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Approach to acute febrile illness during the COVID-19 pandemic
Manasvini Bhatt1, Manish Soneja1, Nitin Gupta2
1Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Insights
The COVID-19 pandemic has significantly delayed the diagnosis and management of acute febrile illnesses (AFI) due to overlapping symptoms and resource diversion. This review discusses these challenges and proposes solutions for effective AFI care during the pandemic.
Area of Science:
- Infectious Diseases
- Public Health
- Epidemiology
Background:
- Coronavirus disease 2019 (COVID-19) is a global pandemic with significant mortality.
- COVID-19 impacts healthcare systems, affecting the diagnosis and management of other acute febrile illnesses (AFI).
Purpose of the Study:
- To review the challenges in managing acute febrile illnesses during the COVID-19 pandemic.
- To identify and propose solutions for overcoming these management challenges.
Main Methods:
- Literature review focusing on the intersection of COVID-19 and acute febrile illness management.
- Analysis of diagnostic and resource allocation challenges.
- Synthesis of potential solutions and best practices.
Main Results:
- Overlapping clinical presentations between COVID-19 and AFI lead to diagnostic delays.
- Resource diversion and infection control measures for COVID-19 impact AFI patient care.
- Significant delays in diagnosis and management of AFI are observed.
Conclusions:
- Effective management of AFI during the COVID-19 pandemic requires addressing diagnostic and resource challenges.
- Implementing targeted strategies can mitigate delays and improve patient outcomes for AFI.
- Continued vigilance and adaptive healthcare strategies are crucial for managing febrile illnesses amidst pandemics.
Abstract:
Coronavirus disease 2019 (COVID-19) is a febrile respiratory illness that has spread rampantly across the globe and has emerged as one of the biggest pandemics of all time. Besides the direct effects of COVID-19 on mortality, collateral impacts on diagnosis and management of acute febrile illnesses (AFI) is a matter of great concern. The overlap in presentation, shunting of available resources and infection control precautions in patients with suspected COVID-19 result in a significant delay in diagnoses and management of AFI. This review highlights the challenges in the management of acute febrile illness during COVID pandemic and possible solutions for the same.
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