{"id":64837,"date":"2022-11-29T15:10:51","date_gmt":"2022-11-29T13:10:51","guid":{"rendered":"https:\/\/blog.cofb.cat\/?p=64837"},"modified":"2023-10-09T13:14:45","modified_gmt":"2023-10-09T13:14:45","slug":"deteccio-i-resolucio-de-la-grip-el-refredat-i-la-covid-des-de-la-farmacia-comunitaria","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2022\/11\/29\/deteccio-i-resolucio-de-la-grip-el-refredat-i-la-covid-des-de-la-farmacia-comunitaria\/","title":{"rendered":"Detecci\u00f3 i resoluci\u00f3 de la grip, el refredat i la COVID des de la farm\u00e0cia comunit\u00e0ria"},"content":{"rendered":"\n

El passat 8 de novembre, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> va organitzar la confer\u00e8ncia \u201cGrip, refredat i COVID: detecci\u00f3 i resoluci\u00f3 en la farm\u00e0cia comunit\u00e0ria\u201d<\/strong>, amb el patrocini de Vicks<\/strong>.<\/a> El vocal d\u2019Oficina de Farm\u00e0cia del COFB, Guillermo Bagaria<\/strong>, va ser l\u2019encarregat de moderar<\/strong> la sessi\u00f3<\/strong> en format webinar<\/strong>. Una formaci\u00f3 que va impartir la farmac\u00e8utica comunit\u00e0ria i vocal de la Junta de Govern del COFB, Laura Gom\u00e0<\/strong>; i el farmac\u00e8utic comunitari i vocal d\u2019Investigaci\u00f3 i Doc\u00e8ncia del COF de Toledo, Guillermo Estrada<\/strong>.<\/p>\n\n\n\n

\"El<\/a>
El vocal d\u2019Oficina de Farm\u00e0cia del COFB, Guillermo Bagaria (a baix a l’esquerra), va moderar la sessi\u00f3.<\/figcaption><\/figure>\n\n\n\n

Els objectius principals<\/strong> de la confer\u00e8ncia eren oferir informaci\u00f3 detallada al farmac\u00e8utic perqu\u00e8 pugui distingir les diferents malalties respirat\u00f2ries del tracte superior<\/strong>, que molt sovint, tenen s\u00edmptomes en com\u00fa<\/strong> i es poden confondre. Aix\u00ed doncs, en la confer\u00e8ncia es van diferenciar els s\u00edmptomes de la grip, el refredat i la COVID<\/strong>; es va explicar el protocol de derivaci\u00f3<\/strong>; i es van detallar els tractaments farmacol\u00f2gics i fitoterap\u00e8utics<\/strong> que es poden aconsellar des de l\u2019oficina de farm\u00e0cia<\/strong>.<\/p>\n\n\n\n

Tractaments farmacol\u00f2gics, fitoterap\u00e8utics i no farmacol\u00f2gics<\/strong><\/h2>\n\n\n\n

Guillermo Estrada va iniciar la seva presentaci\u00f3 recalcant la import\u00e0ncia de qu\u00e8 el farmac\u00e8utic cada vegada sigui m\u00e9s part\u00edcip en la resoluci\u00f3 de les infeccions<\/strong> respirat\u00f2ries<\/strong>, ja que s\u00f3n el principal motiu d\u2019absentisme laboral i escolar <\/strong>(entre un 10% i un 17% de les baixes laborals a Espanya s\u00f3n conseq\u00fc\u00e8ncia de la grip estacional). Per aquesta ra\u00f3, el farmac\u00e8utic comentava que \u201cdes de la farm\u00e0cia, pel fet de no poder dispensar antibi\u00f2tics<\/strong>, l\u2019\u00fanic que podem fer \u00e9s alleujar la simptomatologia\u201d<\/strong>.<\/p>\n\n\n\n

