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  1. Article ; Online: Differing coronavirus genres alter shared host signaling pathways upon viral infection.

    Cruz-Pulido, Diana / Ouma, Wilberforce Zachary / Kenney, Scott P

    Scientific reports

    2022  Volume 12, Issue 1, Page(s) 9744

    Abstract: Coronaviruses are important viral pathogens across a range of animal species including humans. They have a high potential for cross-species transmission as evidenced by the emergence of COVID-19 and may be the origin of future pandemics. There is ... ...

    Abstract Coronaviruses are important viral pathogens across a range of animal species including humans. They have a high potential for cross-species transmission as evidenced by the emergence of COVID-19 and may be the origin of future pandemics. There is therefore an urgent need to study coronaviruses in depth and to identify new therapeutic targets. This study shows that distant coronaviruses such as Alpha-, Beta-, and Deltacoronaviruses can share common host immune associated pathways and genes. Differentially expressed genes (DEGs) in the transcription profile of epithelial cell lines infected with swine acute diarrhea syndrome, severe acute respiratory syndrome coronavirus 2, or porcine deltacoronavirus, showed that DEGs within 10 common immune associated pathways were upregulated upon infection. Twenty Three pathways and 21 DEGs across 10 immune response associated pathways were shared by these viruses. These 21 DEGs can serve as focused targets for therapeutics against newly emerging coronaviruses. We were able to show that even though there is a positive correlation between PDCoV and SARS-CoV-2 infections, these viruses could be using different strategies for efficient replication in their cells from their natural hosts. To the best of our knowledge, this is the first report of comparative host transcriptome analysis across distant coronavirus genres.
    MeSH term(s) Animals ; COVID-19/genetics ; Pandemics ; SARS-CoV-2 ; Signal Transduction ; Swine ; Swine Diseases
    Language English
    Publishing date 2022-06-13
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-022-13396-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Extended-Spectrum β-Lactamase-Producing

    Mandujano, Antonio / Cortés-Espinosa, Diana Verónica / Vásquez-Villanueva, José / Guel, Paulina / Rivera, Gildardo / Juárez-Rendón, Karina / Cruz-Pulido, Wendy Lizeth / Aguilera-Arreola, Guadalupe / Guerrero, Abraham / Bocanegra-García, Virgilio / Martínez-Vázquez, Ana Verónica

    Antibiotics (Basel, Switzerland)

    2023  Volume 12, Issue 6

    Abstract: Extended-spectrum β-lactamase (ESBL)- ... ...

    Abstract Extended-spectrum β-lactamase (ESBL)-producing
    Language English
    Publishing date 2023-06-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2681345-2
    ISSN 2079-6382
    ISSN 2079-6382
    DOI 10.3390/antibiotics12061010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Comparative Transcriptome Profiling of Human and Pig Intestinal Epithelial Cells after Porcine Deltacoronavirus Infection.

    Cruz-Pulido, Diana / Boley, Patricia A / Ouma, Wilberforce Zachary / Alhamo, Moyasar A / Saif, Linda J / Kenney, Scott P

    Viruses

    2021  Volume 13, Issue 2

    Abstract: Porcine deltacoronavirus (PDCoV) is an emerging infectious disease of swine with zoonotic potential. Phylogenetic analysis suggests that PDCoV originated recently from a host-switching event between birds and mammals. Little is known about how PDCoV ... ...

