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6.
Arch Argent Pediatr ; 119(2): 76-82, 2021 04.
Artículo en Inglés, Español | MEDLINE | ID: mdl-33749192

RESUMEN

INTRODUCTION: The objective of this study was to analyze available resources, guidelines in use, and preparedness to care for newborn infants at maternity centers in Argentina during the COVID-19 pandemic. METHOD: Cross-sectional study based on a survey administered to medical and nursing staff. In May 2020, Argentine facilities with more than 500 annual births were contacted; 58 % of these were from the public sector. RESULTS: In total, 104/147 facilities answered (71 %). All had guidelines for care during the pandemic, and 93 % indicated they had been trained on how to use them. A companion was not allowed during childbirth in 26 % of private facilities and in 60 % of public ones (p < 0.01). Deferred cord clamping was recommended in 87 %; rooming-in with asymptomatic newborns was promoted in 62 %; breastfeeding using protective measures was recommended in 70 %; and breast milk using a bottle, in 23 %. In 94 %, family visiting in the Neonatology Unit was restricted. Difficulties included the unavailability of individual rooms for symptomatic newborn infants and a potential shortage of health care staff and personal protective equipment. CONCLUSIONS: All facilities are aware of the national guidelines to fight the pandemic. Most have the resources to comply with the recommended protective measures. There is uncertainty as to whether personal protective equipment, staff, and physical space available at the different facilities would be enough if cases increased significantly.


Introducción. El objetivo de este estudio fue analizar recursos disponibles, guías utilizadas y preparación para la atención de neonatos en maternidades de Argentina durante la pandemia de COVID-19. Método. Estudio transversal mediante una encuesta enviada a equipos médicos y de enfermería. En mayo de 2020, se contactaron instituciones de más de 500 nacimientos anuales en la Argentina, el 58 % del sector público. Resultados. Respondieron 104/147 instituciones (el 71 %). Todas contaban con guías para la atención durante la pandemia, y un 93 % refirió haber recibido capacitación para su uso. No autorizaban la presencia de acompañante en el parto el 26 % de instituciones privadas y el 60 % de las públicas (p < 0,01). El 87 % recomendaba ligadura oportuna del cordón, el 62 % promovía internación conjunta en neonatos asintomáticos, un 70 % recomendaba la puesta al pecho con medidas de protección, y el 23 %, leche materna mediante biberón. El 94 % restringía el ingreso de familiares a Neonatología. Las dificultades incluyeron imposibilidad de contar con habitaciones individuales para neonatos sintomáticos y potencial limitación del personal de salud y equipos de protección personal. Conclusiones. Todas las instituciones conocen las guías nacionales para enfrentar la pandemia. La mayoría cuenta con recursos para respetar las medidas de protección recomendadas. Existe incertidumbre sobre si, ante un aumento significativo en el número de casos, serán suficientes los elementos de protección personal, el personal y el espacio físico disponible en los distintos centros.


Asunto(s)
COVID-19/prevención & control , Recursos en Salud/provisión & distribución , Cuidado del Lactante/organización & administración , Control de Infecciones/organización & administración , Servicios de Salud Materna/organización & administración , Argentina/epidemiología , COVID-19/epidemiología , Estudios Transversales , Femenino , Encuestas de Atención de la Salud , Política de Salud , Humanos , Cuidado del Lactante/estadística & datos numéricos , Recién Nacido , Control de Infecciones/instrumentación , Control de Infecciones/métodos , Control de Infecciones/estadística & datos numéricos , Masculino , Servicios de Salud Materna/estadística & datos numéricos , Pandemias , Equipo de Protección Personal/provisión & distribución , Guías de Práctica Clínica como Asunto , Embarazo
8.
Am J Infect Control ; 49(1): 77-81, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-32697947