Estrada<\/strong> tamb\u00e9 va assegurar que es pot mitigar el potencial de la grip<\/strong> i que \u201cara tenim una gran oportunitat, si llencem una bona campanya de vacunaci\u00f3 i si som efectius. “All\u00e0 a les farm\u00e0cies tenim una gran responsabilitat, no nom\u00e9s per vacunar-se com a sanitaris sin\u00f3 per conscienciar a les persones de risc que passen per les farm\u00e0cies\u201d, va assenyalar.<\/p>\n\n\n\n

\"Guillermo<\/a>
Guillermo Estrada, farmac\u00e8utic comunitari i vocal d\u2019Investigaci\u00f3 i Doc\u00e8ncia del COF de Toledo, en un moment de la seva presentaci\u00f3. <\/figcaption><\/figure>\n\n\n\n

El farmac\u00e8utic va repassar els tractaments<\/strong> per tractar aquestes malalties respirat\u00f2ries, tractaments farmacol\u00f2gics<\/strong> com els analg\u00e8sics, anest\u00e8sics, mucol\u00edtics, descongestius, antihistam\u00ednics, entre d\u2019altres; i els fitoterap\u00e8utics<\/strong> com l\u2019echinaccea purpurea<\/em>, salix cortex<\/em>, la c\u00e0mfora o el mentol, entre d\u2019altres.<\/p>\n\n\n\n

Per altra banda, pel que fa als tractaments no farmacol\u00f2gics<\/strong>, Estrada va comentar que la qualitat del son<\/strong> tamb\u00e9 juga un paper important en el contagi, el patiment i la recuperaci\u00f3 de les malalties respirat\u00f2ries<\/strong>. En aquest sentit, tamb\u00e9 va fer menci\u00f3 de mesures com el descans, la bona hidrataci\u00f3, les rentades nasals amb solucions salines, entre d\u2019altres<\/strong>.<\/p>\n\n\n\n

Estrada tamb\u00e9 va explicar alguns dels falsos mites, <\/strong>entorn les malalties respirat\u00f2ries, com el fet que la vacuna de la grip debilita el sistema immune o que les PCR i els ant\u00edgens no detecten la SARS CoV2.<\/p>\n\n\n

\n\n\n

Difer\u00e8ncies simptomatol\u00f2giques de la grip, el refredat i la COVID<\/strong><\/h2>\n\n\n\n

Les malalties respirat\u00f2ries del tracte superior<\/strong> en algunes ocasions comparteixen simptomatologia, per\u00f2 hi ha alguns aspectes diferenciadors. Guillermo Estrada<\/strong> va repassar les particularitats de cadascuna:<\/p>\n\n\n\n

Els refredats<\/strong> estan produ\u00efts pel Rinovirus 40%, Coronavirus 20%, VRS 5%<\/strong>. Normalment, el per\u00edode d\u2019incubaci\u00f3 \u00e9s curt<\/strong>, d\u20191-3 dies, i dura menys de 14 dies. Els s\u00edmptomes apareixen de forma gradual <\/strong>i els m\u00e9s freq\u00fcents s\u00f3n: el mal de coll, la rinorrea, la tos, esternuts i el malestar general. No acostumen a provocar febre ni s\u00edmptomes greus<\/strong> i es resolen per si mateixos.<\/p>\n\n\n\n

Pel que fa a la grip<\/strong>, es tracta d\u2019una infecci\u00f3 viral<\/strong>, que moltes vegades es confon amb el refredat<\/strong>. En aquest cas, el per\u00edode d\u2019incubaci\u00f3 \u00e9s 1-2 dies<\/strong>, pot allargar-se entre 7 i 14 dies. La grip sol ser estacional<\/strong>, a difer\u00e8ncia dels refredats. Un altre fet diferencial amb els refredats \u00e9s que els s\u00edmptomes apareixen de forma sobtada<\/strong> i s\u00f3n m\u00e9s severs<\/strong>. La simptomatologia principal de la grip \u00e9s la febre, el mal de cap, el dolor muscular, el cansament, la tos o el dolor abdominal.<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