    Abstract Porcine deltacoronavirus (PDCoV) is an emerging infectious disease of swine with zoonotic potential. Phylogenetic analysis suggests that PDCoV originated recently from a host-switching event between birds and mammals. Little is known about how PDCoV interacts with its differing hosts. Human-derived cell lines are susceptible to PDCoV infection. Herein, we compare the gene expression profiles of an established host swine cells to potential emerging host human cells after infection with PDCoV. Cell lines derived from intestinal lineages were used to reproduce the primary sites of viral infection in the host. Porcine intestinal epithelial cells (IPEC-J2) and human intestinal epithelial cells (HIEC) were infected with PDCoV. RNA-sequencing was performed on total RNA extracted from infected cells. Human cells exhibited a more pronounced response to PDCoV infection in comparison to porcine cells with more differentially expressed genes (DEGs) in human, 7486, in comparison to pig cells, 1134. On the transcriptional level, the adoptive host human cells exhibited more DEGs in response to PDCoV infection in comparison to the primary pig host cells, where different types of cytokines can control PDCoV replication and virus production. Key immune-associated DEGs and signaling pathways are shared between human and pig cells during PDCoV infection. These included genes related to the NF-kappa-B transcription factor family, the interferon (IFN) family, the protein-kinase family, and signaling pathways such as the apoptosis signaling pathway, JAK-STAT signaling pathway, inflammation/cytokine-cytokine receptor signaling pathway. MAP4K4 was unique in up-regulated DEGs in humans in the apoptosis signaling pathway. While similarities exist between human and pig cells in many pathways, our research suggests that the adaptation of PDCoV to the porcine host required the ability to down-regulate many response pathways including the interferon pathway. Our findings provide an important foundation that contributes to an understanding of the mechanisms of PDCoV infection across different hosts. To our knowledge, this is the first report of transcriptome analysis of human cells infected by PDCoV.
    MeSH term(s) Animals ; Cell Line ; Coronavirus Infections/metabolism ; Cytokines/metabolism ; Epithelial Cells/virology ; Gene Expression Regulation ; Humans ; Interferons/metabolism ; Intracellular Signaling Peptides and Proteins/metabolism ; Protein-Serine-Threonine Kinases/metabolism ; Swine ; Swine Diseases/metabolism ; Transcriptome
    Chemical Substances Cytokines ; Intracellular Signaling Peptides and Proteins ; Interferons (9008-11-1) ; MAP4K4 protein, human (EC 2.7.1.11) ; Protein-Serine-Threonine Kinases (EC 2.7.11.1)
    Language English
    Publishing date 2021-02-13
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v13020292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Serological diagnosis and risk factors associated with bovine paratuberculosis in the municipality of Tuta, Colombia

    Sharon Cruz Estupiñan / Deisy Lancheros Buitrago / Diana María Bulla Castañeda / Diego Garcia Corredor / Martin Pulido Medellin

    The Iranian Journal of Veterinary Science and Technology, Vol 14, Iss 2, Pp 38-

    2022  Volume 46

    Abstract: Bovine paratuberculosis or Johne's disease is caused by Mycobacterium avium subsp. paratuberculosis (MAP), which affects domestic and wild ruminants around the world. The clinical presentation of MAP infection is characterized by chronic diarrhea ... ...

    Abstract Bovine paratuberculosis or Johne's disease is caused by Mycobacterium avium subsp. paratuberculosis (MAP), which affects domestic and wild ruminants around the world. The clinical presentation of MAP infection is characterized by chronic diarrhea unresponsive to treatment. The objective of the present study was to investigate the seroprevalence and risk factors associated with bovine paratuberculosis in cattle herds of Tuta, Boyacá, Colombia. This descriptive cross-sectional study with simple random sampling was performed on 882 blood samples taken from cattle of different racial and age groups. Blood samples were processed using an indirect enzyme-linked immunosorbent assay (PARACHEK® 2 Kit, Prionics AG, Switzerland). The obtained data were analyzed by the statistical software Epi Info. In this study, a general seroprevalence of 3.1% was found, and seropositivity in females was 3.6%. The highest prevalence of antibodies against MAP was in individuals > 4 years (5%) and the Jersey breed (4.8%). Therefore, the age of over 4 years was identified as a risk factor associated with MAP. Moreover, a statistical association was found between management and biosafety variables, such as pen management (p = 0.012), feeding with concentrate (p = 0.012), and the presence of diarrhea on the farm (p = 0.048). It could be concluded that the disease is present in Tuta, however, considering factors, such as the chronicity of the disease and the diagnostic method used, it is expected that the number of infected animals is much higher than presented in this research.
    Keywords serological diagnosis of paratuberculosis in colombia ; Veterinary medicine ; SF600-1100
    Subject code 630
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Ferdowsi University of Mashhad
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Diagnóstico serológico de Fasciola hepatica en ovinos de Boavita (Colombia)

