First Colombian consensus on congenital Chagas and clinical approach for women of child-bearing age diagnosed with Chagas

• Cucunubá, Zulma M. ^[6] ; Valencia-Hernández, Carlos A. ^[1] ; Puerta, Concepción J. ^[2] ; Sosa-Estani, Sergio ^[7] ; Torrico, Faustino ^[3] ; Cortés, Jorge Alberto ; Ramirez, Juan David ^[1] ; Vera, Mauricio J. ^[8] ; Acosta, Belkis Xiomara ^[9] ; Álvarez, Carlos Arturo ; Muller, Edith Ángel ^[4] ; Beltrán, Mauricio ^[1] ; Bermúdez, María Isabel ^[1] ; Berrío, Maritza ^[1] ; Camacho Moreno, Germán ^[10] ; Castellanos, Yeny Zulay ^[5] ; Flórez, Astrid Carolina ^[1] ; Criollo, Ingrid ^[11] ; Guerra Morales, Patricia ^[12] ; Herazo, Rafael Antonio ^[1] ; Hernández, Diana Carolina ^[1] ; León, Cielo Maritza ^[1] ; Medina Camargo, Manuel ^[6] ; Medina Alfonso, Mabel ^[6] ; Pachón, Edwin ^[8] ; Paez Fonseca, Bernardo ^[12] ; Parra, María Luisa ^[13] ; Pavia, Paula X. ^[2] ; Quiróz, Franklin Roberto ^[14] ; Ríos, Lyda Constanza ^[5] ; Roa, Nubia Lucía ^[15] ; Torres, Fernando ^[12] ; Uribe Rivero, Luz Marina ^[16]
  1. [1] National Institute of Health

     National Institute of Health

     Armenia

     
  2. [2] Pontífica Universidad Javeriana

     Pontífica Universidad Javeriana

     Colombia

     
  3. [3] Universidad Mayor de San Simón

     Universidad Mayor de San Simón

     Bolivia

     
  4. [4] Universidad Nacional de Colombia

     Universidad Nacional de Colombia

     Colombia

     
  5. [5] Universidad Industrial de Santander

     Universidad Industrial de Santander

     Colombia

     
  6. [6] Secretary of Health of Boyaca
  7. [7] National Institute of Parasitology
  8. [8] Ministry of Social Protection
  9. [9] Caprescom Entidad Promotora de Salud
  10. [10] Hospital de la Misericordia
  11. [11] Secretary of Health of Casanare
  12. [12] Grupo SaludCoop
  13. [13] Soca & Boyaca Regional Hospital
  14. [14] Cardiovascular Clinical Foundation of Colombia
  15. [15] San Ignacio University Hospital
  16. [16] Secretary of Health of Santander

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• Localización: Infectio: Revista de la Asociación Colombiana de Infectología, ISSN-e 2422-3794, ISSN 0123-9392, Vol. 21, Nº. 4, 2017
• Idioma: español
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• Resumen

  • Congenital transmission of Chagas disease has not been extensively studied in Colombia, and there are no standardized processes in the health system regarding the specific diagnosis, treatment and follow-up of this disease. To generate recommendations on congenital Chagas disease and Chagas in women of childbearing age in Colombia, a consensus of experts was developed. An extensive literature search through the Medline database was carried out using the MeSH terms: «Chagas disease/congenital», «prevention and control», «diagnosis», «therapeutics» and «pregnancy». Appropriate abstracts were selected and the full texts were analyzed. The relevant information was synthesized, classified, and organized into tables and figures and was presented to a panel of experts, which was composed of 30 professionals from various fields. Based on the Delphi methodology, three rounds of consultation were conducted. The first and second rounds were based on electronic questionnaires that measured the level of consensus of each question among the participants. The third round was based on a face-to-face discussion focusing on those questions without consensus in the previous consultations. Theevidence was adapted to national circumstances on a case-by-case basis, and the content the final document was approved. These recommendations are proposed for use in routine medical practice by health professionals in Colombia.