Coronavirus Disease 19 (COVID-19) Guidelines February 2020 V1.1

 VERSIONS UPDATE

Version 1.0 was written and published on January 10th 2020.

Version 1.1

  • Updated the name of the virus and the disease name.
  • Updated the case definition
  • Added (Management of exposure to COVID-19 in healthcare facilities)
  • Added (The risk communication)
  • Updated the designated hospitals list
  • Updated the reporting form and the visual triage checklist form.

 

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Breakthrough: Chloroquine phosphate has shown apparent efficacy in treatment of COVID-19 associated pneumonia in clinical studies

Abstract

The coronavirus disease 2019 (COVID-19) virus is spreading rapidly, and scientists are endeavoring to discover drugs for its efficacious treatment in China. Chloroquine phosphate, an old drug for treatment of malaria, is shown to have apparent efficacy and acceptable safety against COVID-19 associated pneumonia in multicenter clinical trials conducted in China. The drug is recommended to be included in the next version of the Guidelines for the Prevention, Diagnosis, and Treatment of Pneumonia Caused by COVID-19 issued by the National Health Commission of the People's Republic of China for treatment of COVID-19 infection in larger populations in the future.

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Novel Corona Virus (2019-nCoV) Infection Guidelines (lecture)

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Clinical management of severe acute respiratory infection when Novel coronavirus (2019-nCoV) infection is suspected: Interim Guidance. 28 January 2020   

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The MOH Novel Corona Virus (2019-nCoV) Infection Guidelines, V1.0 January

 
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The MOH Interim Guide to Novel Coronavirus Infection 2019-nCoV

 
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The new published version of the Manual of Infection Prevention & Control in Dental Settings. Second Edition, 2018

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Source: Society for Healthcare Epidemiology of America (SHEA)

Health care facilities should trace all health care workers who had protected or unprotected contacts with patients with suspected, probable, or confirmed MERS-CoV infection.

High-risk unprotected exposure
Contact with confirmed MERS-CoV case within 1.5 meters for > 10 minutes

a) Testing (Nasopharyngeal swabs) for MERS-CoV is recommended even if asymptomatic.

b) Testing should not be done before 24 hours of exposure.

c) Single test only required unless symptomatic where repeated testing is required.

d) Contact should be off work until the test is reported as negative.

 

Low-risk unprotected exposure
Contact with confirmed MERS-CoV case more than 1.5 meters and/or for < 10 minutes

a) Testing for MERS-CoV is not recommended if asymptomatic.

b) Continue to work in the hospital unless they become symptomatic.

 

Protected exposure
Contact with confirmed MERS-CoV case and having appropriate isolation precautions including the PPE

a) Testing for MERS-CoV is not recommended if asymptomatic.

b) Continue to work in the hospital unless they become symptomatic.

Exposed patients
All patients admitted in the same room with a confirmed case of MERS for at least 30 minutes

 a) Patients can be exposed to MERS patients during pre-diagnosis phase or due to failure of recommended isolation precautions.

b) Testing for MERS-CoV should be done 24 hours or more after the last exposure.

c) Such patients should be followed for symptoms for 14 days after exposure with testing to be done upon development of symptoms suggestive of MERS.

The infection control unit of the facility or equivalent there of should trace all contacts within the HCF and proactively call by phone all contacts to assess their health daily for a total of 14 days. Contacts should also be instructed to report immediately to the Staff Health Clinic or Emergency Room if they develop upper or lower respiratory illness.

The Infection Control unit should be notified of all contacts that develop a respiratory illness.

 

Symptomatic contacts
Should be assessed clinically. Nasopharyngeal swabs should be collected and tested for MERS-CoV PCR. Should be managed as suspected cases using the same protocol described in the MERS-CoV management algorithm

 

Hospital outbreak of MERS-CoV
Defined as evidence of secondary transmission within the hospital of single or more cases.

a)  Investigation should be under guidance of Infection Prevention and Control Unit of the hospital, Regional Command and Control Center and Central Command and Control Center.

b)  More testing of asymptomatic HCW may be required.

c)  Cohorting or closure of units should be in consultation with the regional command and control center.

d)  Surge plan to be in place in case of large outbreak.

 

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