COVID-19: Literature review and learning from UK Experience

  • Sarju Man Shrestha Sunderland Royal Hospital, Sunderland, UK
  • Sudhir Lohani Darent Valley Hospital, Dartford, UK
Keywords: COVID-19, Corona virus, Pandemic

Abstract

COVID19 (Corona virus disease 2019) is an illness caused by novel corona virus, first reported from Wuhan in China in December 2019. This pandemic has spread to most of the countries of the world and has already taken a huge human toll. Transmission is mostly by the respiratory droplets and also by fomites. While most infected individuals have mild symptoms, a small but significant proportion of individuals develop severe bronchopneumonia, sometimes leading to multiorgan dysfunction. Common symptoms are fever, cough, myalgia, fatigue, nausea, vomiting, diarrhoea, breathlessness etc. Diagnosis is made by clinical features in the right epidemiological setting, blood tests and usually confirmed by a PCR test with a nasopharyngeal and oropharyngeal swab. Management is mainly supportive as currently there is no proven antiviral treatment.

Reconfiguration of services was necessary to manage a large number of patients admitted to a UK hospital with COVID 19 disease as elective admissions were cancelled and hospital admissions due to due to other diseases significantly declined. Staff were reallocated to cope with the surge in hospital admissions. A system of training was put in place to upskill the staff. All but absolutely necessary outpatient consultations were done by telephone or videoconferencing.

COVID 19 patients were cared for in dedicated areas of the hospital and strict infection control procedures were followed. Intensive care unit facilities with ventilators were rapidly expanded with involvement of operation theatre areas. Non-invasive respiratory support was provided in respiratory wards.

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Author Biographies

Sarju Man Shrestha, Sunderland Royal Hospital, Sunderland, UK

Department of Medicine

Sudhir Lohani, Darent Valley Hospital, Dartford, UK

Department of Medicine

Published
2020-05-28
How to Cite
Shrestha, S., & Lohani, S. (2020). COVID-19: Literature review and learning from UK Experience. Journal of Advances in Internal Medicine, 9(1), 12-16. https://doi.org/10.3126/jaim.v9i1.29160
Section
Review Articles