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GUÍA DE PRÁCTICA CLÍNICA PARA EL MANEJO DE COVID-19 EN PEDIATRÍA EN EL SEGURO SOCIAL DEL PERÚ (ESSALUD): SÍNTESIS DE EVIDENCIA Y RECOMENDACIONES.

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Title: GUÍA DE PRÁCTICA CLÍNICA PARA EL MANEJO DE COVID-19 EN PEDIATRÍA EN EL SEGURO SOCIAL DEL PERÚ (ESSALUD): SÍNTESIS DE EVIDENCIA Y RECOMENDACIONES.
Alternate Title: Clinical Practice Guidelines for the management of COVID-19 in pediatrics in the Social Security of Peru (EsSalud): Synthesis of evidence and recommendations.
Authors: Ortiz Chicchon, Juan Manuel1 manortizch@hotmail.com, Chávez-Rimache, Lesly2,3 leslykcr0410@gmail.com, Estupiñán Vigil, Matilde Emperatriz1 matildeestupinanvigil@yahoo.es, Alvarado-Gamarra, Giancarlo1 galvaradogamarra@gmail.com, Munaico Abanto, Manuel Eduardo1 mmunaicoa@unmsm.edu.pe, Díaz Ruíz, Renato4 redir11@hotmail.com, Villegas Alegre, Susana5 suvial2017@icloud.com, Silva Vásquez, Darwin Mauricio6 darmau2000@yahoo.com, Luna Vílchez, Medalit7 lluna@insnsb.gob.pe, Delgado Seminario, Paulo4 pacedelse@gmail.com, Salvador-Salvador, Stefany2 stefanys9891@gmail.com, Carrera-Acosta, Lourdes2 lourdes.carrera.ac@gmail.com, Taype-Rondan, Alvaro2,3 alvaro.taype.r@gmail.com, Ernesto Santos-Sánchez, Vladimir2 dr.vladimirsantos@gmail.com, Atamari-Anahui, Noé3 noe.atamari@gmail.com
Source: Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo. jul-dic2024, Vol. 17 Issue 3, p1-19. 19p.
Abstract (English): Introduction: Since the beginning of the COVID-19 pandemic, different drugs and medications have been used for the prevention and treatment of COVID-19 infection. Likewise, various investigations have been developed that evaluate the effectiveness and safety of these interventions, which have concluded that they generate more harm than benefit in patient management. For this reason, it is relevant to standardize the interventions that have proven to be effective and safe in the management of pediatric patients with COVID-19. Objective: Provide evidence-based clinical recommendations for the management of COVID-19 in pediatrics. Methods: A guideline development group (GEG) was formed that included pediatric specialists and methodologists. The GEG formulated 11 clinical questions to be answered by this CPG (Table 1). For its preparation, the GEG decided to carry out a rapid adaptation of the Guide for the care of critically ill adult patients with COVID-19 in the Americas of the Pan American Health Organization (PAHO). To formulate the recommendations, the evidence frameworks for decision (EtD) of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology were developed. Results: This CPG addressed 11 clinical questions on management. Based on these questions, 21 recommendations were formulated (13 strong and 8 conditional), 19 good clinical practices (GCP), and 1 flow chart. Conclusion: This article summarizes the methodology and conclusions based on evidence of the CPG for the management of COVID-19 in pediatrics in EsSalud. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: Desde el inicio de la pandemia por el COVID-19 se han utilizado distintos fármacos y medicamentos para la prevención y tratamiento de la infección por COVID-19. Asimismo, se han desarrollado diversas investigaciones que evalúan la eficacia y seguridad de estas intervenciones que han concluido en generar más daño que beneficio en el manejo del paciente. Por este motivo, resulta relevante estandarizar las intervenciones que si han demostrado ser eficaces y seguras en el manejo del paciente pediátrico por COVID-19. Objetivo: Proveer recomendaciones clínicas basadas en evidencia para el manejo del COVID-19 en pediatría. Métodos: Se conformó un grupo elaborador de la guía (GEG) que incluyó médicos especialistas en pediatría y metodólogos. El GEG formuló 11 preguntas clínicas a ser respondidas por la presente GPC (Tabla 1). Para su elaboración el GEG decidió realizar una adaptación rápida de la Guía para el cuidado de pacientes adultos críticos con COVID-19 en las Américas de la Organización Panamericana de la Salud (OPS). Para la formulación de las recomendaciones se elaboró los marcos de evidencia para la decisión (EtD) de la metodología Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Resultados: La presente GPC abordó 11 preguntas clínicas sobre manejo. En base a dichas preguntas se formularon 21 recomendaciones (13 fuertes y 8 condicionales), 19 buenas prácticas clínicas (BPC), y 1 flujograma. Conclusión: El presente artículo resume la metodología y las conclusiones basadas en evidencias de la GPC para el manejo del COVID-19 en pediatría en EsSalud. [ABSTRACT FROM AUTHOR]
Copyright of Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo is the property of Cuerpo Medico del Hospital Nacional Almanzor Aguinaga Asenjo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: GUÍA DE PRÁCTICA CLÍNICA PARA EL MANEJO DE COVID-19 EN PEDIATRÍA EN EL SEGURO SOCIAL DEL PERÚ (ESSALUD): SÍNTESIS DE EVIDENCIA Y RECOMENDACIONES.
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  Data: Clinical Practice Guidelines for the management of COVID-19 in pediatrics in the Social Security of Peru (EsSalud): Synthesis of evidence and recommendations.