Les al\u00b7l\u00e8rgies<\/strong> tamb\u00e9 es poden confondre amb el refredat<\/strong>, per\u00f2 els principals elements diferenciadors s\u00f3n si hi ha hagut exposici\u00f3 amb algun element al\u00b7lergen<\/strong> i que no hi ha per\u00edode d\u2019incubaci\u00f3<\/strong>. La simptomatologia \u00e9s espec\u00edfica; principalment l\u2019al\u00b7l\u00e8rgia produeix picors, esternuts, tos i treball respiratori.<\/p>\n\n\n\n

Finalment, la COVID<\/strong> tamb\u00e9 \u00e9s viral<\/strong>, t\u00e9 un per\u00edode d\u2019incubaci\u00f3 de 2-14 dies<\/strong> (segons la variant) i pot durar entre 7 i 25 dies. La COVID pot provocar mal de coll, cefalea, rinorrea, tos seca, cansament, malestar general, febrer, p\u00e8rdua del gust i l\u2019olfacte i treball respiratori.<\/p><\/div>\n\n\n\n

Incid\u00e8ncia de la grip i experi\u00e8ncies de protocols d’actuaci\u00f3<\/strong><\/h2>\n\n\n\n

La vocal de la Junta de Govern del COFB, Laura Gom\u00e0<\/strong>, va exposar l\u2019experi\u00e8ncia sobre la incid\u00e8ncia de la grip a les farm\u00e0cies que formen part de la xarxa de Farm\u00e0cies Sentinella (FS) de Catalunya<\/strong> que duen a terme una tasca de farmacovigil\u00e0ncia, tamb\u00e9 s\u00f3n observatori de medicaments d\u2019ab\u00fas i vigil\u00e0ncia de Salut P\u00fablica (trastorns del son i vigil\u00e0ncia sindr\u00f2mica de la grip<\/strong>). Les xifres extretes de les farm\u00e0cies sentinella mostren com la incid\u00e8ncia de la grip<\/strong> va disminuir amb l\u2019augment de contagis de COVID<\/strong>, els anys 2020-2021 i 2021-2022. Gom\u00e0 va comentar que la temporada de grip 2022-2023<\/strong> \u201cs\u2019ha comen\u00e7at com en temporades anteriors a la COVID-19, per\u00f2 estem ja pujant per sobre d\u2019altres anys, caldr\u00e0 veure com es va evolucionant\u201d.<\/p>\n\n\n\n

\"\"<\/a>
La vocal de la Junta de Govern del COFB, Laura Gom\u00e0, durant la presentaci\u00f3. <\/figcaption><\/figure>\n\n\n\n

Finalment, Gom\u00e0<\/strong> va explicar dues experi\u00e8ncies de protocols d\u2019actuaci\u00f3<\/strong>: el protocol de derivaci\u00f3 COVID19<\/strong>, el JoDIC<\/strong>, que consistia a derivar, informar i conscienciar a la poblaci\u00f3 des de la farm\u00e0cia comunit\u00e0ria per tallar la cadena de transmissi\u00f3 de la COVID-19; i el protocol de detecci\u00f3 i derivaci\u00f3 COVID persistent, <\/strong>que segons comentava Gom\u00e0 \u201c\u00e9s un projecte que est\u00e0 en estudi i que estan pendents de veure la viabilitat per continuar-lo\u201d.<\/p>\n\n\n\n

\n
<\/div>\n\n\n\n
<\/div>\n\n\n\n
\n

Amb el patrocini de:<\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure> <\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

El passat 8 de novembre, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar la confer\u00e8ncia \u201cGrip, refredat i COVID: detecci\u00f3 i resoluci\u00f3 en la farm\u00e0cia comunit\u00e0ria\u201d, amb el patrocini de Vicks. El vocal d\u2019Oficina de Farm\u00e0cia del COFB, Guillermo Bagaria, va ser l\u2019encarregat de moderar la sessi\u00f3 en format […]<\/p>\n","protected":false},"author":1,"featured_media":67827,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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