COVID-19 lung damage: Diagnostics and treatment at the primary health care
Marina A. Pokhaznikova
Russian Family Doctor ›› 2021, Vol. 25 ›› Issue (1) : 7 -17.
COVID-19 lung damage: Diagnostics and treatment at the primary health care
The lecture is devoted to lung damage in new coronavirus infection. The description of the pathogenetic mechanisms of lung damage is given. The characteristics of the morphological changes in the lungs with severe disease and their characteristics are given. Provides information on instrumental and laboratory diagnosis of lung lesions in COVID-19. Particular attention is paid to highlighting controversial and complex issues of managing patients with lung damage in COVID-19 in outpatient practice. In particular, controversial issues of terminology for defining lung damage, the complexity of differentiating viral lung damage and other causes, the complexity of diagnosing bacterial superinfection and its treatment. Aspects of patient management important for primary care physician are highlighted: current treatment regimens for COVID-19 patients with lung damage, the timing of the control X-ray examination. It provides information on the most common mistakes encountered in the management of patients with COVID-19 (over-prescribing radiation methods, over-prescribing antibacterial medications).
new coronavirus infection / COVID-19 / lung damage / diagnosis and treatment at the primary health care
| [1] |
Strengthening the health system response to COVID-19: Adapting primary health care services to more effectively address COVID-19. Technical working guidance No. 5. Copenhagen: WHO Regional Office for Europe; 2020. |
| [2] |
Усиление мер реагирования систем здравоохранения на COVID-19. Техническое руководство № 5. Адаптация первичной медико-санитарной помощи для повышения эффективности ответных мер в связи с COVID-19. Копенгаген: Европейское региональное бюро ВОЗ, 2020. |
| [3] |
Vremennye metodicheskie rekomendatsii. Profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19) [Internet]. Versiya 10; 08.02.12021. 249 p. Available from: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/054/588/original/Временные_МР_COVID-19_%28v.10%29-08.02.2021_%281%29.pdf. Accessed 10.03.2021. (In Russ.) |
| [4] |
Временные методические рекомендации. Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19). [Электронный ресурс]. Версия 10 (08.02.2021). 249 с. Режим доступа: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/054/588/original/Временные_МР_COVID-19_%28v.10%29-08.02.2021_%281%29.pdf. Дата обращения: 10.03.2021. |
| [5] |
Ofitsial’nyi sait Minzdrava RF. Koronavirus [Internet]. Available from: https://covid19.rosminzdrav.ru/. Accessed 10.03.2021. |
| [6] |
Официальный сайт Минздрава РФ. Коронавирус [Электронный ресурс]. Режим доступа: https://covid19.rosminzdrav.ru. Дата обращения: 10.03.2021. |
| [7] |
Patologicheskaya anatomiya COVID-19: Atlas. Ed. by O.V. Zairat’yants. Moscow; 2020. 140 p. (In Russ.) |
| [8] |
Патологическая анатомия COVID-19: Атлас / под ред. О.В. Зайратьянца. Москва, 2020. 140 с. |
| [9] |
Zaitsev AA, Chernov SA, Stets VV, et al. Algorithms for the management of patients with a new coronavirus COVID-19 infection in a hospital. Guidelines. Consilium Medicum. 2020;22(11):91–97. (In Russ.). DOI: 10.26442/20751753.2020.11.200520 |
| [10] |
Зайцев А.А., Чернов С.А., Стец В.В. и др. Алгоритмы ведения пациентов с новой коронавирусной инфекцией COVID-19 в стационаре: методические рекомендации // Consilium Medicum. 2020. Т. 22, № 11. С. 91–97. DOI: 10.26442/20751753.2020.11.200520 |
| [11] |
Savushkina OI, Cherniak AV, Kryukov EV, et al. Pulmonary function after COVID-19 in early convalescence phase. Medical alphabet. 2020;(25):7–12. (In Russ.). DOI: 10.33667/2078-5631-2020-25-7-12 |
| [12] |
Савушкина О.И., Черняк А.В., Крюков Е.В. и др. Функциональные нарушения системы дыхания в период раннего выздоровления после COVID-19 // Медицинской алфавит. 2020. № 25. С. 7–12. DOI: 10.33667/2078-5631-2020-25-7-12 |
| [13] |
COVID-19 Coronavirus pandemic [Internet]. Available from: https:// https://www.worldometers.info/coronavirus/. Accessed 23.03.2021. |
| [14] |
COVID-19 Coronavirus pandemic [Электронный ресурс]. Режим доступа: https://www.worldometers.info/coronavirus/. Дата обращения: 23.03.2021. |
| [15] |
Kamps BS, Hoffmann C. COVID Reference. 6th Edition. 2021; 453 р. Available from: https://covidreference.com. Accessed 23.10.2021. |
| [16] |
Kamps B.S., Hoffmann C. COVID Reference. 6th ed. 2021. 453 р. Режим доступа: https://covidreference.com. Дата обращения: 23.10.2021. |
| [17] |
Pairo-Castineira E, Clohisey S, Klaric L, et al. Genetic mechanisms of critical illness in COVID-19. Nature. 2021;591(7848):92–98. DOI: 10.1038/s41586-020-03065-y |
| [18] |
Pairo-Castineira E., Clohisey S., Klaric L. et al. Genetic mechanisms of critical illness in COVID-19 // Nature. 2021. Vol. 591, No. 7848. P. 92–98. DOI: 10.1038/s41586-020-03065-y |
| [19] |
Health Emergencies programme [Internet]. WHO. Available from: https://www.who.int/publications/m/item/weekly-operational-update-on-covid-19---11-january-2021. Accessed 23.03.2021. |
| [20] |
Health Emergencies programme [Электронный ресурс] // WHO. Режим доступа: https://www.who.int/publications/m/item/weekly-operational-update-on-covid-19---11-january-2021. Дата обращения: 23.03.2021. |
| [21] |
Lansbury L, Lim B, Baskaran V, Lim WS. Co-infections in people with COVID-19: a systematic review and meta-analysis. J Infect. 2020;81(2):266–275. DOI: 10.1016/j.jinf.2020.05.046 |
| [22] |
Lansbury L., Lim B., Baskaran V., Lim W.S. Co-infections in people with COVID-19: a systematic review and meta-analysis // J. Infect. 2020. Vol. 81, No. 2. P. 266–275. DOI: 10.1016/j.jinf.2020.05.046 |
Pokhaznikova M.A.
/
| 〈 |
|
〉 |