Browsing by Author "Reyes Zaldivar, Felipe Tomás"

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    Different Safety Pattern of an Inactivated SARS-CoV-2 Vaccine (CoronaVac®) According to Age Group in a Pediatric Population from 3 to 17 Years Old, in an Open-Label Study in Chile
    (2023) Le Corre, Nicole; Abarca Villaseca, Katia; Astudillo, Patricio André; Potin Santander, Marcela Patricia; López, Sofía; Goldsack, Macarena; Valenzuela Guerrero, Vania; Schilling Redlich, Andrea; Gaete, Victoria; Rubio, Lilian; Calvo, Mario; Twele, Loreto; González, Marcela; Fuentes, Daniela; Gutiérrez Muñoz, Valentina José; Reyes Zaldivar, Felipe Tomás; Tapia, Lorena I.; Villena, Rodolfo; Retamal Díaz, Angello; Cárdenas, Antonio; Alarcón Bustamante, Eduardo; Xin, Qianqian; González Aramundiz, José Vicente; Álvarez Figueroa, María Javiera; González Muñoz, Pablo Alberto; Bueno Ramírez, Susan; Soto Ramírez, Jorge Andrés; Perret Pérez, Cecilia; Meng, Xing; Kalergis Parra, Alexis Mikes
    During the COVID-19 pandemic, the importance of vaccinating children against SARS-CoV-2 was rapidly established. This study describes the safety of CoronaVac® in children and adolescents between 3- and 17-years-old in a multicenter study in Chile with two vaccine doses in a 4-week interval. For all participants, immediate adverse events (AEs), serious AEs (SAEs), and AEs of special interest (AESIs) were registered throughout the study. In the safety subgroup, AEs were recorded 28 days after each dose. COVID-19 surveillance was performed throughout the study. A total of 1139 individuals received the first and 1102 the second dose of CoronaVac®; 835 were in the safety subgroup. The first dose showed the highest number of AEs: up to 22.2% of participants reported any local and 17.1% systemic AE. AEs were more frequent in adolescents after the first dose, were transient, and mainly mild. Pain at the inoculation site was the most frequent AE for all ages. Fever was the most frequent systemic AE for 3–5 years old and headache in 6–17 years old. No SAEs or AESIs related to vaccination occurred. Most of the COVID-19 cases were mild and managed as outpatients. CoronaVac® was safe and well tolerated in children and adolescents, with different safety patterns according to age.
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    Hantavirus: descripción de dos décadas de endemia y su letalidad
    (2018) Reyes Zaldivar, Felipe Tomás; Ferrés Garrido, Marcela Viviana
    Introducción: la infección por hantavirus es una zoonosis endémica en Chile. En dos décadas la letalidad ha descendido a una cifra estable de alrededor de un 30%, pese a importantes esfuerzos por disminuirla. Objetivos: describir los eventos que ocurren antes de la hospitalización y analizar la relación entre estas variables y la letalidad, con el objetivo de identificar momentos de intervención para mejorar la sobrevida de los pacientes. Material y Métodos: se analizaron retrospectivamente todos los casos notificados a través del Boletín Notificación Enfermedades de Declaración Obligatoria (ENO), la Encuesta Epidemiológica de Investigación Ambiental de los casos de Hantavirus del Ministerio de Salud de Chile. Resultados: existieron diferencias significativas en la letalidad por HV determinada por zona geográfica, tipo de trabajo y hospital donde se atendió primariamente el caso. Conclusiones: Hantavirus, por su rápida evolución hacia una condición catastrófica debe tenerse siempre presente en el diagnóstico diferencial y proceder en consecuencia para tener un diagnóstico precoz y acceso a un centro hospitalario con experiencia en manejo de esta patología.
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    Modelo computacional interactivo, semi-automatizado y de código abierto aplicado a la vigilancia de virus respiratorios
    (2020) Reyes Zaldivar, Felipe Tomás; Ferrés, Marcela; Vial, P.; Vollrath, V.; Camponovo, R.; Montecinos, L.; Hirsch Birn, Tamara; Valenzuela, P.; Perret Pérez, Cecilia
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    Multisystem inflammatory syndrome in children (MIS-C) : Report of the clinical and epidemiological characteristics of cases in Santiago de Chile during the SARS-CoV-2 pandemic
    (2020) Torres, J. P.; Izquierdo, G.; Acuña, M.; Pavez, D.; Reyes Zaldivar, Felipe Tomás; Fritis, A.; González, R.; Rivacoba, C.; Contardo, V.; Tapia, L. I.
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    Neuromuscular complications of severe COVID-19 in paediatric patients: Medium-term follow-up
    (2022) Reyes Zaldivar, Felipe Tomás
    Neuromuscular complications in paediatric patients with severe coronavirus disease 2019 (COVID-19) are poorly characterised. However, adult patients with severe COVID-19 reportedly present with frequent neuromuscular complications that mainly include critical illness polyneuropathy (CIP), critical illness myopathy (CIM), and focal neuropathies. We examined the records of all paediatric patients with severe COVID-19 who were mechanically ventilated and experienced neuromuscular complications from our single tertiary centre between March 2020 and August 2021. During this period, 4/36 (11%) patients admitted to the paediatric ICU who were mechanically ventilated experienced neuromuscular complications (one CIM, two focal neuropathies, and one CIP associated with plexopathy). In three of them, the gamma genetic variant of SARS-CoV-2 was identified. At the 4–5 month follow-up, three of our patients exhibited slight clinical improvement. We conclude that paediatric patients with severe COVID-19 may present neuromuscular complications similar to adults (11%), and their medium-term prognosis seems unfavourable