    Diana-María Bulla-Castañeda / Melissa-Camila Ortiz-Pineda / Sharon-Elizabeth Cruz-Estupiñan / Henrry-Alexander Lopez-Buitrago / Deisy-Johana Lancheros-Buitrago / Julio-Cesar Giraldo-Forero / Diego-Jose Garcia-Corredor / Martin-Orlando Pulido-Medellin

    Revista Científica, Vol 46, Iss

    2023  Volume 1

    Abstract: La fasciolosis es una enfermedad de distribución mundial causada por el trematodo Fasciola hepática, que afecta bovinos, ovinos, caprinos y en ocasiones al ser humano, causando importantes pérdidas económicas y productivas. El objetivo de este estudio ... ...

    Abstract La fasciolosis es una enfermedad de distribución mundial causada por el trematodo Fasciola hepática, que afecta bovinos, ovinos, caprinos y en ocasiones al ser humano, causando importantes pérdidas económicas y productivas. El objetivo de este estudio fue determinar la seroprevalencia de F. hepatica en ovinos de Boavita, Boyacá, Colombia. Se realizó un estudio observacional y descriptivo de corte (transversal) con muestreo aleatorio simple, en donde el tamaño muestral fue de 297 ovinos. Los sueros fueron procesados con el kit comercial ELISA BIO K 211-Monoscreen AbELISA F. hepatica, siguiendo las instrucciones del fabricante. El análisis de los resultados se realizó con el programa estadístico Epi Info™. Se determinó una seroprevalencia general de 67.34 % en donde los machos, los ovinos mayores de 3 años y las ovejas de raza criolla presentaron la seroprevalencia más alta, con 77.78, 83.33 y 64.79% respectivamente. Se estableció asociación estadística significativa entre la seropositividad a F. hepatica y los ovinos de 1 a 3 años y los individuos mayores 3 años. Este grupo etario se estableció como factor de riesgo para la presentación de fasciolosis, mientras que las ovejas entre 1 y 3 años se consideraron como factor de protección. Las variables de manejo como pastoreo extensivo y de estaca también presentaron significancia estadística, siendo este último un factor de protección para la parasitosis. Nuestros hallazgos evidencian la diseminación de la infección por F. hepatica en ejemplares ovinos y confirman la importancia de los métodos serológicos para el diagnóstico de la enfermedad.
    Keywords ELISA ; Fasciolosis ; Enfermedades de las ovejas ; Serología ; Seroprevalencia ; Technology ; T ; Science ; Q
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Universidad Distrital Francisco José de Caldas
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Describing the intestinal microbiota of Holstein Fasciola-positive and -negative cattle from a hyperendemic area of fascioliasis in central Colombia.

    Ramírez, Angie L / Herrera, Giovanny / Muñoz, Marina / Vega, Laura / Cruz-Saavedra, Lissa / García-Corredor, Diego / Pulido-Medellín, Martin / Bulla-Castañeda, Diana M / Giraldo, Julio Cesar / Bernal, María Consuelo / Fernández-Manrique, José / Vásquez-Arteaga, Luis R / Ramírez, Juan David

    PLoS neglected tropical diseases

    2021  Volume 15, Issue 8, Page(s) e0009658

    Abstract: The ability to identify compositional changes in the intestinal microbiota of parasitized hosts is important for understanding the physiological processes that may affect animal productivity. Within the field of host-parasite interactions, many studies ... ...