RESUMEN

BACKGROUND: On March 27, 2020, the city of Philadelphia was given permission by Temple University to convert the Liacouras Center gymnasium to an alternate care site (ACS) to treat low-acuity COVID-19 patients. ACSs, especially those created to specifically care for infectious patients, require a robust infection prevention and control (IPC) program. METHODS: The IPC program was led by a physician and nurse partnership, both of whom had substantial experience developing IPC programs in US and low-resource settings. The IPC program was framed on a previously described conceptual model commonly referred to as the "4S's": Space, Staff, Stuff, and Systems. RESULTS: The gymnasium was transformed into red, yellow, and green infection hazard zones. The IPC team trained 425 staff in critical IPC practices and personal protective equipment standards. Systems to detect staff illness were created and over 3,550 staff health screening surveys completed. DISCUSSION: Use of existing guidance and comprehensive facility and patient management assessments guided the development of the IPC program. Program priorities were to keep staff and patients safe and implement procedures to judiciously use limited resources that affect infection transmission. CONCLUSION: Planning, executing, and evaluating IPC standards and requirements of an ACS during a pandemic requires creative and nimble strategies to adapt, substitute, conserve, reuse, and reallocate IPC space, staff, stuff, and systems.


Asunto(s)
COVID-19/terapia , Equipos y Suministros de Hospitales , Personal de Salud/educación , Arquitectura y Construcción de Hospitales , Control de Infecciones/organización & administración , Capacitación en Servicio , Unidades Móviles de Salud , Equipo de Protección Personal , COVID-19/prevención & control , Humanos , Ciencia de la Implementación , Profesionales para Control de Infecciones , Philadelphia , SARS-CoV-2 , Capacidad de Reacción
9.
Disaster Med Public Health Prep ; 15(3): e43-e48, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-32660663

RESUMEN

The world is currently changing due to coronavirus disease 2019 (COVID-19), and the field of dentistry is no stranger to this. The care of patients in the dental office involves very strict biosafety protocols, and patients must be aware of the protection barriers implemented to allow satisfactory, safe dental care. The purpose of this study was to synthesize and analyze the management of the current biosafety standards for dental patients since the arrival of the COVID-19 pandemic. A bibliographic search of the main sources of information including MEDLINE (by means of PubMed), Scopus, Science Direct, SCIELO, and Google Scholar was carried out. Articles published without language restriction, systematic reviews, literature reviews, and observational studies were included. We identified the biosafety measures that must be taken before, during, and after dental practice following the arrival of COVID-19. The main measures include telephone triage, temperature taking on arrival at the office, the organization of the waiting room, washing hands before entering the office, knowing the auxiliary radiographic exams of choice and what type of treatment can be performed, albeit with restrictions. In conclusion, dental patients must comply with all the biosafety measures established by international protection standards and implemented by dentists before, during, and after dental practice to reduce the possibility of COVID-19 infection.


Asunto(s)
COVID-19/epidemiología , Odontología/organización & administración , Control de Infecciones/organización & administración , Temperatura Corporal , Odontología/normas , Desinfección de las Manos/normas , Humanos , Control de Infecciones/normas , Pandemias , SARS-CoV-2 , Triaje/organización & administración
10.
Biomedica ; 40(Supl. 2): 159-165, 2020 10 30.
Artículo en Inglés, Español | MEDLINE | ID: mdl-33152199

RESUMEN

INTRODUCTION: Healthcare personnel plays an important role in the prevention of acute respiratory infections in hospital settings. OBJECTIVE: Our aim was to establish the level of knowledge about respiratory virus infections and the attitudes and practices among healthcare workers, leaders of infection control committees in hospitals of Bogotá, Colombia. MATERIALS AND METHODS: We used a self-administered questionnaire of 28 items during the monthly meeting sponsored by the local health authority. "Yes or no" and "true or false" questions were applied to measure knowledge. Attitudes and practices were measured with a Likert-type scale according to the agreement degree. RESULTS: We surveyed 70 healthcare workers. Respondents demonstrated a good level of knowledge as 80% of them answered correctly more than five questions. A total of 54.4% showed a low degree of agreement when asked if their institutions have the policy to stay home when they are sick with respiratory symptoms and 67.1% never or rarely remain at home under such conditions. CONCLUSION: Healthcare worker leaders of infection control committees in Bogotá's ospitals have adequate knowledge about the prevention of seasonal respiratory viruses. There is a need for implementing urgent sick leave policies as a measure to prevent the spread of potential coronavirus infections in hospitals.


