Publications by authors named "G Merinos-Sanchez"
Article Synopsis
- - The systematic review aims to assess how well procalcitonin (PCT) can predict bacterial infections in adults suspected of having infections in emergency departments (ED) in Spain and Latin America, where such cases make up a significant portion of daily care.
- - Conducted using the PRISMA regulations, the review analyzed 1,323 articles but focused on 21 qualifying studies involving over 10,000 patients, with a notable proportion having confirmed bacterial infections.
- - The quality of these studies varied, with eight rated high and four low, showing a range in diagnostic performance (AUC-ROC) from 0.68 to 0.99, indicating differing effectiveness in predicting bacterial infections based on PCT levels.
Objectives: Blood cultures are ordered in emergency departments for 15% of patients with suspected infection. The diagnostic yield varies from 2% to 20%. Thirty-day mortality in patients with bacteremia is high, doubling or tripling the rate in patients with the same infection but without bacteremia.
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- * Methods: A systematic review was conducted using multiple databases according to PRISMA guidelines, analyzing observational studies that reported on PCT and its correlation with bacteremia from January 2010 to May 2023.
- * Results: Out of 1,372 articles reviewed, 20 studies involving 18,120 blood cultures were analyzed, finding a 15.88% rate of bacteremia. The PCT threshold of >0.5 ng/ml was
The Guadalajara Declaration on sepsis: emergency physicians' constructive comments on the Surviving Sepsis Campaign's 2021 updated guidelines.
Emergencias
February 2023
The Surviving Sepsis Campaign (SSC) published a 2021 update of its 2016 recommendations. The update was awaited with great anticipation the world over, especially by emergency physicians. Under the framework of the CIMU 2022 (33rd World Emergency Medicine Conference) in Guadalajara, Mexico in March, emergency physiciansreviewed and analyzed the 2021 SSC guidelines from our specialty's point of view.
View Article and Find Full Text PDFIntroduction: Sepsis is one of the main reasons for consultation at emergency departments.
Objective: To identify the prevalence of sepsis in emergency departments of Mexico.
Method: Cross-sectional study with a 30-day follow-up of patients diagnosed with sepsis or septic shock; demographic variables, management and outcomes were analyzed.