Q&A on coronaviruses (COVID-19)
Covid-19 All Symptoms
You can see a number of articles everywhere . However, the most accurate fact is that, for today, COVID-19's duration of transmission and its resistance to the external environment is not clear.
The most common symptoms are fever, cough and respiratory distress. These symptoms can be of different severity.
At the same time, complications such as pneumonia are possible. In some patients, digestion or eye there may also be problems (inflammation of the eye).
In more serious cases, pneumonia, severe acute respiratory infection, kidney failure and even death may develop.
Conditions that can be evaluated as disease symptoms:
- Fever (body temperature is higher than 38°C, fatigue, sometimes muscle novelties are followed by)
- Can be seen with dry cough, sore throat
If the symptoms are mild, you can treat yourself. Do not leave the house until 24 hours after your symptoms have eased, thus preventing the disease from spreading to other people.
However, pay attention to hygiene and code of conduct
Call your doctor if you are at high risk of severe illness or if the symptoms are worsening. It will decide whether medical research is necessary or whether it is sufficient for you to stay at home and treat yourself.
Coronavirus disease (COVID-19) advice for the public from WHO
Stay aware of the latest information on the COVID-19 outbreak, available on the WHO website and through your national and local public health authority. Most countries around the world have seen cases of COVID-19 and many are experiencing outbreaks. Authorities in China and some other countries have succeeded in slowing their outbreaks. However, the situation is unpredictable so check regularly for the latest news.
Protecting yourself and others from the spread COVID-19
You can reduce your chances of being infected or spreading COVID-19 by taking some simple precautions:
- Regularly and thoroughly clean your hands with an alcohol-based hand rub or wash them with soap and water. Why? Washing your hands with soap and water or using alcohol-based hand rub kills viruses that may be on your hands.
- Maintain at least 1 metre (3 feet) distance between yourself and others. Why? When someone coughs, sneezes, or speaks they spray small liquid droplets from their nose or mouth which may contain virus. If you are too close, you can breathe in the droplets, including the COVID-19 virus if the person has the disease.
- Avoid going to crowded places. Why? Where people come together in crowds, you are more likely to come into close contact with someone that has COIVD-19 and it is more difficult to maintain physical distance of 1 metre (3 feet).
- Avoid touching eyes, nose and mouth. Why? Hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and infect you.
- Make sure you, and the people around you, follow good respiratory hygiene. This means covering your mouth and nose with your bent elbow or tissue when you cough or sneeze. Then dispose of the used tissue immediately and wash your hands. Why? Droplets spread virus. By following good respiratory hygiene, you protect the people around you from viruses such as cold, flu and COVID-19.
- Stay home and self-isolate even with minor symptoms such as cough, headache, mild fever, until you recover. Have someone bring you supplies. If you need to leave your house, wear a mask to avoid infecting others. Why? Avoiding contact with others will protect them from possible COVID-19 and other viruses.
- If you have a fever, cough and difficulty breathing, seek medical attention, but call by telephone in advance if possible and follow the directions of your local health authority. Why? National and local authorities will have the most up to date information on the situation in your area. Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also protect you and help prevent spread of viruses and other infections.
- Keep up to date on the latest information from trusted sources, such as WHO or your local and national health authorities. Why? Local and national authorities are best placed to advise on what people in your area should be doing to protect themselves.
Advice on the safe use of alcohol-based hand sanitizers
To protect yourself and others against COVID-19, clean your hands frequently and thoroughly. Use alcohol-based hand sanitizer or wash your hands with soap and water. If you use an alcohol-based hand sanitizer, make sure you use and store it carefully.
- Keep alcohol-based hand sanitizers out of children’s reach. Teach them how to apply the sanitizer and monitor its use.
- Apply a coin-sized amount on your hands. There is no need to use a large amount of the product.
- Avoid touching your eyes, mouth and nose immediately after using an alcohol-based hand sanitizer, as it can cause irritation.
- Hand sanitizers recommended to protect against COVID-19 are alcohol-based and therefore can be flammable. Do not use before handling fire or cooking.
- Under no circumstance, drink or let children swallow an alcohol-based hand sanitizer. It can be poisonous.
- Remember that washing your hands with soap and water is also effective against COVID-19.
Covid - 19 patient care and treatment
There is no specific antiviral treatment for 2019 nCoV and symptomatic treatment is administered because its viral kinetics are unknown. It is intended to prevent secondary infections and complications.
In patients with pneumonia and severe pneumonia presenting with a preliminary diagnosis of COVID-19, empirical treatment is planned by taking bacteria and other viruses into account. The choice of empirical antibiotic treatment to be used in the clinical state of the patient (community-acquired pneumonia, health care-associated pneumonia, sepsis, status, comorbidity, and immunosupression, referral for health care in the last 3 months, prior antibiotic use) must be made according to local epidemiological data and treatment guidelines.
Today, there is no specific antiviral treatment for COVID-19 that has been proven reliable and effective. In order to find an effective antiviral treatment for this disease, more than 100 randomized controlled trials are currently being carried out with a large number of drugs, and some of their results are expected to be announced in the coming months.
Although it has been reported that the use of antivirals within the framework of randomized controlled trials is more rational, there is limited evidence that they may be effective due to the urgency of the situation, antivirals are widely used throughout the world for the treatment of these patients. Data from SARS and influenza suggest that early initiation of antiviral therapy is more beneficial.
Therefore, it is recommended to start antiviral therapy immediately for symptomatic patients with possible COVID - 19, for those with lung graph or thorax CT imaging with consistent involvement with viral pneumonia, and for all symptomatic patients with minimum fever symptoms with definite COVID-19 diagnosis. The combined use of antivirals in covid-19 patients should be considered on a patient-by-patient basis and by evaluating all the relevant literature, and caution should be taken regarding the interactions and undesirable effects of the drugs used.
Covid-19 Treatment protocol;
- Additional oxygen therapy is recommended for patients with respiratory distress, hypoxemia and shock.
- Conservative fluid therapy is recommended in patients with severe acute respiratory infection without any signs of shock.
- Empirical antimicrobials (antibiotics,influenza neuraminidase inhibitors, antifungals) are recommended for possible pathogens that may cause severe acute respiratory infections. Patients with sepsis should be given antimicrobials within the first hour of patient evaluation.
- Systemic corticosteroids should not be routinely administered for the treatment of viral pneumonia or Systemic corticosteroids should not be routinely given for treatment of ARDS. Because observational studies have reported that corticosteroids administered in SARS patients do not provide survival benefits, but may cause potential harm (avascular necrosis, psychosis, diabetes, and delayed viral clearance).
- Patients with severe acute respiratory tract infections should be closely monitored for rapidly progressing respiratory failure and sepsis and supportive treatment should be applied when necessary.
- It is very important to follow up closely in terms of accompanying diseases in the management of critical diseases. There is no developed vaccine for coronaviruses available today
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