo en 44 casos (62.9%). Se retiro el catéter de diálisis peritoneal en 17 pacientes (24.3%). Requirieron hospitalización 22 (31.4%), y fallecieron 02 (2...

Comparte la experiencia del Hospital Nacional Alberto Sabogal Sologuren, respecto a los accesos vasculares no convencionales: catéteres translumbares (CTL) y catéteres transhepáticos (CTH) en los pacientes de hemodiálisis. Los autores consideran que el uso de CTL o CTH son una opción viable y segura para los pacientes porque permiten un acceso venoso viable en pacientes con pocas opciones para diálisis mientras esperan un trasplante renal o cambio a diálisis peritoneal.

Background: This article summarizes the clinical practice guidelines (CPG) for the prevention, diagnosis and management of infections associated with hemodialysis access of the Peruvian Health Social Security (EsSalud). Objective: To provide clinical recommendations based on evidence for the prevention, diagnosis and management of infections associated with hemodialysis access in EsSalud. Material and Methods: A guideline development group (GDG) was established, including medical specialists and methodologists. The GDG formulated 7 clinical questions to be answered in this CPG. Systematic searches of systematic reviews and primary studies (when pertinent) were conducted in PubMed, and CENTRAL (Cochrane) from November 2019 to March 2020. The evidence was selected to answer each of the clinical questions. The accuracy of the evidence was evaluated using the Grading of Recommendations Asses...

Introducción: El presente artículo resume la guía de práctica clínica (GPC) para la prevención, diagnóstico y manejo de infecciones asociadas al acceso de hemodiálisis en el Seguro Social del Perú (EsSalud). Objetivo: Proveer recomendaciones clínicas basadas en evidencia para la prevención, diagnóstico y tratamiento de infecciones asociadas al acceso de hemodiálisis en EsSalud. Material y Métodos: Se conformó un grupo elaborador de la guía (GEG) que incluyó especialistas y metodólogos. El GEG formuló 7 preguntas clínicas. Se realizó búsquedas sistemáticas de revisiones sistemáticas y estudios primarios en PubMed y CENTRAL de Cochrane entre noviembre del 2019 y marzo del 2020. Se seleccionó la evidencia para responder a las preguntas clínicas planteadas. La certeza de la evidencia fue evaluada usando la metodología Grading of Recommendations Assessment, Developm...