By vgreene, 27 March, 2020 For mild to moderate suspected or confirmed COVID 19 use home isolation supportive care 4 Prioritize COVID 19 testing 4 5 Avoid routine abx 3 Offer tx to high risk pts 4
By vgreene, 27 March, 2020 Start empiric antimicrobials if imaging or if imaging not available but CAP suspected 1 2 Use antibacterials in CAP even if flu test 1 but not in COVID 19 3
By vgreene, 27 March, 2020 Use outpt supportive care, eg, antipyretics5 (NSAIDs not contraindicated, per FDA6). Avoid steroids1,5 unless required for other indications (eg, COPD exac);3 weigh benefit/harm of antenatal steroids if pregnant @ risk for preterm labor
By vgreene, 27 March, 2020 No drugs are FDA-approved for post-exposure prophylaxis or tx, though some drugs are being trialed for tx or given for compassion use;3 Resource: COVID-19 Drug Therapy Trial Updates
By vgreene, 27 March, 2020 Home isolation suitable; educate about when to seek care; pts who are older, have underlying conditions, or immunocompromise are @ higher risk, so should contact physician early, even for mild sx,3 warrant closer monitoring3,5
By vgreene, 27 March, 2020 For mild suspected or confirmed COVID-19, use home isolation,3 supportive care. Prioritize COVID-19 testing3,4
By vgreene, 27 March, 2020 Start empiric antimicrobials, whether imaging (+), or imaging not available but CAP suspected.1,2 Use antibacterials in CAP even if flu test (+)1
By vgreene, 27 March, 2020 Routine f/u CXR for CAP not recommended if sx resolved in 5-7 days,1 per ATS/IDSA
By vgreene, 27 March, 2020 If influenza suspected or test (+): start antiviral w/in 48h of sx onset, per ACCP.2 ATS/IDSA suggests flu tx for CAP pts w/ (+) flu test, regardless of sx duration1