Lagrutta Laura, Sotelo Carina A, Estecho Beatriz R, Beorda Walter J, Francos José L, González Montaner Pablo
Unidad Febril de Urgencias, Hospital de Infecciosas Francisco Javier Muñiz, Buenos Aires, Argentina.
Unidad Febril de Urgencias, Hospital de Infecciosas Francisco Javier Muñiz, Buenos Aires, Argentina. E-mail:
Medicina (B Aires). 2021;81(2):143-148.
Febrile Emergency Units were annexed to tertiary hospitals to face the pandemic caused by SARS CoV-2 in Buenos Aires City. We performed a retrospective observational study in order to evaluate the profile of people consulting the Unit annexed to the Muñiz Hospital, during the period comprising epidemiological weeks 28 to 42, 2020. The total number of consultations was 12 571; 6801 (54.1%) patients were male, and the average age was 38 years. A total of 2499 (26.3 %) of 9501 swabs resulted positive for SARS-CoV-2 when analyzed by RT-PCR. The average age of confirmed COVID-19 patients was 37.9 years; 1367 (54.7%) were male and 143 (5.7%) required hospitalization at the first consultation. As many as 6097 (48.5%) participants were beneficiaries of social security or prepaid medicine. Only 160 (1.3%) were HIV positive, with COVID-19 coinfection diagnosed in 39/160 (24.4%), of which 9 (23.1%) required hospitalization. Only 128 (1%) had tuberculosis (TB); TB/COVID-19 coinfection was diagnosed in 31 of them (24.2%), and 8/31 (25.8%) required hospitalization. The triple association HIV/TB /COVID-19 was reported in only 2 patients. Contrary to expectations, TB and HIV, the two main diseases treated in our hospital, were under-represented in this Emergency Unit, but the requirement of hospitalization for coinfected patients was quite frequent. This may be due to late consultation caused by mobility and assistance restrictions during quarantine. Interestingly, our data also indicate that the city's public sector had to absorb unsatisfied demand from the private sector and suburban population.
为应对布宜诺斯艾利斯市由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引发的疫情，三级医院增设了发热急诊单元。我们开展了一项回顾性观察研究，以评估2020年第28至42个流行病学周期间在穆尼兹医院附属单元就诊的人员情况。就诊总数为12571例；其中6801例（54.1%）为男性，平均年龄为38岁。在9501份拭子样本中，经逆转录聚合酶链反应（RT-PCR）分析，共有2499份（26.3%）的SARS-CoV-2检测呈阳性。确诊的新型冠状病毒肺炎患者平均年龄为37.9岁；其中1367例（54.7%）为男性，143例（5.7%）在首次就诊时需要住院治疗。多达6097例（48.5%）参与者是社会保障或预付医疗的受益人。只有160例（1.3%）为艾滋病毒阳性，其中39例（24.4%）被诊断为新型冠状病毒肺炎合并感染，9例（23.1%）需要住院治疗。只有128例（1%）患有结核病；其中31例（24.2%）被诊断为结核病/新型冠状病毒肺炎合并感染，8例（25.8%）需要住院治疗。仅2例患者报告了艾滋病毒/结核病/新型冠状病毒肺炎三联感染。与预期相反，结核病和艾滋病毒这两种我院治疗的主要疾病在这个急诊单元中所占比例较低，但合并感染患者的住院需求相当频繁。这可能是由于隔离期间行动和援助限制导致就诊延迟。有趣的是，我们的数据还表明，该市公共部门不得不吸纳来自私营部门和郊区人口未得到满足的需求。
