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Start treating Covid at home, when symptoms appear and before the tampon result, under the supervision of the GP and to prevent the disorders from degenerating until hospitalization in intensive care is necessary. It is explained in a document published in the magazine. Clinical and medical research. The authors of the research are doctors from the Mario Negri Institute and the Papa Giovanni XXIII Hospital in Bergamo: Giuseppe Remuzzi, Norberto Perico, Monica cortinovis and teacher Fredy suter. The document was produced to respond to requests coming to Negri from doctors and hospitals around the world. Unlike the Bassetti protocol and the Lombard doctors’ formulary, it is not necessary to wait for the swab result to intervene.
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THE BASIC DOCTOR
In this case, the figure of the general practitioner becomes essential who, by starting to administer treatments in advance, has a better chance of preventing the inflammatory reaction that, in the face of complications, can be treated at home. When symptoms appear, such as cough (which affects 67% of Covid patients), fever (present in 43% of cases) or nausea, vomiting, diarrhea, sore throat and headache. , drug treatment can begin immediately pending the results of the swab, which can come within a few days. But what medications could the family doctor administer? The same ones used to fight other respiratory tract infections: anti-inflammatories like aspirin and aulin (which, however, should never be mixed). In more severe cases, cortisone and heparin can also be used. And the tachipyrine? It is not used because acetaminophen does not have anti-inflammatory properties and therefore cannot inhibit the enzyme that triggers inflammation within the body. In more fragile subjects, azithromycin can also be used, and the doctor may also decide to administer oxygen.
Blood tests are also essential to keep inflammation rates, kidney function, and clotting parameters under control. The duration of treatment and the type of drugs to be used depend on the clinical course. So far, the protocol has been tested in about fifty patients with positive swabs. All had mild symptoms and recovered without being hospitalized.
THE BASSETTI PROTOCOL
In recent weeks, the home care protocol prepared by the National Commission coordinated by the director of the San Martino Infectious Diseases Clinic had been disseminated. Matteo bassetti. The recommended drugs are common: paracetamol, aspirin and only, in more complex cases, heparin or cortisone. The treatment is calibrated according to the ailments. No treatment is foreseen for asymptomatic patients. For those with mild symptoms, such as a fever no higher than 38 degrees and mild respiratory symptoms, acetaminophen, ibuprofen, or acetylsalicylic acid are used. When moderate symptoms (fever greater than 38.5 degrees for 96 consecutive hours, cough, dyspnea, saturation greater than 93% or 90% in patients with pulmonary diseases) heparin is also used if the patient’s age is greater than 60 years, or if there are other risk factors. Cortisone is used 5-7 days after the onset of symptoms and in case of impaired respiratory function.
THE LOMBARD VADEMECUM
The Vademecum of Lombard Doctors, published on the Omceo di Bergamo website, developed with Professor Massimo Galli, responsible for infectious diseases at the Sacco hospital in Milan, involves the use of paracetamol in the treatment of fever, abundant hydration, sedatives for coughs as needed, self-pronation to counter mild cough and dyspnea. However, some therapies such as the antiretroviral lopinavir / ritonavir, the antibiotic azithromycin, and the antimicrobial / immunomodulatory hydroxychloroquine are considered contraindicated.
Last update: 11:20
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