IPV is common among female STD patients and is associated with risk behaviors and partner factors that increase patients' risk of contracting STD and HIV. Screening and referral for IPV should be routinely conducted for female patients attending STD clinics.
Background
Susceptibility of children and adults to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and persistence of antibody response to the virus after infection resolution remain poorly understood, despite their significant public health implications.
Methods
A cross-sectional seroprevalence study with prospective recruitment of volunteer families that included at least one first-reported adult case positive by SARS-CoV-2 PCR and at least one child aged less than 15 years living in the same household under strict home confinement was conducted in the Health Region of metropolitan Barcelona (Spain) during the pandemic period April 28-June 3, 2020. All household members were tested at home by a rapid SARS-CoV-2 antibody assay in finger-prick obtained capillary blood.
Results
A total of 381 family households including 381 first-reported PCR-positive adult cases and 1,084 contacts (672 children, 412 adults) were enrolled. SARS-CoV-2 infection seroprevalence rates were 17.6% (118/672) in children and 18.7% (77/335) in adult contacts (p=0.64). Among first-reported cases, seropositivity rates varied from 84.0% in adults previously hospitalized and tested within 6 weeks since the first positive PCR result to 31.5% in those not hospitalized and tested after that lag time (p<0.001). Nearly all (99.9%) positive pediatric contacts were asymptomatic or had mild symptoms.
Conclusion
Children appear to have similar probability as adults to become infected by SARS-CoV-2 in quarantined family households but remain largely asymptomatic once infected. Adult antibody protection against SARS-CoV-2 seems to be weak at early convalescence and beyond 6 weeks post-infection confirmation, especially in cases that have experienced mild disease.
Introducción: En diciembre de 2019, Wuhan, capital de la provincia de Hubei (China), se convirtió en el epicentro de una serie de casos de neumonía de causa desconocida. El agente biológico identificado es un betacoronavirus de ácido ribonucleico con envoltura que actualmente se denomina coronavirus de tipo 2 causante del síndrome respiratorio agudo severo. Objetivo: Desarrollar un proceso de enfermería aplicado a un paciente con el binomio coronavirus de tipo 2 causante del síndrome respiratorio agudo severo y Diabetes Mellitus 2. Metodología: Estudio de caso clínico descriptivo, se desarrolló el proceso de enfermería, la valoración fue guiada por el enfoque conceptual de Virginia Henderson, se establecieron diagnósticos, resultados e intervenciones. Presentación del caso: Masculino de 44 años de edad con coronavirus de tipo 2 causante del síndrome respiratorio agudo severo y Diabetes Mellitus 2 que ingresó a la Unidad de Cuidados Intensivos Adultos de un Hospital de Tercer Nivel de Atención. Resultados: Se identificaron los diagnósticos “Limpieza ineficaz de las vías aéreas, hipertermia y riesgo de nivel de glucemia inestable”. Conclusión: Mediante las intervenciones se alcanzaron los resultados esperados, el paciente egresó de la unidad de cuidados intensivos 18 días posteriores a su internamiento.
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