    Abstract The ability to identify compositional changes in the intestinal microbiota of parasitized hosts is important for understanding the physiological processes that may affect animal productivity. Within the field of host-parasite interactions, many studies have suggested that helminths can influence the microbial composition of their hosts via their immunomodulatory effects. Bovine fascioliasis is a helminthiasis widely studied by immunologists, but with little information available regarding gut microbial communities. Thus, we aimed to describe the composition of the intestinal microbiota of Holstein Fasciola-positive and -negative cattle using parasitological methods and ELISA (enzyme-linked immunosorbent assay). Bovine fecal samples (n = 65) were obtained from livestock slaughter plants in the Cundi-Boyacense Colombian highlands (a hyperendemic region for bovine fascioliasis) and studied by amplicon-based next-generation 16S-rRNA and 18S-rRNA gene sequencing. From these samples, 35 were Fasciola hepatica-negative and, 30 were F. hepatica-positive in our detection analysis. Our results showed a reduction in the relative abundance of Bacteroidetes and Ascomycota in the Fasciola-positive samples, along with decreased relative abundances of the commensal taxa previously associated with fermentation and digestion processes. However, metabolomic approaches and functional analyzes of the intestinal microbiota are necessary to support these hypothesis. These findings are a small first step in the development of research aimed at understanding how microbial populations in bovines are modulated in liver helminth infections.
    MeSH term(s) Animals ; Antibodies, Helminth/blood ; Biomarkers ; Cattle ; Cattle Diseases/parasitology ; Colombia ; Enzyme-Linked Immunosorbent Assay ; Fasciola hepatica/immunology ; Fascioliasis/diagnosis ; Fascioliasis/parasitology ; Feces/microbiology ; Gastrointestinal Microbiome/genetics ; High-Throughput Nucleotide Sequencing ; RNA, Ribosomal, 16S/genetics ; RNA, Ribosomal, 18S/genetics ; Sensitivity and Specificity
    Chemical Substances Antibodies, Helminth ; Biomarkers ; RNA, Ribosomal, 16S ; RNA, Ribosomal, 18S
    Language English
    Publishing date 2021-08-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2727
    ISSN (online) 1935-2735
    ISSN 1935-2727
    DOI 10.1371/journal.pntd.0009658
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Describing the intestinal microbiota of Holstein Fasciola-positive and -negative cattle from a hyperendemic area of fascioliasis in central Colombia.

    Angie L Ramírez / Giovanny Herrera / Marina Muñoz / Laura Vega / Lissa Cruz-Saavedra / Diego García-Corredor / Martin Pulido-Medellín / Diana M Bulla-Castañeda / Julio Cesar Giraldo / María Consuelo Bernal / José Fernández-Manrique / Luis R Vásquez-Arteaga / Juan David Ramírez

    PLoS Neglected Tropical Diseases, Vol 15, Iss 8, p e

    2021  Volume 0009658

    Abstract: The ability to identify compositional changes in the intestinal microbiota of parasitized hosts is important for understanding the physiological processes that may affect animal productivity. Within the field of host-parasite interactions, many studies ... ...

    Abstract The ability to identify compositional changes in the intestinal microbiota of parasitized hosts is important for understanding the physiological processes that may affect animal productivity. Within the field of host-parasite interactions, many studies have suggested that helminths can influence the microbial composition of their hosts via their immunomodulatory effects. Bovine fascioliasis is a helminthiasis widely studied by immunologists, but with little information available regarding gut microbial communities. Thus, we aimed to describe the composition of the intestinal microbiota of Holstein Fasciola-positive and -negative cattle using parasitological methods and ELISA (enzyme-linked immunosorbent assay). Bovine fecal samples (n = 65) were obtained from livestock slaughter plants in the Cundi-Boyacense Colombian highlands (a hyperendemic region for bovine fascioliasis) and studied by amplicon-based next-generation 16S-rRNA and 18S-rRNA gene sequencing. From these samples, 35 were Fasciola hepatica-negative and, 30 were F. hepatica-positive in our detection analysis. Our results showed a reduction in the relative abundance of Bacteroidetes and Ascomycota in the Fasciola-positive samples, along with decreased relative abundances of the commensal taxa previously associated with fermentation and digestion processes. However, metabolomic approaches and functional analyzes of the intestinal microbiota are necessary to support these hypothesis. These findings are a small first step in the development of research aimed at understanding how microbial populations in bovines are modulated in liver helminth infections.
    Keywords Arctic medicine. Tropical medicine ; RC955-962 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Análisis bibliométrico de la producción científica sobre Riesgo psicosocial laboral, publicada entre 2000 y 2010

