Primary care management of the coronavirus (COVID-19)

South Africa is in the grip of a novel coronavirus pandemic (COVID-19). Primary care providers are in the frontline. COVID-19 is spread primarily by respiratory droplets contaminating surfaces and hands that then transmit the virus to another person’s respiratory system. The incubation period is 2–9...

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Main Author: Bob Mash
Format: Article
Language:English
Published: AOSIS 2020-03-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/5115
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author Bob Mash
author_facet Bob Mash
author_sort Bob Mash
collection DOAJ
description South Africa is in the grip of a novel coronavirus pandemic (COVID-19). Primary care providers are in the frontline. COVID-19 is spread primarily by respiratory droplets contaminating surfaces and hands that then transmit the virus to another person’s respiratory system. The incubation period is 2–9 days and the majority of cases are mild. The most common symptoms are fever, cough and shortness of breath. Older people and those with cardiopulmonary co-morbidities or immunological deficiency will be more at risk of severe disease. If people meet the case definition, the primary care provider should immediately adopt infection prevention and control measures. Diagnosis is made by a RT-PCR test using respiratory secretions, usually nasopharyngeal and oropharyngeal swabs. Mild cases can be managed at home with self-isolation, symptomatic treatment and follow-up if the disease worsens. Contact tracing is very important. Observed case fatality is between 0.5% and 4%, but may be overestimated as mild cases are not always counted. Primary care providers must give clear, accurate and consistent messages on infection prevention and control in communities and homes.
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spelling doaj.art-172fb25967a346e7aa1ed1f7a76d87b22022-12-21T23:36:05ZengAOSISSouth African Family Practice2078-61902078-62042020-03-01621e1e410.4102/safp.v62i1.51154037Primary care management of the coronavirus (COVID-19)Bob Mash0Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, University of Stellenbosch, Cape TownSouth Africa is in the grip of a novel coronavirus pandemic (COVID-19). Primary care providers are in the frontline. COVID-19 is spread primarily by respiratory droplets contaminating surfaces and hands that then transmit the virus to another person’s respiratory system. The incubation period is 2–9 days and the majority of cases are mild. The most common symptoms are fever, cough and shortness of breath. Older people and those with cardiopulmonary co-morbidities or immunological deficiency will be more at risk of severe disease. If people meet the case definition, the primary care provider should immediately adopt infection prevention and control measures. Diagnosis is made by a RT-PCR test using respiratory secretions, usually nasopharyngeal and oropharyngeal swabs. Mild cases can be managed at home with self-isolation, symptomatic treatment and follow-up if the disease worsens. Contact tracing is very important. Observed case fatality is between 0.5% and 4%, but may be overestimated as mild cases are not always counted. Primary care providers must give clear, accurate and consistent messages on infection prevention and control in communities and homes.https://safpj.co.za/index.php/safpj/article/view/5115coronaviruscovid-19sars-cov-2primary carecontinuing medical educationclinical management
spellingShingle Bob Mash
Primary care management of the coronavirus (COVID-19)
South African Family Practice
coronavirus
covid-19
sars-cov-2
primary care
continuing medical education
clinical management
title Primary care management of the coronavirus (COVID-19)
title_full Primary care management of the coronavirus (COVID-19)
title_fullStr Primary care management of the coronavirus (COVID-19)
title_full_unstemmed Primary care management of the coronavirus (COVID-19)
title_short Primary care management of the coronavirus (COVID-19)
title_sort primary care management of the coronavirus covid 19
topic coronavirus
covid-19
sars-cov-2
primary care
continuing medical education
clinical management
url https://safpj.co.za/index.php/safpj/article/view/5115
work_keys_str_mv AT bobmash primarycaremanagementofthecoronaviruscovid19