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Пульс - медицинский центр
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The use of thiopurine (azathioprine and mercaptopurine) reduces the immune response to viruses, which is associated with an increased risk of opportunistic infections. There is limited evidence that they increase the risk of respiratory infections. The risks and benefits should be considered, but most patients can continue on a stable dose. In patients in stable remission, elderly patients and in the presence of concomitant pathology, it is recommended to stop taking thiopurine. During a pandemic, it is recommended to avoid starting thiopurine or increasing the dose, which will allow patients to avoid potential side effects. If the patient is in contact with a COVID-19 person, temporary withdrawal of thiopurine for 2 weeks should be considered. If a patient tests positive for SARS-CoV-2 and/or develops COVID-19, temporary discontinuation of thiopurine may be recommended until the patient clears the infection.
По его словам, сейчас в больницах находится 5,5 тысячи пациентов, которым установлен диагноз коронавирусная болезнь. Из них 2300 человек находятся на кроватях, к которым подведена кислородная терапия, и большинство из них ее получают. Для предотвращения логистических проблем, еще в конце прошлого года, было выделено госфинансирование по нескольким механизмам: один в виде централизованных закупок, один в виде субвенций, предоставленных регионам для того, чтобы закупить автономные источники поставок кислорода. 15 сентября Министерство здравоохранения направило в регионы 124 608 упаковок препарата от коронавирусной болезни "Пакскловид". Лекарство назначается в первую очередь пациентам из групп риска, чтобы предотвратить сложное течение коронавирусной болезни.
According to him, now there are 5.5 thousand patients in hospitals who have been diagnosed with coronavirus disease. Of these, 2,300 are on beds with oxygen therapy, and most of them receive it. To prevent logistical problems, at the end of last year, state funding was allocated through several mechanisms: one in the form of centralized purchases, one in the form of subventions provided to the regions in order to purchase autonomous sources of oxygen supply. On September 15, the Ministry of Health sent 124,608 packages of the Paxclovid drug for coronavirus disease to the regions. The medicine is prescribed primarily to patients at risk to prevent the complex course of coronavirus disease.
“For the second month, we see an increase in the number of coronavirus diseases. Over the past week, 24,000 new cases were recorded, the week before that there were 16,000, that is, there is a gradual increase. Our experts, together with WHO experts, predict that this year the peak incidence will be at the beginning October... In previous years, it was the end of October - the beginning of November. We are preparing for this in order to provide proper medical care," the minister said.
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