Опубликованы методические рекомендации по терапии ОРВИ в период эпидемии коронавируса
14 апреля 2020
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№195, апрель 2020
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Опубликованы методические рекомендации по терапии ОРВИ в период эпидемии коронавируса
Министерство здравоохранения представило временные методические рекомендации по лекарственной терапии ОРВИ в период эпидемии COVID-19. В руководстве указана информация об особенностях диагностики заболеваний, вызванных вирусом гриппа или другими вирусами, а также бактериальными возбудителями и COVID-19. Документ опубликован 13 апреля на сайте Минздрава.
Главной рекомендацией министерства для медицинских работников служит необходимость дифференциации ОРВИ и новой коронавирусной инфекции. Ведомство напоминает, что инкубационный период большинства ОРВИ, как правило, не превышает 3 дней, тогда как развитие COVID-19 в организме может проходить от 1 до 14 дней, а в среднем инкубационный период составляет 5 дней. Также при гриппе одышка и затрудненное дыхание являются более редкими симптомами, чем при COVID-19.
Вместе с этим Минздрав рекомендует всем врачам считать подозрительным на COVID-19 любой случай ОРВИ с температурой тела выше 37,5 градусов и одним из следующих признаков: кашель — сухой или со скудной мокротой, одышка, ощущение заложенности в грудной клетке, боль в горле, насморк и другие катаральные симптомы.
В таких случаях противовирусная терапия должна начинаться в первые 48 часов с момента проявления первых симптомов заболевания, даже без готовых результатов тестирования на коронавирус. Именно раннее начало лечения обеспечивает более легкое и короткое течение заболевания у пациентов с COVID-19.
Также в рекомендациях представлен перечень лекарственных препаратов, рекомендованных для терапии ОРВИ, а также дано несколько вариантов схем лечения пациентов с респираторными вирусными инфекциями.
Напомним, что ранее Минздрав обновил временные методические рекомендации по лечению коронавирусной инфекции COVID-19.
Катрен Стиль
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