Introducción. El personal de salud juega un papel importante en la prevención de la diseminación de los virus respiratorios en los hospitales. Objetivo. Establecer el nivel de conocimiento y determinar las actitudes y prácticas en relación con los virus respiratorios entre los encargados de los comités de infecciones de los hospitales de Bogotá. Materiales y métodos. Los participantes respondieron una encuesta de 28 ítems durante una de las sesiones mensuales del comité de infecciones de la ciudad. Se midió el conocimiento y se formularon preguntas sobre las actitudes y las prácticas utilizando una escala de tipo Likert para evaluar la conformidad. Resultados. Se encuestaron 70 trabajadores de salud. Los participantes tenían un buen nivel de conocimiento, ya que el 80 % de los respondientes tuvieron cinco o más respuestas correctas. El 54,4 % mostró un bajo nivel de conformidad en cuanto a si susinstituciones tenían una política de quedarse en casa en caso de síntomas respiratorios y 64,1 % nunca o casi nunca se queda en casa cuando presenta dichos síntomas. Conclusión. Los trabajadores de la salud que encabezan los comités de infecciones de los hospitales de Bogotá tienen un adecuado conocimiento de la prevención de los virus respiratorios. Deben implementarse políticas de quedarse en casa para el personal con síntomas gripales, con el fin de prevenir la potencial diseminación de virus en los hospitales.


Asunto(s)
Planificación en Desastres , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/psicología , Pandemias/prevención & control , Infecciones del Sistema Respiratorio/prevención & control , Absentismo , Adulto , Colombia/epidemiología , Estudios Transversales , Femenino , Humanos , Control de Infecciones/organización & administración , Masculino , Persona de Mediana Edad , Política Organizacional , Ausencia por Enfermedad , Encuestas y Cuestionarios
11.
Can J Surg ; 63(5): E418-E421, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33009901

RESUMEN

SUMMARY: The Canadian Network for International Surgery (CNIS) hosted a workshop in May of 2020 with a goal of critically evaluating Trauma Team Training courses. The workshop was held virtually because of the coronavirus disease 2019 (COVID-19) pandemic. Twenty-three participants attended from 8 countries: Canada, Guyana, Kenya, Nigeria, Switzerland, Tanzania, Uganda and the United States. More participants were able to attend the virtual meeting than the traditional in-person meetings. Web-based videoconference software was used, participants presented prerecorded PowerPoint videos, and questions were raised using a written chat. The review proved successful, with discussions and recommendations for improvements surrounding course quality, lecture content, skills sessions, curriculum variations and clinical practical scenarios. The CNIS's successful experience conducting an online curriculum review involving international participants may prove useful to others proceeding with collaborative projects during the COVID-19 pandemic.


Asunto(s)
Congresos como Asunto/organización & administración , Infecciones por Coronavirus/prevención & control , Curriculum , Cirugía General/educación , Cooperación Internacional , Pandemias/prevención & control , Neumonía Viral/prevención & control , Betacoronavirus/patogenicidad , COVID-19 , Canadá/epidemiología , Congresos como Asunto/normas , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Infecciones por Coronavirus/virología , Cirugía General/métodos , Guyana/epidemiología , Humanos , Control de Infecciones/organización & administración , Control de Infecciones/normas , Kenia/epidemiología , Nigeria/epidemiología , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Neumonía Viral/virología , SARS-CoV-2 , Suiza/epidemiología , Tanzanía/epidemiología , Uganda/epidemiología , Estados Unidos/epidemiología , Comunicación por Videoconferencia/organización & administración , Comunicación por Videoconferencia/normas , Heridas y Lesiones/cirugía
13.
Ann Glob Health ; 86(1): 100, 2020 08 13.
Artículo en Inglés | MEDLINE | ID: mdl-32864352

