2018, Number 4
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Med Int Mex 2018; 34 (4)
Perspectives about withdrawal alcoholic syndrome: Mexican treatment
Rebolledo-García D, Granados-Moreno DL, González-Vargas PO
Language: Spanish
References: 31
Page: 582-593
PDF size: 262.77 Kb.
ABSTRACT
Alcohol withdrawal syndrome is a public health problem of special attention in second
level hospitals in Mexico. Classified as a neuropsychiatric condition, the current evidence
reflects systemic involvement beyond the central nervous system. The management
of these patients is carried out in the internal medicine hospitalization rooms;
when the symptoms are severe, it requires a multisystemic approach in the Intensive
Care Unit. Although the diagnostic criteria of the American Psychiatric Society have
not been modified in the last editions (DSM-4 and 5), treatment during the last decade
has been extended by the wide spectrum of therapeutic options in its management.
The cost of hospitalization is high due to the multiple accompanying comorbidities
found in the alcoholic patient. Therefore, the purpose of this paper is to review the
international and national perspective of the different guidelines in the management of
the disease, recalling that on the seasoned clinician falls the individualized therapeutic
decision in each case.
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