La pesquisa de Aznar tambien coincide en este limite por motivo de que los medicos consultados afirmaron existir visto mas lesiones bilaterales en la radiografia sobre torax (un sena de la indisposicion en un empleo mas avanzado). “Los pacientes diagnosticados con la variante pulmonar en 2020 presentaban maneras mas extensas que las diagnosticados en 2019?, concluye la infectologa.
Retrasos en el diagnostico
La tuberculosis resulta una patologia antiquisima causada por un bacilo, el Mycobacterium tuberculosis (Ademi?s acreditado por el apellido de su descubridor, Robert Koch, que lo identifico en 1882), de modo muy parecida a la covid-19: ambas son infecciosas, se transmiten a partir de goticulas expelidas por una ser contagiada al toser o al exhalar y los sintomas son similares, lo que puede igualmente inducir un retraso en el resultado. “Como ejemplo, un hombre, 45 anos de vida, fumador, que tosia asi como pensaba que era covid-19; cuando finalmente debido a fue al neumologo, resulto que tenia tuberculosis. Es una muestra de que el retraso en el diagnostico igualmente se debe a que se confunden las sintomas con los sobre la covid-19?, expone sobre Souza.
Para evitarlo seria fundamental rastrear a las contactos de esas usuarios con tuberculosis contagiosas asi como, si Son portadoras, no obstante sea de forma escondido, ponerlas en tratamiento.
De alla El prestigio sobre las estudios sobre contactos, que ademas han sufrido interrupciones a causa de la pandemia. Segun los resultados de la pesquisa sobre la doctora Aznar, en Espana se ha producido un aumento de la infeccion velado en las contactos parientes en permanencia pediatrica, lo que tambien sugiere un mayor retraso en el juicio y el engrandecimiento del contagio intrafamiliar. Sobre hecho, lo cual ultimo ha sido favorecido por las medidas anticovid del inicio de la pandemia, Ya que los confinamientos domiciliarios si pudieron dificultar que la persona contagiada infectara a otros externamente, aunque algunos que vivian con la novia, igual que las ninos, si estuvieron mas expuestos. “Se decia que las pacientes con sintomas sobre covid-19 se quedaran en morada asi como eso hizo que personas que realmente tenian tuberculosis nunca fueran diagnosticadas. El confinamiento ha provocado mas lapso sobre convivencia y no ha transpirado, por tanto, mas alternativa de casos secundarios en el interior sobre la unidad de convivientes”, senala Aznar. Conforme sus estimaciones, sobre las ninos estudiados por acontecer comunicacii?n cercano a un contagiado, se diagnosticaron 8 sobre 26 con la infeccion activa en 2020, entretanto que en 2019 nunca hubo ningun.
En Andalucia Ademi?s los profesionales de Enfermedades Infecciosas y no ha transpirado Neumologia registraron un bajada en los principales indicadores: en el indice de confirmacion microbiologica desplazandolo hacia el pelo sobre estudios de resistencias, en estudios de contactos realizados asi como en las finalizaciones de tratamiento.
Sin embargo, otros expertos apuntan a que las medidas sobre distanciamiento asi como el manejo sobre mascarilla han ayudado a rebajar la transmision. De este modo lo han observado en Galicia, la comunidad con de mi?s grande incidencia de Espana. Conforme la investigacion de un grupo sobre epidemiologos en el impacto de la covid-19 en la atencion a esta patologia en la autonomia, tal disminucion puede deberse a varias razones: la infradeclaracion, el retraso diagnostico a resultado del desvio de recursos sanitarios, la saturacion de las servicios asistenciales y la reticencia sobre la poblacion a buscar consideracion medica por temor a exponerse al SARS-CoV-2.
Nunca obstante, este conjunto cree que la explicacion mas adecuada Con El Fin De Galicia es que funciono la admision de medidas de confinamiento, funcii?n de mascarillas y no ha transpirado distanciamiento social, porque en esta comunidad las Unidades de Tuberculosis si conservaron su infraestructura y no ha transpirado funciones basicas a lo largo de la pandemia asi como se pudo mantener la asistencia inmediata.
En lo que va sobre 2021, no obstante, ya se han registrado mas casos en Espana que en cualquier el periodo anterior, segun recoge el boletin del Instituto sobre vitalidad Carlos III: 1.648 hasta diciembre, algo que puede apoyar la teoria de que la reduccion de 2020 se debio al golpe sobre la covid-19 en la interes sanitaria y no ha transpirado nunca a un descenso real sobre positivos.
Faltan medicamentos esenciales
Existe otro contratiempo para el tratamiento que va mas alla de estas dificultades causadas por la pandemia asi como que se ha denunciado ampliamente a lo largo de estas jornadas: la falta de medicamentos esenciales. Existe clerigo de esta indisposicion, sin embargo puede ser mortal En caso de que se alcahueteria o En caso de que se diagnostica a tiempo. Ademas, los tratamientos son largos, de seis meses en los casos mas faciles desplazandolo hacia el pelo de inclusive 32 de maneras si?lido a angelreturn medicamentos, asi como presentan frecuentemente efectos secundarios en la salubridad sobre las pacientes que empujan a que estos no los terminen, con lo que se arriesgan a que la infeccion desarrolle resistencias a las antibioticos y no ha transpirado, por tanto, sea mas complejo de discutir.
Por la pieza, existe dificultades sobre abastecimiento sistematicos sobre las farmacos que contienen Rifampicina, que seria uno de los principios activos utilizados en los tratamientos sobre primera linea, lo que esta complicando que las pacientes accedan a los mismos. Desprovisto ellos, es preciso gastar otros considerados de segunda camino que obligan an aumentar el tratamiento. Ademas, sigue falto financiarse por pieza del organizacion Nacional de salubridad la bedaquilina, que seria otro farmaco primordial, segun la agrupacion Mundial sobre la salubridad, Con El Fin De discutir a los enfermos de estas variantes multirresistentes.
Para finalizar, se ha reclamado que la Agencia Europea del Medicamento (EMA) apruebe la Rifapentina, alguna cosa que si se ha acabado en Estados Unidos. Se intenta esta de una medicina que ha verificado abreviar el tiempo de tratamiento sobre la tuberculosis pulmonar pasando sobre seis a cuatro meses desplazandolo hacia el pelo que Ademi?s se ha visto que funciona bien en la sacerdote de la infeccion latente.
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