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revista.png","https:\u002F\u002Fprod-cncm-websites-bucket.s3.us-east-1.amazonaws.com\u002Fcerteza.conacem.org.mx\u002Fpublic\u002Fpdfs\u002FCerteza-Enero-Marzo-2022.pdf","\u002Fnumero-1\u002Fcontenido","https:\u002F\u002Fprod-cncm-websites-bucket.s3.us-east-1.amazonaws.com\u002Fcerteza.conacem.org.mx\u002Fpublic\u002Fvideos\u002FCerteza-1.mp4",{"title":116,"description":117,"author":118,"date":119,"cover":120,"issue":121,"slug":122,"path":123,"type":124,"typeColor":125,"typeIcon":126},"Medidas para prevenir la diseminación de COVID-19","UNA CONSULTA - Medidas para prevenir la diseminación de COVID-19","Dra. Rayo Morfin Otero y Dr. Eduardo Rodríguez Noriega","","https:\u002F\u002Fprod-cncm-websites-bucket.s3.us-east-1.amazonaws.com\u002Fcerteza.conacem.org.mx\u002Fpublic\u002Fassets\u002Ficonos\u002Ficons.contenido-10.png","1","una-consulta","\u002Fnumero-1\u002Funa-consulta","UNA CONSULTA","#ef6c00","https:\u002F\u002Fprod-cncm-websites-bucket.s3.us-east-1.amazonaws.com\u002Fcerteza.conacem.org.mx\u002Fpublic\u002Ficons\u002Farticle-icons\u002Ficon-una-consulta.png",{"id":128,"title":116,"body":129,"description":117,"extension":135,"meta":136,"navigation":197,"path":123,"seo":198,"stem":199,"__hash__":200},"magazine\u002Fnumero-1\u002Funa-consulta.md",{"type":130,"value":131,"toc":132},"minimark",[],{"title":119,"searchDepth":133,"depth":133,"links":134},3,[],"md",{"author":118,"date":119,"cover":120,"type":124,"typeColor":125,"typeIcon":126,"blocks":137},[138,141,144,146,148,149,151,154,156,158,160,162,164,166,168,170,172,174,176],{"type":139,"content":140},"subheading","Dra. Rayo Morfín Otero",{"type":142,"content":143},"paragraph","Consejo Mexicano de Certificación en Infectología, A.C.",{"type":142,"content":145},"rayomorfin@gmail.com",{"type":139,"content":147},"Dr. Eduardo Rodríguez Noriega",{"type":142,"content":143},{"type":142,"content":150},"idfcolima@yahoo.com",{"type":152,"src":153,"alt":119},"image","https:\u002F\u002Fprod-cncm-websites-bucket.s3.us-east-1.amazonaws.com\u002Fcerteza.conacem.org.mx\u002Fpublic\u002Fimg-articles\u002Fprimera\u002Funa-consulta\u002F1.png",{"type":142,"content":155},"La aplicación de medidas de control de infecciones para prevenir la transmisión de enfermedades virales respiratorias fue implementada durante la pandemia de influenza de 1918. Durante este periodo, en ausencia de antivirales y vacunas se aplicaron medidas no farmacológicas de prevención. (1,2,3,4) El cierre de escuelas, iglesias, teatros, evitar eventos públicos, aislamiento del paciente sintomático, cuarentena de los contactos y el uso de mascarillas dio como resultado la reducción de transmisión de más de 50% en las ciudades que iniciaron su impletementación temprana. (2,4)",{"type":142,"content":157},"Es importante comprender el beneficio relativo de diferentes estrategias de control de riesgos para minimizar la propagación de COVID-19 y jerarquizarlas.",{"type":152,"src":159,"alt":119},"https:\u002F\u002Fprod-cncm-websites-bucket.s3.us-east-1.amazonaws.com\u002Fcerteza.conacem.org.mx\u002Fpublic\u002Fimg-articles\u002Fprimera\u002Funa-consulta\u002F2.png",{"type":142,"content":161},"Tomar en cuenta que en orden jerárquico van de más a menos efectivas. (5) Las medidas de prevención en la comunidad ahora reconocidas, al ser un virus que se transmite por vía aérea, son el distanciamiento social de más de un metro, utilizar de preferencia en el ámbito no hospitalario mascarillas no quirúrgicas N95 o