Primary care management of the coronavirus (COVID-19).
Identifieur interne : 000368 ( 2020/Analysis ); précédent : 000367; suivant : 000369Primary care management of the coronavirus (COVID-19).
Auteurs : Bob Mash [Afrique du Sud]Source :
- South African family practice : official journal of the South African Academy of Family Practice/Primary Care [ 2078-6204 ] ; 2020.
Descripteurs français
- KwdFr :
- Coronavirus (isolement et purification), Dyspnée (étiologie), Fièvre (étiologie), Flambées de maladies (), Guides de bonnes pratiques cliniques comme sujet, Humains, Infections à coronavirus (), Infections à coronavirus (diagnostic), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Pandémies, Partie nasale du pharynx (virologie), Partie orale du pharynx (virologie), Pneumopathie virale (diagnostic), Pneumopathie virale (transmission), Pneumopathie virale (épidémiologie), République d'Afrique du Sud, Soins de santé primaires, Toux (étiologie), Traçage des contacts.
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- isolement et purification : Coronavirus.
- virologie : Partie nasale du pharynx, Partie orale du pharynx.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- étiologie : Dyspnée, Fièvre, Toux.
- Flambées de maladies, Guides de bonnes pratiques cliniques comme sujet, Humains, Infections à coronavirus, Pandémies, République d'Afrique du Sud, Soins de santé primaires, Traçage des contacts.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Betacoronavirus, Contact Tracing, Coronavirus (isolation & purification), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (therapy), Coronavirus Infections (transmission), Cough (etiology), Disease Outbreaks (prevention & control), Dyspnea (etiology), Fever (etiology), Humans, Nasopharynx (virology), Oropharynx (virology), Pandemics, Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (transmission), Practice Guidelines as Topic, Primary Health Care, South Africa.
- MESH :
- geographic : South Africa.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- etiology : Cough, Dyspnea, Fever.
- isolation & purification : Coronavirus.
- prevention & control : Disease Outbreaks.
- therapy : Coronavirus Infections.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Nasopharynx, Oropharynx.
- Betacoronavirus, Contact Tracing, Humans, Pandemics, Practice Guidelines as Topic, Primary Health Care.
Abstract
South Africa is in the grip of a novel coronavirus pandemic (COVID-19). Primary care providers are in the frontline. COVID-19 is spread primarily by respiratory droplets contaminating surfaces and hands that then transmit the virus to another person's respiratory system. The incubation period is 2-9 days and the majority of cases are mild. The most common symptoms are fever, cough and shortness of breath. Older people and those with cardiopulmonary co-morbidities or immunological deficiency will be more at risk of severe disease. If people meet the case definition, the primary care provider should immediately adopt infection prevention and control measures. Diagnosis is made by a RT-PCR test using respiratory secretions, usually nasopharyngeal and oropharyngeal swabs. Mild cases can be managed at home with self-isolation, symptomatic treatment and follow-up if the disease worsens. Contact tracing is very important. Observed case fatality is between 0.5% and 4%, but may be overestimated as mild cases are not always counted. Primary care providers must give clear, accurate and consistent messages on infection prevention and control in communities and homes.
DOI: 10.4102/safp.v62i1.5115
PubMed: 32242438
Affiliations:
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pubmed:32242438Le document en format XML
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Primary care providers are in the frontline. COVID-19 is spread primarily by respiratory droplets contaminating surfaces and hands that then transmit the virus to another person's respiratory system. The incubation period is 2-9 days and the majority of cases are mild. The most common symptoms are fever, cough and shortness of breath. Older people and those with cardiopulmonary co-morbidities or immunological deficiency will be more at risk of severe disease. If people meet the case definition, the primary care provider should immediately adopt infection prevention and control measures. Diagnosis is made by a RT-PCR test using respiratory secretions, usually nasopharyngeal and oropharyngeal swabs. Mild cases can be managed at home with self-isolation, symptomatic treatment and follow-up if the disease worsens. Contact tracing is very important. Observed case fatality is between 0.5% and 4%, but may be overestimated as mild cases are not always counted. Primary care providers must give clear, accurate and consistent messages on infection prevention and control in communities and homes.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li></country></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Mash, Bob" sort="Mash, Bob" uniqKey="Mash B" first="Bob" last="Mash">Bob Mash</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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