    Ninfa Pulido Moreno / Alexandra Puentes Suárez / Zaydi Luney Cruz / Diana Rocio López / Mónica García Rubiano

    Diversitas : Perspectivas en Psicología, Vol 11, Iss 1, Pp 147-

    2015  Volume 161

    Abstract: El objetivo de este estudio fue describir la produc - ción científica publicada sobre riesgo psicosocial la - boral, en las bases de datos ProQuest y PsycArticles, durante los años 2000 a 2010. Para la recolección de información se elaboró una rejilla ... ...

    Abstract El objetivo de este estudio fue describir la produc - ción científica publicada sobre riesgo psicosocial la - boral, en las bases de datos ProQuest y PsycArticles, durante los años 2000 a 2010. Para la recolección de información se elaboró una rejilla con indicado - res bibliométricos, clasificados en tres categorías: bibliométricas, metodológicas, y teóricas de los ar - tículos publicados. Se identificaron y analizaron 133 artículos científicos sobre riesgo psicosocial laboral, identificando que el año de mayor producción, fue el 2000 y 2005, con 20 y 19 artículos publicados res - pectivamente, el 30,8 % de los estudios se realizaron en Estados Unidos, la revista Journal of Occupatio - nal Health Psychology, reporta el mayor número de artículos (18 %), el 90,6 % de los autores pertene - cen a la categoría de transeúntes, el 91,7 % de los artículos son de carácter empírico, con un diseño transeccional (65,4 %), los cuestionarios son los más utilizados para evaluar el riesgo (52,6 %), y el modelo teórico demanda control, es el más referido en las publicaciones (39,8 %).
    Keywords Social sciences (General) ; H1-99 ; Social Sciences ; H ; Psychology ; BF1-990 ; Philosophy. Psychology. Religion ; B
    Language Spanish
    Publishing date 2015-01-01T00:00:00Z
    Publisher Universidad Santo Tomás
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Uso de resúmenes de evidencia para informar el tratamiento farmacológico de personas con sospecha o diagnóstico de infección respiratoria por SARS-CoV-2/COVID-19

    Nancy Yomayusa González / Eduardo Low Padilla / Ilich de la Hoz Siegler / Kelly Chacón / Juan Acevedo Peña / Liliana Barrero Garzón / Alexander Barrera Barinas / Natalia Tolosa Pérez / Andrea Castillo Niuman / Fredy Guevara Pulido / Diana Castelblanco Cuevas / Carlos Pinzón Flórez / Fredy Mendivelso Duarte / Francy Cantor Cruz / Ana Castillo Gutiérrez / Olga Gómez Gómez / Adriana Ávila / Claudia Guevara / Carlos Álvarez Moreno /
    José Rojas Gambasica / Carlos Miguel Arbeláez Duque / Bibiana García Guarín / Martha Cárdenas Rodríguez / Sandra Robayo Rodríguez / Marcela Torres Castro

    Revista Colombiana de Nefrología, Vol 7, Iss 2, Pp 160-

    2020  Volume 182

    Abstract: Introducción: debido a la emergencia del coronavirus SARS-CoV-2 desde diciembre del 2019, se ha generado un gran volumen de producción científica, en algún caso incierta o controvertida especialmente en el manejo farmacológico de los pacientes con esta ... ...

