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