RESUMEN

Background: Brazil faces some challenges in the battle against the COVID-19 pandemic, including: the risks for cross-infection (community infection) increase in densely populated areas; low access to health services in areas where the number of beds in intensive care units (ICUs) is scarce and poorly distributed, mainly in states with low population density. Objective: To describe and intercorrelate epidemiology and geographic data from Brazil about the number of intensive care unit (ICU) beds at the onset of COVID-19 pandemic. Methods: The epidemiology and geographic data were correlated with the distribution of ICU beds (public and private health systems) and the number of beneficiaries of private health insurance using Pearson's Correlation Coefficient. The same data were correlated using partial correlation controlled by gross domestic product (GDP) and number of beneficiaries of private health insurance. Findings: Brazil has a large geographical area and diverse demographic and economic aspects. This diversity is also present in the states and the Federal District regarding the number of COVID-19 cases, deaths and case fatality rate. The effective management of severe COVID-19 patients requires ICU services, and the scenario was also dissimilar as for ICU beds and ICU beds/10,000 inhabitants for the public (SUS) and private health systems mainly at the onset of COVID-19 pandemic. The distribution of ICUs was uneven between public and private services, and most patients rely on SUS, which had the lowest number of ICU beds. In only a few states, the number of ICU beds at SUS was above 1 to 3 by 10,000 inhabitants, which is the number recommended by the World Health Organization (WHO). Conclusions: Brazil needed to improve the number of ICU beds units to deal with COVID-19 pandemic, mainly for the SUS showing a late involvement of government and health authorities to deal with the COVID-19 pandemic.


Asunto(s)
Infecciones por Coronavirus , Accesibilidad a los Servicios de Salud/organización & administración , Unidades de Cuidados Intensivos/provisión & distribución , Pandemias , Manejo de Atención al Paciente , Neumonía Viral , Sector Privado/estadística & datos numéricos , Sector Público/estadística & datos numéricos , Ocupación de Camas/estadística & datos numéricos , Betacoronavirus , Brasil/epidemiología , COVID-19 , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/terapia , Necesidades y Demandas de Servicios de Salud , Humanos , Control de Infecciones/organización & administración , Control de Infecciones/normas , Innovación Organizacional , Pandemias/prevención & control , Manejo de Atención al Paciente/organización & administración , Manejo de Atención al Paciente/normas , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/terapia , SARS-CoV-2 , Índice de Severidad de la Enfermedad
14.
Rev Esc Enferm USP ; 54: e03617, 2020.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-32935766

RESUMEN

OBJECTIVE: To evaluate the structure compliance and prevention and control processes of Healthcare-Associated Infections (HAIs). METHOD: A prospective and cross-sectional study conducted from 2015 to 2016 in small hospitals with up to 70 beds in a region of São Paulo state. Four previously validated indicators were evaluated and expressed as a compliance index (percentage in relation to the evaluated items). RESULTS: Fourteen (14) among the 27 recruited hospitals consented to participate in the study. The average compliance values for each indicator were: Program structure (61.0%); Operational guidelines (84.5%); Epidemiological surveillance (57.9%); and Prevention activities (74.5%). Greater compliance was observed in private hospitals (73.9%) and with the presence of an intensive care unit (90.3%). The hospitals had nurses assigned to the program (92.9%), but only 23.1% of the private institutions worked exclusively for six hours. CONCLUSION: Only the indicator referring to the Operational Guidelines of the evaluated programs was above 90% compliance for the median of hospitals. The greatest dispersion of compliance results among the studied hospitals was related to the Epidemiological Surveillance indicator.


Asunto(s)
Infección Hospitalaria , Hospitales , Control de Infecciones/normas , Brasil , Estudios Transversales , Adhesión a Directriz/estadística & datos numéricos , Hospitales con menos de 100 Camas , Humanos , Control de Infecciones/organización & administración , Estudios Prospectivos
15.
J Occup Environ Med ; 62(10): e593-e597, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32826546

