Features of mahagment of a patient with a new coronaviral infection in the observator on the basis of student’s dormitory

Olga Yu. Kuznetsova; Alexandr V. Meltser; Anna V. Lubimova; Zhanna V. Pleshanova; Olga S. Zamyatina; Nikita V. Donetskov; Zoya R. Osinskaya

doi:10.17816/RFD34875

Russian Family Doctor ›› 2020, Vol. 24 ›› Issue (2) : 45 -51. DOI: 10.17816/RFD34875

Case report

research-article

Features of mahagment of a patient with a new coronaviral infection in the observator on the basis of student’s dormitory

Author information +

North-Western State Medical University named after I.I. Mechnikov

DSc, professor, Head of the Department of Family Medicine

MD, PhD, DSc, Vice-Rector for Preventive Medicine, Head of the Department of the Preventive Medicine and Health Protection

PhD, Professor of Epidemiology Department

Head of Family Medicine Center, general practitioner (family medicine physician)

district physician, resident of the Department of Family Medicine

district physician, resident of Infectious diseases Department

resident of the Department of Family Medicine

Show less

History +

PDF (163KB)

Abstract

The article is devoted to the peculiarities of clinical manifestations and the severity of a new coronary virus infection in a university student transferred to an observatory organized in a hotel-type hostel to prevent the spread of COVID-19 among students living in hostels. The data on the epidemiological history of the patient, the results of clinical observation and examination are provided. The tactics of managing a patient with a suspected of COVID-19 on an outpatient basis, symptoms that determine the indications for hospitalization, the results of examination and treatment in a hospital, and further observation at the observatory are considered.

A new coronavirus infection can lead to a rapid deterioration in the condition of young patients, which does not correlate with indicators indicating lung damage on the 5^th day of the disease. Persistent hyperthermia and severe weakness with anorexia can be indicators of the complicated course of the disease, including the development of hyperactive inflammatory syndrome. Hypochromic anemia can be another disease, which is an unfavorable background for the development of COVID-19. The course of the new coronavirus infection in young patients requires careful attention and further study.

Keywords

COVID-19 / management and medical care / indications for admission to hospital / observatory at hostel

Cite this article

Download citation ▾

Olga Yu. Kuznetsova, Alexandr V. Meltser, Anna V. Lubimova, Zhanna V. Pleshanova, Olga S. Zamyatina, Nikita V. Donetskov, Zoya R. Osinskaya. Features of mahagment of a patient with a new coronaviral infection in the observator on the basis of student’s dormitory. Russian Family Doctor, 2020, 24(2): 45-51 DOI:10.17816/RFD34875

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]

Временные методические рекомендации. Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19). Версия 6 (28.04.2020). [Vremennyye metodicheskiye rekomendatsii. Profilaktika, diagnostika i lecheniye novoy koronavirusnoy infektsii (COVID-19). Version 6 (28.04.2020). (In Russ.)]. Доступно по: https://static-1.rosminzdrav.ru/system/attachments/attaches/000/050/116/original/28042020_%D0%9CR_COVID-19_v6.pdf. Ссылка активна на 12.05.2020.

[2]	WHO announces COVID-19 outbreak a pandemic [cited 11 March 2020]. Available from: https://www.euro.who.int/ru/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic.

[3]

Официальный сайт Минздрава России. Коронавирус — симптомы, признаки, общая информация, отве¬ты на вопросы. [Ministry of Health of Russia. Koronavirus — simptomy, priznaki, obshchaya informatsiya, otvety na voprosy. (In Russ.)]. Доступно по: https://covid19.rosminzdrav.ru/. Ссылка активна на 12.05.2020.

[4]	Meng X, Deng Y, Dai Z, Meng Z. COVID-19 and anosmia: A review based on up-to-date knowledge. Am J Otolaryngol. 2020;41(5):102581. https://doi.org/10.1016/j.amjoto.2020.102581.

[5]	Lai C-C, Ko W-C, Lee P-I, et al. Extra-respiratory manifestations of COVID-19. Int J Antimicrob Agents. 2020;106024. https://doi.org/10.1016/j.ijantimicag.2020.106024.

[6]	qSOFA (Quick SOFA) score for sepsis. Available from: https://www.mdcalc.com/qsofa-quick-sofa-score-sepsis.

[7]

Методические рекомендации, алгоритмы действия медицинских работников на различных этапах оказания помощи, чек-листы и типовые документы, разработанные на период наличия и угрозы дальнейшего распространения новой коронавирусной инфекции в Санкт-Петербурге. Версия 2,0 от 10.06.2020. [Metodicheskiye rekomendatsii, algoritmy deystviya meditsinskikh rabotnikov na razlichnykh etapakh okazaniya pomoshchi, chek-listy i tipovyye dokumenty, razrabotannyye na period nalichiya i ugrozy dal’neyshego rasprostraneniya novoy koronavirusnoy infektsii v Sankt-Peterburge. Version 2,0 (10.06.2020). (In Russ.)]. Доступно по: http://webmed.irkutsk.ru/doc/pdf/covid2019spb.pdf. Ссылка активна на 12.05.2020.

[8]	The novel coronavirus pneumonia emergency response epidemiology team. The epidemiological characteristics of an outbreak of 2019 novel Coronavirus Diseases (COVID-19) — China, 2020. China CDC Weekly. 2020;2(8):113-122. https://doi.org/10.46234/ccdcw2020.032.

[9]	EVMS Critical care protocol COVID19 [cited 17 June 2020]. Available from: https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_COVID-19_Protocol.pdf.

[10]	Banjanac, Kos VM, Nujić K. Anti-inflammatory mechanism of action of azithromycin in LPS-stimulated J774A.1 cells. Pharmacol Res. 2012;66(4):357-362. https://doi.org/10.1016/j.phrs.2012.06.011.