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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Espa&#241;a es el pa&#237;s del mundo con m&#225;s profesionales sanitarios &#40;PS&#41; afectados por la enfermedad por coronavirus 2019 &#40;COVID-19&#41;&#46; Un informe de abril de 2020 del Centro Europeo para el Control y Prevenci&#243;n de Enfermedades destaca que el 20&#37; de COVID-19 en Espa&#241;a afecta a este colectivo&#44; mientras que en Italia ese porcentaje se reduce al 10&#37;&#44; y en Estados Unidos y China al 3&#37; y 3&#44;8&#37;&#44; respectivamente<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">1</span></a>&#46; Hasta el 14 de mayo de 2020 se notificaron un total de 236&#46;611 casos de COVID-19 a la Red Nacional de Vigilancia Epidemiol&#243;gica&#44; de los que 39&#46;349 corresponden a PS<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">2</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Se realiz&#243; un estudio observacional y prospectivo sobre la afectaci&#243;n por COVID-19 en PS del Hospital d&#8217;Olot i Comarcal de la Garrotxa &#40;HOCG&#41;&#44; un hospital comarcal de Girona con 136 camas de hospitalizaci&#243;n en 4 unidades&#59; unidades 3 y 4 &#40;U3&#47;U4&#41; con 64 camas para pacientes agudos&#44; y unidades 1 y 2 &#40;U1&#47;U2&#41; con 72 camas para atenci&#243;n cr&#243;nica&#47;sociosanitaria&#41;&#46; La U3 se aisl&#243; y se destin&#243; a la atenci&#243;n exclusiva de COVID-19&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">En el estudio se incluy&#243; a todos los PS del hospital y solo se excluy&#243; a aquellos que no dieron su consentimiento&#46; En un primer per&#237;odo &#40;iniciado el 11 de marzo de 2020&#44; cuando se diagnostic&#243; el primer caso COVID-19 en el hospital&#41; se atendi&#243; a todos los PS con s&#237;ntomas en el Servicio de Salud Laboral para diagnosticar la COVID-19&#46; En un segundo per&#237;odo &#40;iniciado el 21 de abril de 2020&#44; cuando se diagnostican los &#250;ltimos COVID-19 en PS el test diagn&#243;stico se aplic&#243; al PS a PCR que no present&#243; s&#237;ntomas o que fueron negativos en el primer per&#237;odo&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Para diagnosticar la COVID-19 se requiri&#243; la confirmaci&#243;n mediante PCR positiva para <span class="elsevierStyleItalic">severe acute respiratory syndrome coronavirus</span> 2 &#40;SARS-CoV-2&#41; en muestras de frotis nasofar&#237;ngeo&#46; Para los test serol&#243;gicos se utilizaron muestras de sangre capilar &#40;detecci&#243;n r&#225;pida de anticuerpos contra SARS-CoV-2 mediante inmunocromatograf&#237;a&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">El Comit&#233; de &#201;tica del Hospital Universitario Dr&#46; Josep Trueta de Girona aprob&#243; el estudio y se obtuvo consentimiento informado de todos los participantes&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Del total de 493 PS&#44; 198 &#40;40&#44;1&#37;&#41; consultaron a Salud Laboral&#44; siendo 81 de ellos &#40;16&#44;4&#37; de la plantilla&#41; diagnosticados de COVID-19 &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46; La mayor&#237;a eran mujeres &#40;43<span class="elsevierStyleHsp" style=""></span>a&#241;os de mediana de edad&#41; de categor&#237;as profesionales en contacto directo con pacientes&#44; sobre todo&#44; enfermeras y auxiliares&#44; preferentemente &#40;el 52&#37;&#41; de las U1&#47;U2 &#40;atenci&#243;n cr&#243;nica&#47;sociosanitaria&#41;&#46; La mayor&#237;a de PS consultaron por s&#237;ntomas respiratorios pero tambi&#233;n presentaron otros s&#237;ntomas &#40;los m&#225;s frecuentes&#58; cefalea y alteraciones en el gusto o el olfato&#41;&#46; Tres PS requirieron ingreso hospitalario por neumon&#237;a&#44; uno de ellos en la UCI requiriendo intubaci&#243;n y ventilaci&#243;n mec&#225;nica&#46; La evoluci&#243;n fue favorable en todos los casos&#46; La mayor&#237;a negativiz&#243; la PCR a los 14<span class="elsevierStyleHsp" style=""></span>d&#237;as&#44; pero en casi un tercio la negativizaci&#243;n se prolong&#243; a 21&#44; 28 y hasta 35<span class="elsevierStyleHsp" style=""></span>d&#237;as&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">En el segundo per&#237;odo se incluyeron 412 PS&#58; 117 que durante el primer per&#237;odo tuvieron s&#237;ntomas pero con PCR negativa&#44; y 295 que no tuvieron s&#237;ntomas&#46; Sesenta y siete no pudieron&#47;quisieron participar en el estudio y los 345 restantes se sometieron a determinaci&#243;n de PCR y test serol&#243;gicos&#46; El 100&#37; de las PCR fueron negativas y en 28 casos &#40;8&#44;1&#37;&#41; las serolog&#237;as fueron positivas &#40;6 casos IgM&#44; 11 casos IgG y 11 casos con ambas serolog&#237;as positivas&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">La mayor&#237;a de los PS afectados de COVID-19 fueron mujeres de 43<span