Abstract

REBOLLEDO-GARCIA, Daniel; GRANADOS-MORENO, Diana Laura  and  GONZALEZ-VARGAS, Perfecto Oscar. Perspectives about withdrawal alcoholic syndrome: Mexican treatment. Med. interna Méx. [online]. 2018, vol.34, n.4, pp.582-593. ISSN 0186-4866.  https://doi.org/10.24245/mim.v34i4.2086.

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.

Keywords : Alcohol withdrawal syndrome; Alcoholism.