    Abstract Introducción: debido a la emergencia del coronavirus SARS-CoV-2 desde diciembre del 2019, se ha generado un gran volumen de producción científica, en algún caso incierta o controvertida especialmente en el manejo farmacológico de los pacientes con esta infección; por lo tanto, se considera relevante buscar alternativas metodológicas para realizar su síntesis rigurosa, sistemática y de calidad, pero con menor tiempo de ejecución y menor costo. Objetivo: presentar la evidencia disponible respecto al manejo farmacológico de personas con sospecha o diagnóstico de infección respiratoria por SARS-CoV-2 (COVID-19) utilizando el método de revisiones sistemáticas rápidas (RS-R) en medicamentos poten- cialmente eficaces para su manejo. Metodología: se realizó una búsqueda sistemática y estructurada en Medline, Embase, Scopus, Cochrane Library, Clinical trials y Google Scholar en inglés. Los estudios incluidos fueron guías de práctica clínica, consensos, revisiones sistemáticas, metaanálisis, ensayos clínicos y otros estudios primarios. La búsqueda y extracción de datos se realizó por múltiples revisores, pero ninguna fue pareada. Resultados: dieciseis preguntas de interés clínico fueron resueltas, relacionadas con el uso en COVID-19 de lopinavir/ ritonavir, nelfinavir, oseltamivir, remdesivir, ribavirina, teicoplanina, umifenovir, favipiravir, tocilizumab, ivermectina y plasma convaleciente; también se evaluó el uso de medicamentos de soporte e incluidos en el manejo como la dexametasona, así como el uso concomitante de medicamentos que generaron dudas como son los AINES, los IECA y los ARA II. Conclusiones: los resúmenes de evidencia se muestran dentro del escenario de la pandemia como una buena alternativa metodológica para ofrecer información de calidad a corto plazo para los tomadores de decisiones
    Keywords covid-19 ; síndromerespiratorioagudograve ; tratamientofarmacológico ; antivirales ; sars-cov-2 ; Internal medicine ; RC31-1245 ; Diseases of the genitourinary system. Urology ; RC870-923
    Language English
    Publishing date 2020-04-01T00:00:00Z
    Publisher Asociación Colombiana de Nefrología e Hipertensión Arterial
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Use of evidence summaries to inform pharmacological treatment of people with suspected or diagnosed SARS-CoV-2 / COVID-19 respiratory infection ; Uso de resúmenes de evidencia para informar el tratamiento farmacológico de personas con sospecha o diagnóstico de infección respiratoria por SARS-CoV-2/COVID-19

    Yomayusa González, Nancy / Low Padilla, Eduardo / de la Hoz Siegler, Ilich / Chacón, Kelly / Acevedo Peña, Juan / Barrero Garzón, Liliana / Barrera Barinas, Alexander / Tolosa Pérez, Natalia / Castillo Niuman, Andrea / Guevara Pulido, Fredy / Castelblanco Cuevas, Diana / Pinzón Flórez, Carlos / Mendivelso Duarte, Fredy / Cantor Cruz, Francy / Castillo Gutiérrez, Ana / Gómez Gómez, Olga / Ávila, Adriana / Guevara, Claudia / Álvarez Moreno, Carlos /
    Rojas Gambasica, José / Arbeláez Duque, Carlos Miguel / García Guarín, Bibiana / Cárdenas Rodríguez, Martha / Robayo Rodríguez, Sandra / Torres Castro, Marcela

    Revista Colombiana de Nefrología; Vol. 7 No. Supl.; Revista Colombiana de Nefrología; Vol. 7 Núm. Supl.2 (2020): Suplemento especial - Pandemia de COVID-19 y Enfermedad Renal - Julio - Diciembre 2020 ; 2500-5006 ; 2389-7708 ; 10.22265/acnef.7.Supl 2

    2020  Volume 2, Issue : Suplemento especial - Pandemia de COVID-19 y Enfermedad Renal - Julio - Diciembre 2020

    Abstract: Introduction: Due to the emergence of the SARS-CoV-2 coronavirus since December 2019, a large volume of scientific production has been generated, in some cases uncertain or controversial, especially in the pharmacological management of patients with this ...

