COVID-19 lung damage: Diagnostics and treatment at the primary health care

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Abstract

The lecture is devoted to lung damage in new coronavirus infection. The description of the pathogenetic mechanisms of lung damage is given. The characteristics of the morphological changes in the lungs with severe disease and their characteristics are given. Provides information on instrumental and laboratory diagnosis of lung lesions in COVID-19. Particular attention is paid to highlighting controversial and complex issues of managing patients with lung damage in COVID-19 in outpatient practice. In particular, controversial issues of terminology for defining lung damage, the complexity of differentiating viral lung damage and other causes, the complexity of diagnosing bacterial superinfection and its treatment. Aspects of patient management important for primary care physician are highlighted: current treatment regimens for COVID-19 patients with lung damage, the timing of the control X-ray examination. It provides information on the most common mistakes encountered in the management of patients with COVID-19 (over-prescribing radiation methods, over-prescribing antibacterial medications).

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About the authors

Marina A. Pokhaznikova

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: pokmar@mail.ru
ORCID iD: 0000-0001-9894-5974
SPIN-code: 3387-0226
ResearcherId: 0-4115-2014

MD, PhD, Associate Professor

Russian Federation, 45 Prosvescheniya pr., Saint Petesburg, 194291

References

  1. Strengthening the health system response to COVID-19: Adapting primary health care services to more effectively address COVID-19. Technical working guidance No. 5. Copenhagen: WHO Regional Office for Europe; 2020.
  2. Vremennye metodicheskie rekomendatsii. Profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19) [Internet]. Versiya 10; 08.02.12021. 249 p. Available from: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/054/588/original/Временные_МР_COVID-19_%28v.10%29-08.02.2021_%281%29.pdf. Accessed 10.03.2021. (In Russ.)
  3. Ofitsial’nyi sait Minzdrava RF. Koronavirus [Internet]. Available from: https://covid19.rosminzdrav.ru/. Accessed 10.03.2021.
  4. Patologicheskaya anatomiya COVID-19: Atlas. Ed. by O.V. Zairat’yants. Moscow; 2020. 140 p. (In Russ.)
  5. Zaitsev AA, Chernov SA, Stets VV, et al. Algorithms for the management of patients with a new coronavirus COVID-19 infection in a hospital. Guidelines. Consilium Medicum. 2020;22(11):91–97. (In Russ.). doi: 10.26442/20751753.2020.11.200520
  6. Savushkina OI, Cherniak AV, Kryukov EV, et al. Pulmonary function after COVID-19 in early convalescence phase. Medical alphabet. 2020;(25):7–12. (In Russ.). doi: 10.33667/2078-5631-2020-25-7-12
  7. COVID-19 Coronavirus pandemic [Internet]. Available from: https:// https://www.worldometers.info/coronavirus/. Accessed 23.03.2021.
  8. Kamps BS, Hoffmann C. COVID Reference. 6th Edition. 2021; 453 р. Available from: https://covidreference.com. Accessed 23.10.2021.
  9. Pairo-Castineira E, Clohisey S, Klaric L, et al. Genetic mechanisms of critical illness in COVID-19. Nature. 2021;591(7848):92–98. doi: 10.1038/s41586-020-03065-y
  10. Health Emergencies programme [Internet]. WHO. Available from: https://www.who.int/publications/m/item/weekly-operational-update-on-covid-19---11-january-2021. Accessed 23.03.2021.
  11. Lansbury L, Lim B, Baskaran V, Lim WS. Co-infections in people with COVID-19: a systematic review and meta-analysis. J Infect. 2020;81(2):266–275. doi: 10.1016/j.jinf.2020.05.046

Copyright (c) 2021 Pokhaznikova M.A.

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