KN95, aislamiento, cierre de lugares de trabajo, cierre de transporte público, limitar reuniones a diez personas y buena ventilación. (6,7,8,9)",{"type":142,"content":163},"[bold] Estrategias como vacunación completa, que incluye un refuerzo, y adecuación de las mascarillas harán que la prevención no farmacológica sea óptima. (6,10,11,12) [\u002Fbold] La aplicación de las medidas no farmacológicas de prevención de influenza, durante las pandemias de 1918 y de 2009, se suspendieron al poco tiempo de ser instituidas debido a la afectación de la economía mundial. Después de la fase inicial de la pandemia de influenza de 2009, a pesar del uso de medidas no farmacológicas de prevención, de vacunación y de antivirales orales, continuaron presentándose brotes importantes de en los 24 meses siguientes posteriores a la primera fase.",{"type":142,"content":165},"La pandemia con el nuevo Coronavirus SARS-CoV-2 (similar al virus SARS-Cov-1 de 2003, Severe Acute Respiratory Syndrome), que causa la enfermedad COVID-19 (Coronavirus Disease 2019), igual que el virus de la influenza, es un virus de transmisión aérea, se disemina de persona a persona por vía respiratoria. (13)",{"type":142,"content":167},"En esta ocasión, al no contar con vacunas o medicamentos antivirales, se aplicaron rápidamente medidas no farmacológicas de prevención similares a las de las pandemias de influenza. Además de cierre de sitios de trabajo, escuelas, iglesias, bares, restaurantes, cines teatros, cancelación de eventos públicos, aislamiento, cuarentena y uso de mascarillas, se incluyó el cierre de aeropuertos, alerta de viajes internacionales, distanciamiento social, higiene de manos, limpieza de superficies y la estrategia de encontrar casos, utilizar masivamente pruebas diagnósticas y búsqueda de contactos.",{"type":169},"divider",{"type":152,"src":171},"https:\u002F\u002Fprod-cncm-websites-bucket.s3.us-east-1.amazonaws.com\u002Fcerteza.conacem.org.mx\u002Fpublic\u002Fimg-articles\u002Fprimera\u002Funa-consulta\u002F3.png",{"type":142,"content":173},"Las autoridades federales junto a los gobiernos estatales deben implementar un plan adecuado para los próximos años y estar preparados en caso de ocurrir un nuevo brote con una nueva variante del virus; contar con cantidades disponibles de mascarillas, medicamentos antivirales, otras opciones terapéuticas y una estructura hospitalaria adecuada.",{"type":142,"content":175},"El plan futuro debe incluir una estrategia en el momento de un brote: buscar, diagnosticar, encontrar contactos, aislar y ayudar a los que estén en cuarentena.  [bold] Aprender a vivir con el virus SARS-CoV-2 requiere aplicar las medidas de prevención probadas y reconocidas en proporción adecuada para proteger vidas humanas y evitar daño a la economía. [\u002Fbold] ",{"type":177,"title":178,"items":179},"references","Referencias",[180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196],"HATCHETT, R. J., MECHER, C. E. & LIPSITCH, M. 2007. Public health interventions and epidemic intensity during the 1918 influenza pandemic. Proc Natl Acad Sci U S A, 104, 7582-7.","BOOTSMA, M. C. & FERGUSON, N. M. 2007. The effect of public health measures on the 1918 influenza pandemic in U.S. cities. Proc Natl Acad Sci U S A, 104, 7588-93.","JEFFERSON, T., FOXLEE, R., DEL MAR, C., DOOLEY, L., FERRONI, E., HEWAK, B., PRABHALA, A., NAIR, S. & RIVETTI, A. 2008. Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. BMJ, 336, 77-80.","FERGUSON, N. M., CUMMINGS, D. A., FRASER, C., CAJKA, J. C., COOLEY, P. C. & BURKE, D. S. 2006. Strategies for mitigating an influenza pandemic. Nature, 442, 448-52.","SEHGAL, N. J. & MILTON, D. K. 2021. Applying the Hierarchy of Controls: What Occupational Safety Can Teach us About Safely Navigating the Next Phase of the Global COVID-19 Pandemic. Front Public Health, 9, 747894.","CHU, D. K., AKL, E. A., DUDA, S., SOLO, K., YAACOUB, S., SCHUNEMANN, H. J. & AUTHORS, C.-S. U. R. G. E. S. 2020. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet, 395, 1973-1987.","LI, F., LI, Y. Y., LIU, M. J., FANG, L. Q., DEAN, N. E., WONG, G. W. K., YANG, X. B., LONGINI, I., HALLORAN, M. E., WANG, H. J., LIU, P. L., PANG, Y. H., YAN, Y. Q., LIU, S., XIA, W., LU, X. X., LIU, Q., YANG, Y. & XU, S. Q. 2021. Household transmission of SARS-CoV-2 and risk factors for susceptibility and infectivity in Wuhan: a retrospective observational study. Lancet Infect Dis, 21, 617-628.","KUCHARSKI, A. J., KLEPAC, P., CONLAN, A. J. K., KISSLER, S. M., TANG, M. L., FRY, H., GOG, J. R., EDMUNDS, W. J. & GROUP, C. C.-W. 2020. Effectiveness of isolation, testing, contact tracing, and physical distancing on reducing transmission of SARS-CoV-2 in different settings: a mathematical modelling study. Lancet Infect Dis, 20, 1151-1160.","MORAWSKA, L. & MILTON, D. K. 2020. It Is Time to Address Airborne Transmission of Coronavirus Disease 2019 (COVID-19). Clin Infect Dis, 71, 2311-2313.","BROOKS, J. T., BEEZHOLD, D. H., NOTI, J. D., COYLE, J. P., DERK, R. C., BLACHERE, F. M. & LINDSLEY, W. G. 2021. Maximizing Fit for Cloth and Medical Procedure Masks to Improve Performance and Reduce SARS-CoV-2 Transmission and Exposure, 2021. MMWR Morb Mortal Wkly Rep, 70, 254-257.","CHENG, C. J., LU, C. Y., CHANG, Y. H., SUN, Y., CHU, H. J., LEE, C. Y., LIU, C. H., LIN, C. H., LU, C. J. & LI, C. Y. 2021. Effectiveness of the WHO-Authorized COVID-19 Vaccines: A Rapid Review of Global Reports till 30 June 2021. Vaccines (Basel), 9.","MBAEYI, S., OLIVER, S. E., COLLINS, J. P., GODFREY, M., GOSWAMI, N. D., HADLER, S. C., JONES, J., MOLINE, H., MOULIA, D., REDDY, S., SCHMIT, K., WALLACE, M., CHAMBERLAND, M., CAMPOS-OUTCALT, D., MORGAN, R. L., BELL, B. P., BROOKS, O., KOTTON, C., TALBOT, H. K., LEE, G., DALEY, M. F. & DOOLING, K. 2021. The Advisory Committee on Immunization Practices’ Interim Recommendations for Additional Primary and Booster Doses of COVID-19 Vaccines - United States, 2021. MMWR Morb Mortal Wkly Rep, 70, 1545-1552.","CHAN, J. F., YUAN, S., KOK, K. H., TO, K. K., CHU, H., YANG, J., XING, F., LIU, J., YIP, C. C., POON, R. W., TSOI, H. W., LO, S. K., CHAN, K. H., POON, V. K., CHAN, W. M., IP, J. D., CAI, J. P., CHENG, V. C., CHEN, H., HUI, C. K. & YUEN, K. Y. 2020. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet, 395, 514-523.","RUDNICK, S. N. & MILTON, D. K. 2003. Risk of indoor airborne infection transmission estimated from carbon dioxide concentration. Indoor Air, 13, 237-45.","MENDELL, M. J., ELISEEVA, E. A., DAVIES, M. M., SPEARS, M., LOBSCHEID, A., FISK, W. J. & APTE, M. G. 2013. Association of classroom ventilation with reduced illness absence: a prospective study in California elementary schools. Indoor Air, 23, 515-28.","PENG, Z. & JIMENEZ, J. L. 2021. Exhaled CO2 as a COVID-19 Infection Risk Proxy for Different Indoor Environments and Activities. Environ Sci Technol Lett, 8, 392-397.","CHENG, S. Y., WANG, C. J., SHEN, A. C. & CHANG, S. C. 2020. How to Safely Reopen Colleges and Universities During COVID-19: Experiences From Taiwan. 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