Incidence of COVID19 in pregnant patients with surgical protocol of the General Hospital of Tampico “Dr. Carlos Canseco”

Authors

  • Alejandra Tavera Tapia
  • Ana Cristina Moreno-Chávez Facultad de Medicina “Dr. Alberto Romo Caballero”, Universidad Autónoma de Tamaulipas; Tampico (Tamaulipas), México. División de Investigación. Facultad de Medicina de Tampico. ·Dr. Alberto Romo Caballero. Universidad Autónoma de Tamaulipas. Circuito Universitario SN Congregación Hidalgo. CP 89000. Tampico (Tamaulipas), México.
  • José Eugenio Guerra-Cárdenas Facultad de Medicina “Dr. Alberto Romo Caballero”, Universidad Autónoma de Tamaulipas; Tampico (Tamaulipas), México. División de Investigación. Facultad de Medicina de Tampico. ·Dr. Alberto Romo Caballero. Universidad Autónoma de Tamaulipas. Circuito Universitario SN Congregación Hidalgo. CP 89000. Tampico (Tamaulipas), México.
  • Elizabeth Reyna-Beltrán Facultad de Medicina “Dr. Alberto Romo Caballero”, Universidad Autónoma de Tamaulipas; Tampico (Tamaulipas), México. División de Investigación. Facultad de Medicina de Tampico. ·Dr. Alberto Romo Caballero. Universidad Autónoma de Tamaulipas. Circuito Universitario SN Congregación Hidalgo. CP 89000. Tampico (Tamaulipas), México.

DOI:

https://doi.org/10.29059/amsem.v1i2.37

Keywords:

pregnancy, COVID-19, outcomes, incidence

Abstract

Background

Currently, higher risks of maternal-fetal complications are observed in pregnant women positive for COVID-19. Given the high infectivity of SARS-CoV-2, it is a priority to screen those patients who will undergo surgical procedures in which there is contact between patient and health personnel to identify and protocol their care in a safely manner.

 

Objective

Study the incidence of COVID-19 in pregnant patients undergoing surgical protocol for the resolution of pregnancy in the Hospital “Dr. Carlos Canseco”.

 

Materials and methods

An observational, descriptive, transversal and single-center study was carried out in the northeast region of Mexico, 80 pregnant women were included that required surgical protocol. The PCR test was performed to identify infection by SARS-CoV-2 and statistical analyzes were done for description and comparison of the cohort.

               

Results

The SARS-CoV-2 incidence was 6.2% in pregnant women with surgical protocol. These patients presented a higher percentage of comorbidities as body mass index>25, gestational diabetes mellitus and gestational hypertension than healthy pregnant women. No vertical transmission, maternal-infant mortality, or transmission of the infection to health personnel were observed given the protocol implemented for the management of this group of patients.

 

Conclusions

The relevance of preoperative screening for SARS-CoV-2 was demonstrated in order to prepare the protocol of care for COVID-19 patients in a safe and effective way for them and the health personnel. The protection measures implemented in the hospital were adequate to avoid vertical transmission, as well as towards occupationally exposed health personnel.

 

References

Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Vol. 91, Acta Biomed 2020; 91(1):157-60.

Cabello-Ganem A, Espino-Rojas MF, Ramírez-Perea F, López-Ávila A. Cardiovascular, hematological and renal implications of COVID-19. Med Int Méx 2021 Sep 1; 37(5):813-

Sharma P, Uppal NN, Wanchoo R, Shah HH, Yang Y, Parikh R, et al. COVID-19–Associated Kidney Injury: A case series of kidney biopsy findings. JASN. 2020 Sep 1; 31(9):1948-58.

Ng JH, Bijol V, Sparks MA, Sise ME, Izzedine H, Jhaveri KD. Pathophysiology and pathology of Acute Kidney Injury in patients with COVID-19. Vol. 27, Adv Chronic Kidney Dis.

W.B. Saunders; 2020:365-76.

Chen YT, Shao SC, Hsu CK, Wu IW, Hung MJ, Chen YC. Incidence of acute kidney injury in COVID-19 infection: a systematic review and meta-analysis. Vol. 24, Critical Care.

BioMed Central Ltd.; 2020.

Pérez-Echavarría AI, Yáñez-Morales M, Camarillo-Cisneros J, Ramos-Luján FA, Saad-Manzanera MI, Contreras-Pacheco AE, et al. Acute kidney injury as a predictor of

hospital discharge in COVID-19 patients. Med Int Méx. 2021 Sep 1; 37(5):721–7.

Alenezi FK, Almeshari MA, Mahida R, Bangash MN, Thickett DR, Patel JM. Incidence and risk factors of acute kidney injury in COVID-19 patients with and without acute respiratory distress syndrome (ARDS) during the first wave of COVID-19: a systematic review and Meta-Analysis. Renal Failure. 2021 Dec 9; 43(1):1621-33.

Prado Lozano PM, Cortés Colula F, Delgado Nava M, Macías Valadez AF, Luna Hernández AM, Mesinas Garrido M, et al. Lesión renal aguda en COVID-19. Análisis en el Hospital Ángeles Mocel. Acta Med Grupo Ángeles. 2021;19(2):236–43.

Peniche-Moguel KG, Sánchez-Díaz JS, de la Cruz-Rocha MG. La hipoxemia como factor de riesgo de lesión renal aguda en COVID-19. Med Int Méx. 2022; 38(2):281-7.

Vázquez-Cantú BV. Impacto de la lesión renal aguda en la mortalidad de pacientes con COVID-19 atendidos en el Hospital Universitario de Puebla [Tesis]. Benemérita Universidad

de los Ángeles Puebla; 2021.

Hernández-Delgado N, Guzmán-Flor C. Lesión renal aguda como factor de riesgo de mortalidad en pacientes con SIRA por COVID-19. Tesis Esp. Urgencias, IMSS 24 Poza Rica. Univ Veracruzana; Feb 2022.

Ng JH, Hirsch JS, Hazzan A, Wanchoo R, Shah HH, Malieckal DA, et al. Outcomes among patients hospitalized with COVID-19 and Acute Kidney Injury. American Journal of Kidney Diseases. 2021 Feb 1; 77(2):204-215.

Hamilton P, Hanumapura P, Castelino L, Henney R, Parker K, Kumar M, et al. Characteristics and outcomes of hospitalised patients with acute kidney injury and COVID-

PLoS ONE. 2020 Nov 1; 15(11 November). 14. Menez S, Moledina DG, Thiessen-Philbrook H, Wilson FP, Obeid W, Simonov M, et al. Prognostic significance of

urinary biomarkers in patients hospitalized with COVID-19. American Journal of Kidney Diseases. 2022 Feb 1; 79(2):257- 267.e1.

Enríquez-Noyola RV. Biomarcadores de lesión renal aguda (microalbuminuria y ngal urinario) en pacientes con SARS-COV-2. Tesis Esp. Nefrología. UANL; Feb. 2022.

Published

2023-03-10

How to Cite

Tavera Tapia, A., Moreno-Chávez, A. C., Guerra-Cárdenas, J. E., & Reyna-Beltrán, E. (2023). Incidence of COVID19 in pregnant patients with surgical protocol of the General Hospital of Tampico “Dr. Carlos Canseco”. ARCHIVOS DE MEDICINA, SALUD Y EDUCACIÓN MÉDICA, 1(2), 64–68. https://doi.org/10.29059/amsem.v1i2.37