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.
-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;
* Pathological obesity;
* Insufficient organs;
* 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.
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