Infección por SARS-CoV2 en pacientes con trasplante de órgano sólido: Cinco preguntas importantes.

Palabras clave: COVID-19, virus del SRAS, coronavirus, infecciones por coronavirus, pandemias, cirugía general, trasplante

Resumen

Es grande la expectativa que genera en todos los servicios de salud del mundo la rápida expansión del SARS-CoV2 (Coronavirus 2 del Síndrome Respiratorio Agudo y Grave), agente etiológico de la Enfermedad Infecciosa por Coronavirus del año 2019, COVID-19. Por tratarse de una enfermedad emergente es poco lo que se conoce sobre su comportamiento en los humanos, lo que lleva a múltiples interrogantes al momento de tomar decisiones en la práctica clínica. Hasta el momento, las estrategias para enfrentar esta pandemia se basan en la experiencia de los países que han sido epicentro del brote infeccioso y en la evidencia recopilada durante el manejo de otros coronavirus en años anteriores (SARS-CoV en el año 2002 y MERS-CoV en 2012).

La falta de información contundente y unificada ha dado lugar a especulaciones y a suposiciones, especialmente relacionadas con la atención del COVID-19 en poblaciones consideradas de alto riesgo, como son los pacientes crónicamente inmunosuprimidos postrasplante. A través de esta revisión narrativa de la literatura, más allá de dar la opinión de los autores, se pretende organizar de manera juiciosa los documentos hasta el momento publicados, y responder, basados en datos reales, cinco de las preguntas más importantes que surgen en el día a día durante el manejo de los pacientes trasplantados.

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Biografía del autor/a

Roger Martin, Universidad ICESI, Fundación Valle del Lili, Cali, Colombia.

Cirujano General Universidad Nacional de Colombia. Fellow Cirugía de Trasplante de Órganos Abdominales Universidad ICESI, Unidad Funcional de Trasplantes Fundación Valle del Lili, Cali, Colombia.

Melibea Sierra, Harvard University, Boston, MA, USA, Fundación Valle del Lili, Cali, Colombia

Research Fellow, Harvard University, Boston, MA, USA. Centro de Investigaciones clínicas, Fundación Valle del Lili, Cali, Colombia

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Publicado
2020-04-16
Cómo citar
1.
Martin R, Sierra-Ruiz M. Infección por SARS-CoV2 en pacientes con trasplante de órgano sólido: Cinco preguntas importantes. . Rev Colomb Cir [Internet]. 16 de abril de 2020 [citado 29 de septiembre de 2020];35(2):216-2. Disponible en: https://www.revistacirugia.org/index.php/cirugia/article/view/623
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