SINDROME POST COVID 19

El síndrome de post COVID es una entidad poco conocida, la epidemiologia es casi en un tercio de los pacientes que presentaron COVID en cualquiera de sus modalidades y además se sabe que presenta y comparte muchos síntomas del COVID 19; lo característico es que se presenta en forma más severa que la misma enfermedad en la mayoría de los casos siendo desconocido el origen de estos. El diagnostico se basa principalmente en hallazgos laboratoriales, imágenes y la clínica de la enfermedad y el tratamiento es según a las manifestaciones que se presentan durante la enfermedad

Factors associated with poor adherence to medication in patients with diabetes and hypertension in Peru: Findings from a pooled analysis of six years of population-based surveys

Objective: To evaluate the factors associated with poor medication adherence in patients with DM and HTN in Peru. Study design: A cross-sectional study. Methods: We analyzed data from the Peruvian Demographic and Family Health Survey from 2014 to 2019. Adjusted prevalence ratios (aPR) and their respective 95% confidence intervals (CI) were estimated to determine the factors associated with poor medication adherence. Results: We included 15,184 participants with a known diagnosis of DM and HTN. The frequency of poor medication adherence was 37.1%, with 36.7% among individuals with HTN and 29.2% among individuals with DM. Those belonging to age groups above 30 years (aPR: 0.77; 95% CI: 0.74–0.80, for the group ≥ 60 years) had a lower frequency of poor medication adherence. Meanwhile, being male (aPR: 1.03; 95% CI: 1.01–1.05), lacking health insurance (aPR: 1.08; 95% CI: 1.05–1.10), belonging to lower wealth quintiles (aPR: 1.12; 95% CI: 1.08–1.17, for the first quintile), and living in the mountain region (aPR: 1.09; 95% CI: 1.06–1.12) were associated with a higher frequency of poor medication adherence. These findings were consistent when stratifying by the type of disease. Conclusion: This study showed that poor medication adherence is common in patients with HTN and DM in Peru and is associated with sociodemographic factors, highlighting the importance of public health approaches to improve adherence

Perception of possible sars-cov-2 infection and associated complications in seven labor sectors in peru

Objective: To determine the perception of possible infection caused by the severe acute respiratory syndrome coronavirus (SARS-CoV-2) and associated complications according to the labor sector in Peru. Methods: We performed an observational, cross sectional, and secondary data analysis. The study had three dependent variables that were obtained from a locally validated questionnaire, in which it is asked whether the professionals had the perception that they could be infected with SARS-CoV-2 at work, or could transmit the virus to their family/friends, and regarding the possibility of complications related to the infection. Results: Of the 2843 workers participating in the study, those in the health sector perceived that they were more likely to be infected at work. In the multivariate analysis, adjusted for four variables, health sector workers also perceived that they could be infected more frequently at work (adjusted prevalence ratio (aPR): 1.74; 95% confidence interval (CI): 1.40-2.15; p <0.001). These professionals, moreover, perceived that they could transmit the virus to their family/friends (aPR: 0.76; 95% CI: 0.63-0.92; p = 0.005) or that there would be complications resulting from the infection (aPR: 0.59; 95% CI: 0.48-0.73; p <0.001). On the other hand, engineering sector workers were the ones who had a greater perception that they could infect their family/friends (aPR: 1.95; 95% CI: 1.20-3.20; p = 0.007), while workers from other sectors perceived that they could have more chances of complications from the infection (aPR: 1.17; 95% CI: 1.05-1.30; p = 0.006). Conclusion: The health sector may be the most vulnerable in this context, which is why occupational health teams should develop and implement specific surveillance plans to prevent and reduce the number of coronavirus disease 2019 (COVID-19) cases among healthcare workers

Depression, anxiety, and stress in health professionals working during the covid-19 pandemic in Peru: An analytical cross-sectional study

Objective: To determine the association between depression, anxiety, and stress according to sociodemographic and occupational factors in Peruvian health professionals during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Cross-sectional analytical and multicentre study, based on a virtual survey sent to Peruvian health personnel (from the 25 Peruvian regions) working during the COVID-19 pandemic. The three dependent variables (depression, anxiety, and stress) were measured with the Depression, Anxiety, and Stress Scale -21 (DASS-21) (Cronbach’s Alpha: 0.93) and compared with sociodemographic and occupational variables. P-values were obtained through generalized linear models, adjusted for each location where the survey was sent. Results: Of the 550 participants, 2%, 13%, and 3% of them had severe or very severe depression, anxiety, and stress, respectively. In the multivariate analysis, we observed that professionals with a greater number of children had a lower frequency of severe depression (adjusted prevalence ratio (aPR): 0.37; 95% confidence interval (CI): 0.17-0.79; p = 0.010). In addition, physicians had a lower frequency of severe anxiety (aPR: 0.37; 95% CI: 0.18-0.75; p = 0.036), and professionals who lived in the Central region (aPR: 0.50; 95% CI: 0.25-0.97; p = 0.042) and in the South of the country (aPR: 0.37; 95% CI: 0.19-0.71; p = 0.003) had lower anxiety levels compared to those in the Northern region. With regard to severe stress, those who lived in the Central (aPR: 0.15; 95% CI: 0.03-0.75; p = 0.021) and South regions (aPR: 0.19; 95% CI: 0.04-0.79; p = 0.011) had lower stress levels. Conclusion: There were significant percentages of deteriorating mental health in Peruvian health professionals during the pandemic, which may have negative repercussions in the short-, medium-, and long-term. In this sense, additional governmental actions should be necessary to provide specific psychological and psychiatric support programs to these workers