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Published on: November 7, 2020
[COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?]
Beat Lehmann1, Christine Baumgartner2, Anne-Kathrin Brill3
1Universitäres Notfallzentrum, Inselspital, Universität Bern, Bern.
Most COVID-19 patients can be treated at home with symptomatic therapy. Hospitalization is reserved for severe pneumonia or complications, particularly in later disease stages. Early evaluation is key for appropriate care.
Area of Science:
- Medicine
- Infectious Diseases
- Public Health
Background:
- Switzerland faced significant impact from the COVID-19 pandemic.
- COVID-19 presents a wide spectrum of clinical manifestations and disease progression.
Purpose of the Study:
- To outline the appropriate management strategies for COVID-19 patients in family practice.
- To differentiate between outpatient and inpatient treatment criteria for COVID-19.
Main Methods:
- Initial patient evaluation involves comprehensive history-taking, clinical examination, and diagnostic tests (imaging and laboratory).
- Assessment considers the clinical presentation, disease severity, and dynamic progression.
Main Results:
- The majority of COVID-19 cases are manageable with outpatient care.
- Hospitalization is indicated for severe COVID-19 pneumonia or complications arising in the second or third disease phases.
Conclusions:
- Outpatient COVID-19 management primarily requires symptomatic treatment.
- Antibiotics and corticosteroids are generally not indicated for outpatient COVID-19 treatment.
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