RESUMEN

OBJECTIVES: To describe the strategies to monitor and expand access to care for a health system workers in the first 2 months of the COVID-19 epidemic in Brazil. METHODS: Description of the implemented strategy based on the guidelines developed to address the surveillance and care of a large health system's workforce in the COVID-19 epidemic. RESULTS: During phase 1, the surveillance strategy focused on monitoring suspected cases among employees. In phase 2, surveillance was restricted to employees with confirmed COVID-19, aiming at monitoring of symptoms and following hospitalizations. Access to care was expanded. A total of 1089 employees were diagnosed with COVID-19, 89 required hospitalizations and none had died. CONCLUSION: The strategies adopted were promptly implemented and could be adapted to the changing epidemic dynamics, allowing low rates of adverse outcomes in this high-risk population.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Atención a la Salud/organización & administración , Personal de Salud/estadística & datos numéricos , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Salud Laboral , Pandemias/prevención & control , Neumonía Viral/prevención & control , Adulto , Brasil/epidemiología , COVID-19 , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Femenino , Humanos , Control de Infecciones/organización & administración , Masculino , Persona de Mediana Edad , Pandemias/estadística & datos numéricos , Neumonía Viral/epidemiología , Sistema de Registros , Medición de Riesgo , Recursos Humanos/organización & administración
16.
Washington; Organización Panamericana de la Salud; Aug. 24, 2020.
No convencional en Inglés, Español | LILACS | ID: biblio-1118287

RESUMEN

The Pan American Health Organization (PAHO), in collaboration with the Regional Inter-Agency Group of UNAIDS and co-sponsors, developed this information note. The note consolidates the most recent recommendations from WHO and UNAIDS and relevant references and available resources for HIV programs and other stakeholders of the HIV response.


La comunidad y la respuesta al VIH tienen mucho que ofrecer a la preparación y la resiliencia a la enfermedad por coronavirus del 2019 (COVID-19). Contar con organizaciones dirigidas por la comunidad, como las redes de personas que viven con el VIH, para que participen en las mesas de planificación y respuesta desde el principio es fundamental para fomentar la confianza, asegurar un intercambio productivo de información y sentar las bases para la adopción de medidas conjuntas de solución de problemas. Los gobiernos, las organizaciones y redes de la sociedad civil y las personas que viven con el VIH deberían adoptar las siguientes medidas clave para abordar las cuestiones que puedan surgir en la respuesta al VIH en medio del brote de COVID-19, a fin de garantizar que la respuesta se ajuste a los principios de los derechos humanos.


Asunto(s)
Neumonía Viral/prevención & control , Neumonía Viral/epidemiología , VIH , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/epidemiología , Pandemias/prevención & control , Betacoronavirus , Control de Infecciones/organización & administración , Planificación
17.
Washington; Organización Panamericana de la Salud; 11 ago. 2020. 9 p. tab. (OPS/EIH/IS/COVID-19/20-0015).
No convencional en Inglés, Español, Portugués | LILACS | ID: biblio-1117108

RESUMEN

As doenças não transmissíveis (DNTs) são a principal causa de morte e incapacidade em todo o mundo. O controle eficaz dessas doenças crônicas depende em grande parte de serviços continuados, responsivos, acessíveis e de qualidade, além de engajamento e autocontrole satisfatórios por parte dos pacientes. A saúde digital, em especial as teleconsultas médicas, os prontuários eletrônicos e as prescrições eletrônicas, já demonstrou ser vantajosa para assegurar a continuidade da assistência, principalmente quando os serviços são interrompidos, além do monitoramento e da avaliação de intervenções em DNTs.


Las enfermedades no transmisibles (ENT) son la primera causa de muerte y discapacidad en el mundo. El tratamiento eficaz de estos trastornos crónicos depende en gran medida de la continuidad de unos servicios receptivos, accesibles y de calidad, así como de la participación de los pacientes y su autocuidado. Está comprobado que la salud digital ­en particular la telemedicina y las historias clínicas y recetas electrónicas­ es ventajosa para resguardar la continuidad de la atención, especialmente cuando hay alteraciones de los servicios, además de facilitar el seguimiento y evaluación de las intervenciones contra las ENT.


Noncommunicable diseases (NCDs) are the main cause of death and disability worldwide. Effective management of these chronic conditions depends largely on continuous, responsive, accessible, and quality services and successful patient engagement and self-management. Digital health, and in particular telemedicine visits, electronic records, and electronic prescriptions, have already demonstrated having advantages in successfully ensuring continuity of care, especially when services are disrupted, as well as monitoring and evaluating interventions for NCDs.


