While the curve does not attenuate its climb, the protocol for home care is being drawn up for patients who tested positive for Coronavirus. "Caution on drugs to be used for the treatment of Covid patients at home". In fact, this is the recommendation of the organizations of family doctors in the absence, to date, of a defined protocol. And waiting for the new document for the treatments to be done at home. Document that should arrive shortly, as announced by the President of the Higher Health Council Franco Locatelli.
Meanwhile, the data released by the Ministry of Health recorded, in the last 24 hours, 37.978 new positive cases and 636 new deaths. The increase in tampons is equal to 234.672 while the number of people admitted to intensive care is 3170 (89 more than yesterday).
A protocol for home care
"Currently, there is currently no official protocol for home therapies", explains Claudio Cricelli, president of the Italian Society of General Medicine and Primary Care (Simg). Cricelli adds: “For this reason, our recommendation to general practitioners is to carry out a case-by-case assessment, based on the risks associated with the individual patient. Each positive case can be a subject with multiple pathologies as well as being positive for SARS-CoV-2".
“There is still no official guideline and the document - underlines Cricelli - will contain precise and direct indications for doctors in relation to the pharmacological therapies that can be used. Our recommendation is not to use drugs empirically in the absence of validated evidence of efficacy ”. Another recommendation is also that of not using hydroxychloroquine, which has been much talked about, but which “has not shown therapeutic benefits”. Furthermore "great caution - warns Cricelli - is also recommended for the use of drugs used in anti-Covid function, which are cortisone and heparin".
New guidelines for primary care physicians
“The upcoming document - underlines the president of the National Federation of Medical Orders (Fnomceo) Filippo Anelli - will contain indications for the management of Covid patients at home. We expect a protocol that will represent a starting point for home care ". Above all, the state of the art of home anti-Covid therapies for patients who do not need hospitalization will be traced.
Fundamental, the organizations conclude general practitioners, it is also the use of the oximeter. It is an instrument that will serve “to measure the amount of oxygen in the blood. This, in order to exclude one of the most serious clinical manifestations of Covid-19 which is pneumonia ". The oximeter is an easy-to-use tool for the patient and which allows the doctor to accurately monitor his status and any evolution of the infection.
