Part of Covid-19 cases will now be followed at home (official)

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As expected in medical circles since early July and faced with the increase in the number of cases, the Ministry of Health has modified the protocol for the management of Covid-19 cases. The main change is the introduction, for some cases, of home monitoring, which will relieve the hospitals.

The new protocol, dated August 5, 2020, states the following, for the management of confirmed or probable cases:

– asymptomatic cases (without symptoms), are put on first-line treatment for a period of 7 days:

* Cases that meet certain criteria (see end of article) are taken care of at home in the absence of risk factors, with isolation during the 7 days of treatment and 7 additional days, for a total of 14 days of isolation.

* A rigorous medical follow-up of the state of health must be ensured, in order to detect early any sign of worsening or adverse effect of the treatment.

symptomatic cases must be taken care of in a hospital environment and put on first-line treatment for a period of 10 days.

Healing criteria:

-For an asymptomatic case, recovery can only be suggested at the end of the 7 days of treatment without the appearance of any symptom suggestive of the disease;

-For a symptomatic case (probable or confirmed): recovery is declared at the end of the 10-day treatment period, in addition to the following two criteria:

* marked clinical improvement, with apyrexia for three consecutive days.

* normalization of the biological assessment.

What asymptomatic cases are managed at home ?:

-Absence of risk factors :. These risk factors are:

* age over 65;

* asthma and chronic respiratory diseases;

* High blood pressure;

*Diabetes;

* Pathological obesity;

* Insufficient organs;

*Cancers;

* All immunosuppressions.

-Patient not suffering from any mental disorder.

-Patient deemed capable of respecting the recommended precautions and reporting any clinical sign to the team in charge of care, available 24 hours a day.

-Have a well ventilated single room.

The circular from the Minister of Health also includes instructions on what to do if other people live under the same roof as the asymptomatic Covid-19 patient:

* these people must leave the home during the entire patient care and isolation period (14 days).

* If it is impossible to leave the home, these people must be considered as close contacts and rigorous medical monitoring of their state of health must be carried out on a regular basis.

In the presence of vulnerable people (with one or more risk factors) living under the same roof as the asymptomatic Covid-19 case:

* these people must leave the home during the total patient care and isolation period (14 days).

* if it is impossible to leave the home, the Covid-19 patient must be taken care of in a hospital structure, preferably non-conventional.

Finally, doctors have asked us to insist to our readers on the following points:

-the patient followed at home must wear the mask at all times except when it is isolated.

-the toilets must be bleached for each use.

-An ECG (electrocardiogram) must be performed before starting to take hydroxychloroquine.

READ ALSO ON THE SAME SUBJECT

JAAFAR HEIKEL: FOLLOW-UP AT HOME ALTERNATIVE TO HOSPITALIZATION

AN OPTION TO RELIEVE THE PRESSURE ON PUBLIC HEALTH

https://medias24.com/covid-le-suivi-a-domicile-une-option-pour-soulager-la-pression-sur-la-sante-publique-12268.html

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