class="elsevierStyleHsp" style=""></span>a&#241;os de mediana de edad&#44; siendo esta una caracter&#237;stica similar a las pocas series de COVID-19 en PS reportadas en otros pa&#237;ses como Estados Unidos<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">3&#44;4</span></a>&#44; China<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">5</span></a> y Holanda<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">6</span></a>&#46; De forma similar a estas series&#44; la mayor&#237;a present&#243; s&#237;ntomas respiratorios&#44; no siendo despreciable la proporci&#243;n de casos que tambi&#233;n manifestaron otros s&#237;ntomas como cefalea o alteraciones digestivas<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">4&#44;6</span></a>&#46; Un 53&#37; de casos refirieron alteraciones en el gusto o el olfato&#44; siendo este porcentaje muy superior al de otras series de PS con COVID-19 &#40;7-16&#37;&#41;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">4&#44;6</span></a> y similar al de un estudio de prevalencia de estos s&#237;ntomas en casos leves de COVID-19<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">La mayor&#237;a de casos fue leve con solo un ingreso en UCI&#46; No obstante&#44; se ha comunicado mortalidad por COVID-19 en PS&#44; hasta la fecha&#58; 49 casos en Espa&#241;a<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">2</span></a>&#44; 27 casos en Estados Unidos<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">4</span></a> y 23 casos en China<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">8</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">En nuestra opini&#243;n&#44; muchos casos de COVID-19 en PS se han transmitido en el hospital &#40;transmisi&#243;n nosocomial&#41;&#46; Igual que en otras series<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">9</span></a>&#44; la mayor&#237;a trabajaba en contacto directo con pacientes &#40;85&#44;2&#37;&#41; y sobre todo en las unidades sociosanitarias &#40;U1&#47;U2&#41;&#44; en las que se aplicaron de forma m&#225;s tard&#237;a medidas de aislamiento que s&#237; se implementaron precozmente en la U3 &#40;unidad COVID-19&#41; y en el Servicio de Urgencias&#44; con menos contagios&#46; Por ello es probable que la mayor&#237;a de casos de PS se contagiara antes de que se implementaran medidas m&#225;s estrictas de aislamiento&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">El tiempo hasta la negativizaci&#243;n de la PCR es una limitaci&#243;n para la reincorporaci&#243;n de los PS a sus puestos de trabajo&#46; En nuestro caso m&#225;s del 80&#37; hab&#237;a negativizado la PCR a los 21<span class="elsevierStyleHsp" style=""></span>d&#237;as&#44; en consonancia con estudios epidemiol&#243;gicos que han reportado una mediana de 20<span class="elsevierStyleHsp" style=""></span>d&#237;as para negativizar este test&#44; aunque en algunos casos se puede prolongar mucho m&#225;s<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">10&#44;11</span></a>&#46; La seroconversi&#243;n en nuestro estudio es superior a la poblaci&#243;n de Espa&#241;a &#40;5&#44;0&#37;&#41; y de la provincia de Girona &#40;2&#44;5&#37;&#41;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">12</span></a>&#44; pero muy inferior a la experiencia de otros centros &#40;desde el 17 hasta un 44&#37;&#41;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">13&#44;14</span></a>&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; el 16&#44;4&#37; de los PS de nuestro hospital estuvo afectado por la COVID-19 y el 8&#44;1&#37; que no tuvo la enfermedad &#40;por lo menos de forma sintom&#225;tica&#41; present&#243; seroconversi&#243;n&#46; Es probable que si se hubieran implementado precozmente medidas m&#225;s estrictas de aislamiento en todas las unidades se hubiera reducido la cifra de contagios&#46;</p></span>"
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                  \t\t\t\t" scope="col">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">73 &#40;90&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">43 &#91;21&#93;&#59; 18-63&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Categor&#237;a profesional seg&#250;n riesgo&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">69 &#40;85&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#40;B&#41;&#46; Sin contacto directo pero con riesgo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#40;C&#41;&#46; Sin contacto y sin riesgo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7 &#40;8&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8 &#40;9&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermera &#40;A&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">26 &#40;32&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Administrativo &#40;C&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4 &#40;4&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">8 &#40;9&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Lugar de trabajo preferente&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Unidad 1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">19 &#40;23&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Unidad 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">17 &#40;21&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Unidades 1 y 2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Unidad 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;4&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Unidad 4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">7 &#40;8&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Oficinas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">8 &#40;9&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Urgencias&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5 &#40;6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>M&#250;ltiple ubicaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">7 &#40;8&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;9&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">S&#237;ntomas&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cefalea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46 &#40;56&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mareo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>V&#233;rtigo perif&#233;rico&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>V&#243;mitos y&#47;o diarrea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;17&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alteraciones en el gusto u olfato&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43 &#40;53&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Dermatol&#243;gicas<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;8&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Oculares &#40;conjuntivitis&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n respiratoria de v&#237;as altas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">77 &#40;95&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Neumon&#237;a&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;4&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Ingreso hospitalario por neumon&#237;a &#40;uno en UCI&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;3&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tratamiento&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hidroxicloroquina<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>azitromicina<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Darunavir&#47;cobicistat<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">e</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;1&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Negativizaci&#243;n de la PCR para SARS-CoV-2&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>14<span class="elsevierStyleHsp" style=""></span>d&#237;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>21<span class="elsevierStyleHsp" style=""></span>d&#237;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12 &#40;14&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>28<span class="elsevierStyleHsp" style=""></span>d&#237;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12 &#40;14&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>35<span class="elsevierStyleHsp" style=""></span>d&#237;as&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;1&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Incluye&#58; Quir&#243;fano &#40;3&#41;&#44; Consultas Externas &#40;2&#41;&#44; Cocina &#40;2&#41;&#44; Rehabilitaci&#243;n &#40;1&#41;</p>"
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Seis <span class="elsevierStyleItalic">rash</span> cut&#225;neo y un eritema macular&#46;</p>"
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              "etiqueta" => "d"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Pauta&#58; hidroxicloroquina 400<span class="elsevierStyleHsp" style=""></span>mg&#47;12<span class="elsevierStyleHsp" style=""></span>h un d&#237;a seguido de 200<span class="elsevierStyleHsp" style=""></span>mg&#47;12<span class="elsevierStyleHsp" style=""></span>h 4<span class="elsevierStyleHsp" style=""></span>d&#237;as m&#225;s&#59; azitromicina 500<span class="elsevierStyleHsp" style=""></span>mg&#47;24<span class="elsevierStyleHsp" style=""></span>h un d&#237;a seguido de 250<span class="elsevierStyleHsp" style=""></span>mg&#47;24<span class="elsevierStyleHsp" style=""></span>h 4<span class="elsevierStyleHsp" style=""></span>d&#237;as m&#225;s&#46;</p>"
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              "etiqueta" => "e"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">En el contexto de ensayo cl&#237;nico&#46;</p>"
