COVID-19: Prevention, and Vaccines

Prevention

• Ensuring triage, early recognition, and source control (isolating patients with suspected nCoV infection);
• Applying standard precautions for all patients; masks, hand hygiene
• Implementing empiric additional precautions(droplet and contact and, whenever applicable,airborne precautions) for suspected cases of nCoV infection;
• Implementing administrative controls; education, policy implementation,prevent overcrowding
• Using environmental and engineering controls

Clinical Management

• Triage: recognize and sort patients with severe acute respiratory infections
• Immediate implementation of appropriate infection prevention and control (IPC) measures
• Early supportive therapy and monitoring ->oxygen, conservative fluid Mx
• Collection of specimens for laboratory diagnosis -> nasopharyngeal & expectorated sputum
• Management of hypoxemic respiratory failure and acute respiratory distress syndrome (ARDS)
• Management of septic shock
• Prevention of complications of critical illness-> venous thromboembolus etc…
• Specific anti-nCoV treatments -> no current evidence
• Special considerations for pregnant patients