Como volver al trabajo luego de COVID-19

COVID-19 Update: Guidance on Exposed, Asymptomatic Workers / CPR Recommendations / The Case for Face Masks / Convalescent Plasma Guidance

By Kelly Young

Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS

The CDC says that critical infrastructure workers who have been exposed to SARS-CoV-2 but are not symptomatic can continue to work under certain conditions:

• Employees' temperatures should be taken and symptoms assessed before work resumes, and they should regularly self-monitor. If employees develop symptoms, they should not work.
• A face mask should be worn for 14 days since the last exposure.
• Employees should maintain a 6-foot separation from one another if possible.
• Work spaces should be regularly cleaned and disinfected, particularly areas that are commonly touched.

This guidance applies to workers in 16 sectors, including healthcare, law enforcement, agriculture, and transportation.

In other novel coronavirus disease (COVID-19) news:

• Several medical groups have compiled recommendations for helping patients in cardiac arrest who have confirmed or suspected COVID-19. For instance, lay rescuers and the patient can wear face masks to help reduce the risk for viral transmission. The recommendations appear in Circulation.
• An analysis in The BMJ makes a case for the public wearing face masks, even when the evidence doesn't overwhelmingly support their use. The authors write: "As with parachutes for jumping out of aeroplanes, it is time to act without waiting for randomised controlled trial evidence... Masks are simple, cheap, and potentially effective. We believe that, worn both in the home (particularly by the person showing symptoms) and also outside the home in situations where meeting others is likely (for example, shopping, public transport), they could have a substantial impact on transmission with a relatively small impact on social and economic life."
• The FDA has published guidance on collection and use of convalescent plasma as a potential treatment for COVID-19.

CDC interim guidance (Free)

Cybersecurity and Infrastructure Security Agency memo on critical infrastructure workforce (Free)

CDC guidance on disinfecting surfaces (Free)

Circulation article on CPR guidance (Free PDF)

The BMJ analysis (Free)

FDA guidance on convalescent plasma (Free PDF)

NEJM Journal Watch COVID-19 page (Free)

NEJM COVID-19 page (Free)

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

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