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Resoluti.e Results wi.h oral c.rti.osteroi.s for Pati.nts wi.h c.Vi.-19 i. Pulmonary i.flammatory Phase. Suc.essful outpati.nt Experi.nc. duri.g the c.llapse of Belem Do Para Health System—Brazi.

引用

Health 2021年第8期13卷 830-838页

作者： Roberto S. Zeballos Luc.0}na N. L. c.uz Vâni. c. R. Bri.hante Adri.na V. Li.a c.rlli.ne L. L. P. Marti.s Karla N. A. Li.a Mi.hele c. G. L. Leão Beli.ete L. c.uz Alessandra B. Dysarz Paulo c. B. Lobato Eri.a S. Almei.a Rute A. P. c.sta Klevi.on c. Araújo Augusto c. c. Almei.a Leôni.as B. D. Juni.r Kathi. o. Harada Ri.a H. V. S. Araújo Elai.e X. Prestes i.ete M. S. Souza Avany M. P. Perei.a Antôni. B. M. A. Roc.a i.ac.ma A. Estevão fagnei i. c. carval.o Paulo M. P. Melo c.i.i.al c.re Sao Paulo Brazil i.sti.uto de c.0}nc.0}s da Saude Faculdade de Medicina Universidade Federal do Para Belem Brazil Fundac.o Publi.a Estadual Hospi.al de c.i.i.as Gaspar Vi.nna Belem Brazil Hospi.al da Poli.i. Mi.i.ar do Para Belem Brazil i.unoc.i.i. Belem Brazil Uni.ersi.ade Estadual do Para Fundacao Santa Casa de Misericordia do Para Belem Brazil c.i.i.a Barros c.0}urgi. Plasti.a Belem Brazil Sec.etari. de Estado de Saude Publi.a Castanhal Brazil c.ntro de Tratamento onc.logi.o Belem Brazil Soc.0}dade Brasi.ei.a de Valori.aç ã o das Soc.0}dades Medi.as—SoBEMED S&#227 o Paulo Brazil c.i.i.a de Nutrologi. Sao Luiz Brazil Hospi.al Ni.o Brasi.ei.o de olhos Belem Brazil c.ntro de c.0}nc.0}s Bi.logi.as e da Saude Universidade do Estado do Para Belem Brazil Hospi.al Regi.nal do Bai.o Amazonas Santarem Brazil c.i.i.a Valli.oto Sec.etari. de Saude de Barc.rena Barcarena Brazil Estrategi. Saude da Fami.i. Sec.etari. Muni.i.al de Saude de Anani.deua Centro Universitario do Estado do Para Belem Brazil A. M. P. Endoc.i.ologi. Belem Brazil i.sti.uto Avertano Roc.a Belem Brazil Departamento de Neuroc.0}urgi. Hospital Militar de Area De Sao Paulo Sao Paulo Brazil

i. the fac. of new di.eases, medi.i.e needs to rei.vent i.self i. order to c.ntai. and c.ntrol epi.emi.s, suc. as the one we have rec.ntly fac.d, c.Vi.-19, a di.ease wi.h a wi.e spec.rum of c.i.i.al severi.y. A new moment has been establi.hed, si.c. the appli.ati.n of well-known, effec.i.e and safe medi.ati.ns for other di.eases, has shown hi.h suc.ess rates i. the treatment of c.Vi.-19. Thereunto, studi.s wi.h early i.terventi.n are needed, whi.h c.n c.ange the unfavorable outc.me of pati.nts. i. thi. arti.le, we report the suc.essful experi.nc. usi.g an oral strategy duri.g the c.llapse of Belem (Para, Brazi.) Health System. Two hundred and ten pati.nts were di.gnosed wi.h respi.atory fai.ure due to c.Vi.-19, wi.h no opti.n of hospi.al treatment due to lac. of beds and resourc.s. These pati.nts were then started on therapeuti. regi.en c.nsi.ti.g of 40 mg predni.olone, 40 mg enoxapari. and mac.oli.es (500 mg c.ari.hromyc.0}, 500 mg axetylc.furoxi.e) assoc.0}ted and followed i. outpati.nt fac.0}i.i.s. Two hundred and ei.ht pati.nts had an exc.llent therapeuti. response and there were only two fatali.i.s. These results push researc. boundari.s, valui.g outpati.nt treatment wi.h early use of predni.olone i. the i.i.i.l pulmonary phase, preventi.g severe c.Vi.-19 pneumoni.i.. Adopti.n of the proposed treatment i.tends to reduc. the need for hospi.ali.ati.n, as well as lethali.y, wi.h soc.0}l robust benefi.s and i.c.lc.lable ec.nomi. savi.gs si.c. i.volves the use of ac.essi.le, safe and not expensi.e medi.ati.ns.

关键词： c.Vi.-19 c.rti.osteroi.s Pulmonary i.flammatory Phase c.llapse Brazi.

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