Diagnostic Station DS20
Early recognition of patients with SARI associated with COVID-19 infection.
Screen and isolate all patients with suspected COVID-19 at first point of contact with health care system (such as the emergency department or outpatient department/clinic). Consider COVID-19 as a possible etiology of patients with ARI under certain conditions (see Table 1). Triage patients using standardized triage tools and start first-line treatments.
ONE TOUCH TO THE MEASUREMENT
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- While the majority of people with COVID-19 have uncomplicated or mild illness (81%), some will develop severe illness requiring oxygen therapy (14%) and approximately 5% will require intensive care unit treatment. Of those critically ill, most will require mechanical ventilation (2, 10). The most common diagnosis in severe COVID-19 patients is severe pneumonia.
- Early recognition of suspected patients allows for timely initiation of appropriate IPC measures
- Early identification of those with severe
illness, such as severe pneumonia, allows for optimized
supportive care treatments and safe, rapid referral and admission to designated
hospital ward or intensive care unit according to institutional or national
patients and those with comorbidities, such as cardiovascular disease and diabetes mellitus, have increased risk of severe disease and mortality. They may present with mild symptoms but have high risk of deterioration and should be admitted to a designated unit for close monitoring.
- For those with mild illness, hospitalization may not be required unless there is concern for rapid deterioration or an inability to promptly return to hospital; but isolation to contain/mitigate virus transmission should be prioritized. All patients cared fot outside hospital (i.e. at home or non-traditional settings) should be instructed to manage themselves appropriately as per local/regional public health protocols for home insolation and return to designated COVID-19 hospital if they develop any worsening of illness.
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