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          "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de los 81 trabajadores sanitarios afectados por COVID-19 en el Hospital de Olot</p>"
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                0 => array:1 [
                  "referenciaCompleta" => "Coronavirus disease 2019 &#40;COVID-19&#41; in the EU&#47;EEA and the UK &#8211; ninth update&#44; 23 April 2020&#46; Stockholm&#58; ECDC&#59; 2020&#46;"
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              "identificador" => "bib0080"
              "etiqueta" => "2"
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                0 => array:1 [
                  "referenciaCompleta" => "Informe sobre la situaci&#243;n de COVID-19 en personal sanitario en Espa&#241;a a 14 de mayo de 2020&#46; Equipo COVID-19&#46; RENAVE&#46; CNE&#46; CNM &#40;ISCIII&#41;&#46;"
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              "identificador" => "bib0085"
              "etiqueta" => "3"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Symptom screening at illness onset of health care personnel with SARS-CoV-2 infection in King County Washington"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46;J&#46; Chow"
                            1 => "N&#46;G&#46; Schwartz"
                            2 => "F&#46;A&#46; Tobolowsky"
                            3 => "R&#46;L&#46;T&#46; Zacks"
                            4 => "M&#46; Huntington-Frazier"
                            5 => "S&#46;C&#46; Reddyet"
                          ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2020.6637"
                      "Revista" => array:5 [
                        "tituloSerie" => "JAMA&#46;"
                        "fecha" => "2020"
                        "volumen" => "323"
                        "paginaInicial" => "2087"
                        "paginaFinal" => "2089"
                      ]
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              "identificador" => "bib0090"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Characteristics of Health Care Personnel with COVID-19 - United States&#44; February 12-April 9&#44; 2020"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "CDC COVID-19 Response Team"
                          "etal" => false
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.15585/mmwr.mm6915e6"
                      "Revista" => array:5 [
                        "tituloSerie" => "MMWR Morb Mortal Wkly Rep&#46;"
                        "fecha" => "2020"
                        "volumen" => "69"
                        "paginaInicial" => "477"
                        "paginaFinal" => "481"
                      ]
                    ]
                  ]
                ]
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              "identificador" => "bib0095"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A cluster of health care workers with COVID-19 pneumonia caused by SARS-CoV-2"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "X&#46;S&#46; Wei"
                            1 => "X&#46;R&#46; Wang"
                            2 => "J&#46;C&#46; Zhang"
                            3 => "Y&#46; Wei-Bing"
                            4 => "M&#46; Wan-Li"
                            5 => "Y&#46; Bo-Han"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jmii.2020.04.013"
                      "Revista" => array:2 [
                        "tituloSerie" => "J Microbiol Immunol Infect&#46;"
                        "fecha" => "2020"
                      ]
                    ]
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                ]
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              "identificador" => "bib0100"
              "etiqueta" => "6"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "SARS-CoV-2 infection in 86 healthcare workers in two Dutch hospitals in March 2020"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Kluytmans"
                            1 => "A&#46; Buiting"
                            2 => "S&#46; Pas"
                            3 => "R&#46; Bentvelsen"
                            4 => "W&#46; van den Bijllaardt"
                            5 => "A&#46; van Oudheusden"
                          ]
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                    0 => array:2 [
                      "doi" => "10.1101/2020.03.23.20041913"
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                        "tituloSerie" => "medRxiv&#46;"
                        "fecha" => "2020"
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              "identificador" => "bib0105"
              "etiqueta" => "7"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Alterations in smell or taste in mildly symptomatic outpatients with SARS-CoV-2 infection"
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