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Survey of Brazilian Medical Association (AMB) pointed out that more than 1/3 of doctors see some kind of effectiveness in said “early treatment“for infected people COVID-19, whose ineffectiveness against the disease has already been scientifically proven. According to the survey, conducted with 3,882 professionals in online format, 34.7% make this assessment for the chloroquine and 41.4% for ivermectin. The use of these two remedies has been defended by President Jair Bolsonaro and even distributed in some public networks, such as Porto Alegre and Amazonas. For the entity, the lack of consensus on the subject generates confusion.
The research addressed general issues of the pandemic, such as the current situation in the places where professionals work, the assessment of the second wave, the mental health of doctors and their position on “early treatment”. “Over 60% believe chloroquine is ineffective, but some still believe it is for prevention (Scientific research has also shown that there is no benefit in using these remedies to prevent covid infection). Today, controlled studies, which are valid to attest to their effectiveness, indicate that these drugs do not mitigate or reduce mortality ”, says César Eduardo Fernandes, president of AMB.
“These drugs are not without side effects, which can be serious,” he adds. Medications of this type, often taken without medical advice, can cause adverse reactions in patients, such as increased blood pressure, dizziness and gastrointestinal disturbances, and even bacterial resistance.
According to Fernandes, doctors are affected by the lack of guidance on the use of these drugs. “They recommend it due to the lack of unanimity of public and private authorities. It is like having, in a combat trench, a soldier who shoots forward and another, backward. The maintenance of 28.2% of the comrades who still think which is efficient. ” (only for initial manifestations) it is because of the confusion caused by the authorities ”, he says.
For the health doctor Gonçalo Vecina Neto, in this scenario incorrect positions of the official bodies of the Unified Health System (SUS) weigh in, in addition to the lack of clarity of the category councils. “Despite the research, doctors continue to believe because part of it is not closely related to science. They are doctors who do not follow science and seek the salvation of their patients. They believe in what they want to believe,” he says. columnist for Estadão and former municipal health secretary of São Paulo.
“I can say that I took ivermectin and I will be cured. I can also say that I ate pudding every day and I will be cured. One thing has nothing to do with the other. The fact that you took medicine early when you thought you were sick was not necessarily the case. That cured you. Maybe it was the natural history of the disease and, if you don’t do a good clinical investigation, you have no way of knowing it, “Vecina warns.
President of Paulista Medical Association (APM), José Luiz Gomes do Amaral says that polarization interferes. “Certain diseases evolve well with treatment, without treatment and despite treatment. What cannot be allowed to prevail is a climate of football fans. That our leaders leave the technical issues to the technicians, who are respected and not, by polarization , try to discredit what science seeks to confirm or guide. ” Regarding the vaccine, 97.5% stated that they will not only take it, but also prescribe it to their patients.
The survey was conducted through an online questionnaire and was answered by doctors from all regions of the country in January, professionals from São Paulo responded between December 18, 2020 and January 18. The margin of error is plus or minus one percentage point. Among the more than 3,000 doctors who participated, 54% work on the front lines of the fight against the virus in public and private institutions.
In relation to the professionals who care for patients with the new coronavirus, 91.5% stated that they noticed an upward trend to some degree and 69.1% noted the same situation in relation to deaths. For 80.8% of doctors, the second wave is as serious or worse than the first. The survey also pointed out that, due to the action against the disease, 92.1% of the doctors report symptoms such as anxiety (64%), stress (62%), feeling overloaded (58%), physical or emotional exhaustion ( 54%). one%).
Doctors also appreciate that the population does not understand that protective measures should be adopted, such as the use of masks and avoiding overcrowding. Half (50.5%) responded that no measure has sufficient adherence of the population.
They are not being carried out by the Health authorities either. The lack of follow-up of contacts was marked by 88% of the doctors, as well as the ventilation of the room (80.5%), the tests (77.7%), the isolation in case of symptoms (76.1% ). Thus, 78.5% evaluated the performance of the Ministry of Health as fair or bad / very bad. As for the state departments, the rate was 63.8%.
Three out of four professionals observe sequelae in patients
In addition to addressing cases and deaths from the disease, the research also covered the sequelae in patients who were cured of COVID-19. And 72.8% said they had seen this situation. More than half (56.5%) received patients with milder sequelae, such as incessant headache, fatigue, and body pain, but there are reports of pulmonary fibrosis (13.2%), thrombosis (10.9%), loss of smell and taste (8.5%), heart problems (6%), and cerebrovascular accident (5.4%).
“This needs to be more publicized. The population does not fully understand that not dying is not enough. Some sequels are relevant” /. ANDREZA GALDEANO COLLABORATED
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