Treating a Corona patient at home … Important recommendations from global health


On how to care for a Covid-19 patient at home, Dr. Janet Diaz, the head of the medical team in charge of finding a treatment for Covid and the head of the Health Care Division of the World Health Organization, advised a number of very important recommendations, and warned of some common mistakes in the treatment protocol.

In an intervention with the “Science in Five” program, which the World Health Organization broadcasts on its social media accounts and presented by Vesmita Gupta Smith, Dr. Diaz said if a Covid-19 patient will receive care at home, there are some important matters and steps that must be taken. Considerate.

3 basic steps and watch closely

She added that the first of these steps is that the patient must be in isolation, meaning making sure not to contact others in any way that causes the infection to be transmitted to them.

Dr. Janet Diaz added, saying that a Covid patient who suffers from symptoms of high temperatures, he can take antipyretics and any treatments to reduce fever in order to keep the body comfortable, noting that the third step is good nutrition where a Covid patient must eat and drink well enough to maintain On the body’s ability to fight the virus and avoid dehydration.

She explained that most patients who develop Covid-19 do not have any severe complications, and may not develop severe pneumonia and therefore do not need to go to the hospital, and this is good.

But it is also known that there are a small number of patients, most of whom have risk factors for severe cases, who are at risk of developing severe complications, so they should be closely monitored for symptoms at home.

There is no benefit from antibiotics

Dr. Janet Diaz emphasized that there is one thing that she would like to emphasize, which is that SARS-Cove-2 is known to be a virus and therefore a person with Covid-19 who is receiving home treatment should not use antibiotics, that is, drugs that treat bacterial infections, because it is a viral infection. You respond to antibiotics.

And about treatment using a drug such as “remdesivir” and plasma therapy for cases of infection with the Corona virus, Dr. Diaz said that until this moment, there is a recommendation issued by the World Health Organization not to use the drug “remdesivir” to treat cases of Covid-19, due to the low confirmed evidence that it was It has no benefit in reducing or preventing deaths.

Regarding antibody plasma, she explained that there is, in fact, no recommendation in this specific guideline yet, but the evidence derived from clinical trials is currently also against its use in non-clinical trials that have continued to date, for which no results have been issued. Decisive yet.

Hazard oxygen level

Regarding how to monitor oxygen at home and what are the risk indicators that require consulting a doctor immediately or going to the hospital, Dr. Diaz said that it must be remembered that all care at home must be carried out under clinical supervision, which means that the decision regarding when to provide Home care or admission to hospital should take place under the supervision of a health care provider, in accordance with national protocols that establish specific pathways for care for patients with COVID-19.

And she indicated that a pulse oximeter can be used at home, and it is an easy-to-use and simple device that is placed on the index finger, explaining that there is a recommendation from the World Health Organization saying that if the patient receives treatment at home, especially if he is from the high-risk groups that is suffering from Chronic or dangerous health conditions, he may be at risk of developing a severe case of Covid-19, so the pulse and oxygen saturation of the blood must be monitored regularly.

Dr. Diaz explained that when low blood oxygen levels are detected early, then the correct intervention and course of care begin at an appropriate time, the patient’s life can be saved. And Dr. Diaz specified that the ratio of 94 to 90 is a little low, but it could be a warning sign, which requires calling the doctor and telling him how the patient feels to tell him what to do and provide him with some advice about what to do next.

Signs of deteriorating condition

Dr. Diaz stated that the warning symptoms that must be observed for a Covid patient who is receiving treatment at home are shortness of breath or difficulty breathing, because it can be an indication of suffering from pneumonia and that the pneumonia is progressing. Also, the feeling of chest pain can indicate that pneumonia is present and that it is progressing.

Dr. Diaz said that among other symptoms that should be noticed is a change in the mental state, which is sometimes a feeling of confusion, disoriented thinking, feeling dizzy or sleeping for more hours than usual.

Dr. Janet Diaz answered a question about the possibility of using oxygen therapy at home, saying that for the severe case of Covid-19 patients, it is not known whether the pneumonia will be mild, or if it will be severe, threatening the deterioration of the condition and the occurrence of respiratory failure.

Thus, if oxygen is to be used at home, it should be done in an environment that is under clinical control by a medical care provider, since medicinal oxygen is a drug.

The Corona virus has killed 3,244,598 people in the world since the WHO office in China reported the outbreak of the disease at the end of December 2019, according to a census conducted by Agence France-Presse, based on official sources, Thursday.

More than 155,126,230 people have been confirmed infected with the virus since its emergence. The vast majority of those infected recovered, although some continued to have symptoms after weeks or even months.

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