Asunto(s)
Telemedicina/métodos , Telemedicina/organización & administración , Pandemias/prevención & control , Gestión de la Información en Salud/organización & administración , Enfermedades no Transmisibles/prevención & control , Factores de Riesgo , Control de Infecciones/organización & administración
19.
J Am Coll Radiol ; 17(8): 1011-1013, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32610104

RESUMEN

BACKGROUND: Quarantine and stay-at-home orders are strategies that many countries used during the acute pandemic period of coronavirus disease 2019 (COVID-19) to prevent disease dissemination, health system overload, and mortality. However, there are concerns that patients did not seek necessary health care because of these mandates. PURPOSE: To evaluate the differences in the clinical presentation of acute appendicitis and CT findings related to these cases between the COVID-19 acute pandemic period and nonpandemic period. MATERIALS AND METHODS: A retrospective observational study was performed to compare the acute pandemic period (March 23, 2020, to May 4, 2020) versus the same period the year before (March 23, 2019, to May 4, 2019). The proportion of appendicitis diagnosed by CT and level of severity of the disease were reviewed in each case. Univariate and bivariate analyses were performed to identify significant differences between the two groups. RESULTS: A total of 196 abdominal CT scans performed due to suspected acute appendicitis were evaluated: 55 from the acute pandemic period and 141 from the nonpandemic period. The proportion of acute appendicitis diagnosed by abdominal CT was higher in the acute pandemic period versus the nonpandemic period: 45.5% versus 29.8% (P = .038). The severity of the diagnosed appendicitis was higher during the acute pandemic period: 92% versus 57.1% (P = .003). CONCLUSION: During the acute COVID-19 pandemic period, fewer patients presented with acute appendicitis to the emergency room, and those who did presented at a more severe stage of the disease.


Asunto(s)
Apendicitis/diagnóstico por imagen , Apendicitis/epidemiología , Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Tomografía Computarizada por Rayos X/estadística & datos numéricos , Análisis de Varianza , COVID-19 , Estudios de Cohortes , Infecciones por Coronavirus/epidemiología , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Humanos , Incidencia , Masculino , Análisis Multivariante , Pandemias/estadística & datos numéricos , Neumonía Viral/epidemiología , Cuarentena/estadística & datos numéricos , Estudios Retrospectivos , Medición de Riesgo , Tomografía Computarizada por Rayos X/métodos , Estados Unidos
20.
J Allergy Clin Immunol Pract ; 8(8): 2461-2473.e3, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32603900

RESUMEN

Telemedicine adoption has rapidly accelerated since the onset of the COVID-19 pandemic. Telemedicine provides increased access to medical care and helps to mitigate risk by conserving personal protective equipment and providing for social/physical distancing to continue to treat patients with a variety of allergic and immunologic conditions. During this time, many allergy and immunology clinicians have needed to adopt telemedicine expeditiously in their practices while studying the complex and variable issues surrounding its regulation and reimbursement. Some concerns have been temporarily alleviated since March 2020 to aid with patient care in the setting of COVID-19. Other changes are ongoing at the time of this publication. Members of the Telemedicine Work Group in the American Academy of Allergy, Asthma & Immunology (AAAAI) completed a telemedicine literature review of online and Pub Med resources through May 9, 2020, to detail Pre-COVID-19 telemedicine knowledge and outline up-to-date telemedicine material. This work group report was developed to provide guidance to allergy/immunology clinicians as they navigate the swiftly evolving telemedicine landscape.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Telemedicina/organización & administración , Alergia e Inmunología/organización & administración , Betacoronavirus , COVID-19 , Codificación Clínica , Seguridad Computacional , Accesibilidad a los Servicios de Salud/organización & administración , Humanos , Hipersensibilidad/terapia , Control de Infecciones/organización & administración , Reembolso de Seguro de Salud , Pandemias , SARS-CoV-2 , Sociedades Médicas , Telemedicina/economía
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