14/03/2020
National guideline for COVID-19
*Def : is potentially severe acute respiratory infection caused by SARS-CoV-2
S/S :
Some pt are symptomatic
High grade fever , cough , Dyspnea , fatigue,Anorexia , sore throat , headache
* Suspect case:
Pt with acute respiratory illness with no other etiology :
1- with hx of traveling 14D prior to the symptoms
2 -have been in contact with confirmed case
3- require hospitalization and no other etiology explains the clinical presentation
* Ix:
1- Nasopharyngeal swab and oropharyngeal swab “ don’t use ca alginate or wooden shaft swabs “ +ve Foe SARSCo-V2
2 - 80% have lukopenia
3- crp normal nor slightly high
4- prolonged pt
5- Blood culture no bacterial growth
6 - ABG low Po2
7- CXR uni or bi lateral lung infiltration
* Reporting :
any case should be notified immediately within 24 hr
*management :
1- home isolation is recommended for ppl who are asymptomatic after consultations with healthcare professional
2- if symptomatic :
_ monitor pt for signs of clinical deterioration
_rapidly progressive respiratory failure and sepsis start general supportive care as indicated
_ intubation is recommended in pt who are deteriorating and cannot maintain an SpO2 > 90% with O therapy
_ management of pt with pneumonia or comorbidities supportive therapies
- Give supplemental O2 ate rate 5L/min if indicated and titrate to reach target SpO2 > 90%
_ manage fluids conservatively as aggressive fluid resuscitation may worsen oxygenation
_ symptomatic relive for fever and pain
_ empirical antimicrobial if suspect bacterial infection
_ discontinue in Home isolation if resolution of fever without medication, improvement in illness sign and symptoms , -ve result Nasopharyngeal and throat swab collected 24 hr apart
