Diferencia entre revisiones de «COVID-19»

Revisión del 01:32 15 mar 2020

The CDC has expanded testing beyond the initial travel to china recommendations^[1]

Test any person who has fever or respiratory illness AND had close contact with a known COVID-19 patient
Test any person who has fever or respiratory illness AND a history of travel to CDC-classified high risk areas or areas with recent significant community spread
Test any person who has severe respiratory illness AND is being admitted to the hospital
Test any hospitalized person who has respiratory illness AND no alternative diagnosis
Consider testing any person who has respiratory illness AND lives in a residential facility such as a nursing home or recently returned from a cruise

The video below indicates the proper order for donning and doffing PPE {{#widget:YouTube|id=exV5hEG62CY}}

Supportive care is mainstay of therapy
Most patients will do well enough for discharge home
Discuss with Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home

Usually home, but decision needs to be made in conjunction with the local Public Health Dept
If admitting, needs to be placed in negative pressure isolation room with airborne and droplet precautions

Authors:

@@ Línea 6: / Línea 6: @@
 ==Clinical Features==
-===Case definition (Jan, 2020)===
+===Broad Testing Recommendations===
-* Patients with (must have ALL 3 criteria):
+The CDC has expanded testing beyond the initial travel to china recommendations<ref>Criteria to Guide Evaluation and Laboratory Testing for COVID-19 https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html</ref>
-#Travel to Wuhan China is past 14 days OR Exposure to Known Corona Virus Patient AND
+*Test any person who has fever or respiratory illness AND had close contact with a known COVID-19 patient
-#Fever AND
+*Test any person who has fever or respiratory illness AND a history of travel to CDC-classified high risk areas or areas with recent significant community spread
-#Lower respiratory symptoms (cough or shortness of breath)
+*Test any person who has severe respiratory illness AND is being admitted to the hospital
+*Test any hospitalized person who has respiratory illness AND no alternative diagnosis
+*Consider testing any person who has respiratory illness AND lives in a residential facility such as a nursing home or recently returned from a cruise
 ==Differential Diagnosis==