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Aclaremos antes de que empiecen las confusiones
- Ni la dexametasona ni los demás esteroides “curan” el COVID-19
- No es algo nuevo usar esteroides en problemas pulmonares que requieren ventilación mecánica
- Los esteroides disminuyen la inflamación pero no está libres de riesgos
- Sabemos que parte del daño del COVID-19 es por inflamación, por lo que no es descabellado pensar en usar esteroides
- El uso liberal de esteroides tiene muchos riesgos, incluyendo el de “bajar” las defensas y favorecer sobre infecciones, y ese balance es delicado
- Usarlo en la UCI en pacientes inflamados parece una opción sensata
- NO SE RECOMIENDA que se inicien dexametasona u otros esteroides a pacientes que no están en UCI porque ahí sí el riesgo de “bajar” las defensas es mayor que el posible beneficio.
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