    Abstract Introduction: Due to the emergence of the SARS-CoV-2 coronavirus since December 2019, a large volume of scientific production has been generated, in some cases uncertain or controversial, especially in the pharmacological management of patients with this infection; therefore, it is considered a relevant search for methodological alternatives to carry out its rigorous, systematic and quality synthesis, but with less execution time and lower cost. Objective: To present the available evidence regarding the pharmacological management of people with suspected or diagnosed respiratory SARS-CoV-2 (COVID-19) using the method of rapid systematic reviews (RS-R) in potentially effective drugs for their management. Methodology: A systematic and structured search was conducted in Medline, Embase, Scopus, Cochrane Library, Clinical trials and Google Scholar in English. Studies included clinical practice guidelines, consensus, systematic reviews, meta-analyses, clinical trials, and other primary studies. Data search and extraction were performed by multiple reviewers, but none were paired. Results: Sixteen questions of clinical interest were resolved, related to the use in COVID-19 of lopinavir/ritonavir, nelfinavir, oseltamivir, remdesivir, ribavirin, teicoplanin, umifenovir, favipiravir, tocilizumab, ivermectin, convalescent plasma; the use of support management drugs such as dexamethasone were also evaluated, as well as the concomitant use of drugs that generated doubts, such as NSAIDs, ACEis, and ARA IIs. Conclusions: Summaries of evidence are within the pandemic scenario as a good methodological alternative to offer quality information in the short term for decision-makers.

    Introducción: debido a la emergencia del coronavirus SARS-CoV-2 desde diciembre del 2019, se ha generado un gran volumen de producción científica, en algún caso incierta o controvertida especialmente en el manejo farmacológico de los pacientes con esta infección; por lo tanto, se considera relevante buscar alternativas metodológicas para realizar su síntesis rigurosa, sistemática y de calidad, pero con menor tiempo de ejecución y menor costo. Objetivo: presentar la evidencia disponible respecto al manejo farmacológico de personas con sospecha o diagnóstico de infección respiratoria por SARS-CoV-2 (COVID-19) utilizando el método de revisiones sistemáticas rápidas (RS-R) en medicamentos poten- cialmente eficaces para su manejo. Metodología: se realizó una búsqueda sistemática y estructurada en Medline, Embase, Scopus, Cochrane Library, Clinical trials y Google Scholar en inglés. Los estudios incluidos fueron guías de práctica clínica, consensos, revisiones sistemáticas, metaanálisis, ensayos clínicos y otros estudios primarios. La búsqueda y extracción de datos se realizó por múltiples revisores, pero ninguna fue pareada. Resultados: dieciseis preguntas de interés clínico fueron resueltas, relacionadas con el uso en COVID-19 de lopinavir/ ritonavir, nelfinavir, oseltamivir, remdesivir, ribavirina, teicoplanina, umifenovir, favipiravir, tocilizumab, ivermectina y plasma convaleciente; también se evaluó el uso de medicamentos de soporte e incluidos en el manejo como la dexametasona, así como el uso concomitante de medicamentos que generaron dudas como son los AINES, los IECA y los ARA II. Conclusiones: los resúmenes de evidencia se muestran dentro del escenario de la pandemia como una buena alternativa metodológica para ofrecer información de calidad a corto plazo para los tomadores de decisiones.
    Keywords COVID-19 ; severe acute respiratory syndrome coronavirus 2 ; drug therapy ; antivirals agents ; SARS-CoV-2 ; síndrome respiratorio agudo grave ; tratamiento farmacológico ; antivirales ; covid19
    Language Spanish
    Publishing date 2020-04-14
    Publisher Asociación Colombiana de Nefrologia e Hipertension Arterial
    Publishing country co
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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