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  Data: <searchLink fieldCode="AR" term="%22Ortiz+Chicchon%2C+Juan+Manuel%22">Ortiz Chicchon, Juan Manuel</searchLink><relatesTo>1</relatesTo><i> manortizch@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Chávez-Rimache%2C+Lesly%22">Chávez-Rimache, Lesly</searchLink><relatesTo>2,3</relatesTo><i> leslykcr0410@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Estupiñán+Vigil%2C+Matilde+Emperatriz%22">Estupiñán Vigil, Matilde Emperatriz</searchLink><relatesTo>1</relatesTo><i> matildeestupinanvigil@yahoo.es</i><br /><searchLink fieldCode="AR" term="%22Alvarado-Gamarra%2C+Giancarlo%22">Alvarado-Gamarra, Giancarlo</searchLink><relatesTo>1</relatesTo><i> galvaradogamarra@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Munaico+Abanto%2C+Manuel+Eduardo%22">Munaico Abanto, Manuel Eduardo</searchLink><relatesTo>1</relatesTo><i> mmunaicoa@unmsm.edu.pe</i><br /><searchLink fieldCode="AR" term="%22Díaz+Ruíz%2C+Renato%22">Díaz Ruíz, Renato</searchLink><relatesTo>4</relatesTo><i> redir11@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Villegas+Alegre%2C+Susana%22">Villegas Alegre, Susana</searchLink><relatesTo>5</relatesTo><i> suvial2017@icloud.com</i><br /><searchLink fieldCode="AR" term="%22Silva+Vásquez%2C+Darwin+Mauricio%22">Silva Vásquez, Darwin Mauricio</searchLink><relatesTo>6</relatesTo><i> darmau2000@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Luna+Vílchez%2C+Medalit%22">Luna Vílchez, Medalit</searchLink><relatesTo>7</relatesTo><i> lluna@insnsb.gob.pe</i><br /><searchLink fieldCode="AR" term="%22Delgado+Seminario%2C+Paulo%22">Delgado Seminario, Paulo</searchLink><relatesTo>4</relatesTo><i> pacedelse@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Salvador-Salvador%2C+Stefany%22">Salvador-Salvador, Stefany</searchLink><relatesTo>2</relatesTo><i> stefanys9891@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Carrera-Acosta%2C+Lourdes%22">Carrera-Acosta, Lourdes</searchLink><relatesTo>2</relatesTo><i> lourdes.carrera.ac@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Taype-Rondan%2C+Alvaro%22">Taype-Rondan, Alvaro</searchLink><relatesTo>2,3</relatesTo><i> alvaro.taype.r@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Ernesto+Santos-Sánchez%2C+Vladimir%22">Ernesto Santos-Sánchez, Vladimir</searchLink><relatesTo>2</relatesTo><i> dr.vladimirsantos@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Atamari-Anahui%2C+Noé%22">Atamari-Anahui, Noé</searchLink><relatesTo>3</relatesTo><i> noe.atamari@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Revista+del+Cuerpo+Médico+del+Hospital+Nacional+Almanzor+Aguinaga+Asenjo%22">Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo</searchLink>. jul-dic2024, Vol. 17 Issue 3, p1-19. 19p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Since the beginning of the COVID-19 pandemic, different drugs and medications have been used for the prevention and treatment of COVID-19 infection. Likewise, various investigations have been developed that evaluate the effectiveness and safety of these interventions, which have concluded that they generate more harm than benefit in patient management. For this reason, it is relevant to standardize the interventions that have proven to be effective and safe in the management of pediatric patients with COVID-19. Objective: Provide evidence-based clinical recommendations for the management of COVID-19 in pediatrics. Methods: A guideline development group (GEG) was formed that included pediatric specialists and methodologists. The GEG formulated 11 clinical questions to be answered by this CPG (Table 1). For its preparation, the GEG decided to carry out a rapid adaptation of the Guide for the care of critically ill adult patients with COVID-19 in the Americas of the Pan American Health Organization (PAHO). To formulate the recommendations, the evidence frameworks for decision (EtD) of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology were developed. Results: This CPG addressed 11 clinical questions on management. Based on these questions, 21 recommendations were formulated (13 strong and 8 conditional), 19 good clinical practices (GCP), and 1 flow chart. Conclusion: This article summarizes the methodology and conclusions based on evidence of the CPG for the management of COVID-19 in pediatrics in EsSalud. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: Desde el inicio de la pandemia por el COVID-19 se han utilizado distintos fármacos y medicamentos para la prevención y tratamiento de la infección por COVID-19. Asimismo, se han desarrollado diversas investigaciones que evalúan la eficacia y seguridad de estas intervenciones que han concluido en generar más daño que beneficio en el manejo del paciente. Por este motivo, resulta relevante estandarizar las intervenciones que si han demostrado ser eficaces y seguras en el manejo del paciente pediátrico por COVID-19. Objetivo: Proveer recomendaciones clínicas basadas en evidencia para el manejo del COVID-19 en pediatría. Métodos: Se conformó un grupo elaborador de la guía (GEG) que incluyó médicos especialistas en pediatría y metodólogos. El GEG formuló 11 preguntas clínicas a ser respondidas por la presente GPC (Tabla 1). Para su elaboración el GEG decidió realizar una adaptación rápida de la Guía para el cuidado de pacientes adultos críticos con COVID-19 en las Américas de la Organización Panamericana de la Salud (OPS). Para la formulación de las recomendaciones se elaboró los marcos de evidencia para la decisión (EtD) de la metodología Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Resultados: La presente GPC abordó 11 preguntas clínicas sobre manejo. En base a dichas preguntas se formularon 21 recomendaciones (13 fuertes y 8 condicionales), 19 buenas prácticas clínicas (BPC), y 1 flujograma. Conclusión: El presente artículo resume la metodología y las conclusiones basadas en evidencias de la GPC para el manejo del COVID-19 en pediatría en EsSalud. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo is the property of Cuerpo Medico del Hospital Nacional Almanzor Aguinaga Asenjo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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