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Сoronavirus infection in primary care practice

DOI: https://doi.org/10.29296/25879979-2021-08-04
Issue: 
8
Year: 
2021

L.V. Povalyaeva, A.V. Sutyagin, K.V. Zhilinskaya, A.T. Shubina Samara State Medical University of the Ministry of Health of the Russian Federation, Samara

The number of patients with suspected new coronavirus infection continues to grow. The work of a primary care physician and a nurse consists in the appropriate tactics of examining a patient with suspected COVID-19 infection. It is important to plan the examination and monitoring correctly, determine the place of treatment of the patient (outpatient treatment or inpatient), prescribe outpatient treatment. The main task of the doctor is to cure the patient, to prevent deterioration of the condition. If necessary, correctly determine the indications for hospitalization and send them to a specialized hospital. Patients with oxygen saturation in peripheral blood of less than 95%, pneumonia with a damage of more than 20% of lung tissue, confirmed by computed tomography of the lungs, aged over 65 years, with a temperature above 38° C for more than 3 days, in the presence of chronic diseases are sent to the hospital. Outpatient treatment is prescribed in accordance with the temporary guidelines «Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)» (TG) and the general condition of the patient. Monitoring continues throughout the observation period until full recovery. The criterion of cure necessarily includes a negative PCR result for SARS-CoV-2.

Keywords: 
COVID-19
SARS-CoV-2
therapeutics
diagnostic imaging
computed tomography
outpatient appointment
pneumonia temporary methodological recommendations



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