Impact of the COVID-19 Pandemic on the Urologist’s clinical practice in Brazil: a management guideline proposal for low- and middle-income countries during the crisis period

Autor: Andrey Soares, Ana Paula Garcia Cardoso, Marcelo Langer Wroclawski, Nam Jin Kim, Arie Carneiro, Fabricio Torres Carvalho, Bruno Nahar
Rok vydání: 2020
Předmět:
Zdroj: International braz j urol v.46 n.4 2020
International Braz J Urol
Sociedade Brasileira de Urologia (SBU)
instacron:SBU
International Brazilian Journal of Urology, Vol 46, Iss 4, Pp 501-510
International braz j urol, Volume: 46, Issue: 4, Pages: 501-510, Published: 01 JUN 2020
International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology
ISSN: 1677-6119
1677-5538
DOI: 10.1590/s1677-5538.ibju.2020.04.03
Popis: This letter to the Editor aims to provide suggestions and recommendations for the management of urological conditions in times of COVID-19 crisis in Brazil and other low- and middle-income countries It is important to highlight that one of the main characteristics of this pandemic is the oversaturation of the health system capacity, mostly due to a high demand for personal protective equipment (PPE), Hospital/ICU beds, as well as ventilators In places with limited resources and where the health care systems are already saturated, such consideration is even more worrisome Therefore, most worldwide authorities are recommending to avoid, as much as possible, patient's elective visits to hospitals, as well as a judicious use of the operating room in order to mitigate the strain put on the health system While efforts should be directed to the care of COVID-19 patients, other conditions (especially urgencies and oncological cases) must continue to be assisted Thus, through a panel of experts, we have prepared a practical guide for urologists based on the recommendations from the main Urologic Associations, as well as data from the literature to support the suggested management We will try to follow the standard guideline recommendations from the American Urological Association (AUA) and European Association of Urology (EAU), with the aim of pursuing the best outcomes possible However, some recommendations were based on the consensus of the panel, taking into consideration the reality of developing countries and the unprecedented situation caused by the COVID-19 crisis Most importantly, all recommendations on this manuscript are based on the expectancy of a maximum 3-month duration of the crisis If this period shall extended, these recommendations will be revised and updated Available at https://www intbrazjurol com br/pdf/aop/COVID_19_Arie_et_al pdf
Databáze: OpenAIRE