Home Management, Critical Care and Discharge Criteria for COVID-19 Patients

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  • Create Date 17 January 2021
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Home Management, Critical Care and Discharge Criteria for COVID-19 Patients

Overview

The continued increase in reported cases of COVID-19 on the African continent threatens to overwhelm our already weak health infrastructure. Therefore, it is important for Member States to take serious and urgent measures towards case management to significantly reduce COVID-19 deaths.
In view of the infrastructural and resource gaps, technology should be considered for remote management of patients during this period within the healthcare delivery system.
As it is abundantly clear, even countries with more advanced healthcare infrastructure and resources have struggled to treat COVID-19 and nonCOVID-19 patients during this pandemic. The mild to moderate COVID-19 cases and selected nonCOVID-19 cases will benefit from telemedicine consultations.
The current evidence on the clinical charactersitics of COVID-19 indicates that the majority of patients (80%) will develop mild to moderate symptoms and will not require hospital admission. They can from the virus at home following risk assessments by health and social services to exclude factors that may render home care inappropriate or refer to national policy on management of mild cases. A significant number of patients with Covid-19 can be asymptomatic despite positive testing. This group of patients must take major protection steps to prevent the spread of the virus within their households and the community.

 

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Home Management for COVID-19 - ARADownload
Home Management for COVID-19 - ENGDownload
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In Africa, the number of COVID-19 cases and affected countries has been increasing steadily. As of 24 April 2020, over 27,000 cases and 1,300 deaths have been reported in 52 countries. Community transmission is now widespread. The epidemic has the potential to result in substantial death and suffering in Africa due to four major factors:

  1. Increased risk of transmission,
  2. Increased risk of infection leading to severe illness,
  3. Increased risk of death from severe illness,
  4. Increased suffering among those who survive the pandemic.

This guidance document addresses how physical distancing (referred to in previous guidance documents as ‘social distancing’) can help slow down transmission.

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