The guidelines for the treatment of “lungs” of patients with COVID-19 at home have been approved – Gazeta.uz

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The Ministry of Health has approved the Interim Clinical Guidelines for the Management of Patients with Mild COVID-19 at Home (PDF) The document was developed by the National Chamber of Innovative Health on the basis of recommendations of the World Health Organization.

Recall, since July 5, in Uzbekistan, patients with a mild form of the coronavirus COVID-19, in whom the disease proceeds without symptoms, are allowed to undergo treatment at home based on the recommendations of a doctor, in compliance with sanitary rules and the necessary conditions for care.

The manual is intended for emergency doctors, general practitioners, infectious disease specialists, general practitioners, pediatricians, pulmonologists, ENT specialists, cardiologists, neuropathologists, rehabilitologists and nurses.

The asymptomatic form is determined if the patient has a positive SARS CoV-2 coronavirus test, but there are no complaints or clinical symptoms.

In case there are symptoms, in most cases there are:

  • increase in body temperature (83–99%),
  • cough (59−82%),
  • general weakness (44−70%),
  • loss of appetite (40−84%),
  • shortness of breath (31-40%),
  • muscle pain (11–35%).

Other symptoms include sore throat, nasal congestion, headache, diarrhea, nausea, and vomiting, and a loss of smell or taste preceded by respiratory symptoms has also been reported.

In older people and people with weakened immunity, the following can be observed: atypical course without fever, general weakness, decreased concentration of attention and physical activity, diarrhea, loss of appetite, and development of delirium. In children, fever and cough are less common than in adults, the document says.

Thus, the manual refers to the symptoms of a mild course of the disease:

  • increase in body temperature to 38 degrees (or without fever)
  • sweating
  • general weakness
  • cough,
  • malaise,
  • runny or sore throat,
  • sore throat, nausea,
  • vomiting and / or diarrhea,
  • myalgia and body aches,
  • headache,
  • violation of taste and smell.

The document recommends that doctors conduct patients with mild COVID-19 at home. symptomatic treatment:

  • antipyretic drugs for fever and to relieve pain (eg, paracetamol, ibuprofen);
  • complex therapy of rhinitis and rhinopharyngitis (moisturizers, decongestants for the nasal cavity);
  • complex therapy of bronchitis (mucoactive, bronchodilators and other drugs);
  • An abundant warm drink to detoxify, moisturize the mucous membranes, facilitate sputum discharge and maintain water balance.

“It is not recommended to prescribe antibiotics for therapeutic or prophylactic purposes in patients with mild COVID-19. The widespread use of antibiotics should not be allowed, since their use can lead to an increase in the level of bacterial resistance (resistance – ed.), ”The manual says.

The patient leaflet, which is attached to the document, also states that for mild cases, no special treatment measures for COVID-19 are used.

“There are currently no drugs that are registered to treat this infection,” – informs the memo. It is also recommended that you do not take other antipyretic drugs, except paracetamol, without a doctor’s prescription.

As for nursing at home, patients are advised to isolate themselves in a separate, well-ventilated room. The most healthy family member without chronic diseases can look after him. Both the patient and family members who enter his room must wear a mask and observe hand hygiene. The sick person needs to allocate separate bedding and utensils. The clothes of the patient must be washed at a temperature of 60−90 degrees.

The algorithm for monitoring patients is proposed to doctors as follows:

  • daily calls from district doctors;
  • assessment of general condition, temperature, clarification of complaints (cough, shortness of breath, weakness, sweating, diarrhea, rash, myalgia (muscle pain)), saturation (determination of the degree of blood oxygen saturation);
  • video consultation – if necessary, but at least once every three days.

With an increase in clinical symptoms (fever, cough, shortness of breath, shortness of breath) during the observation period, the patient should be sent to an infectious diseases hospital.

Patients with a mild form of the disease are removed from medical observation in the absence of elevated body temperature and regression of respiratory symptoms, as well as after a single negative test result.

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