TY - JOUR AU - Piryani, Rano Mal AU - Piryani, Suneel AU - Shah, Jay Narayan PY - 2020/04/30 Y2 - 2024/03/29 TI - Revisit the hospital policy in the era of COVID-19 JF - Journal of Patan Academy of Health Sciences JA - J Patan Acad Health Sci VL - 7 IS - 1 SE - COVID-19: Short Communication/Perspective/Viewpoint DO - 10.3126/jpahs.v7i1.28883 UR - https://www.nepjol.info/index.php/JPAHS/article/view/28883 SP - 97-100 AB - <ol><li>Patient with recent history of dry cough, fever and breathlessness (influenza-like or severe acute respiratory illness) without alternative explanation/diagnosis needs to be managed as COVID-19 unless proved otherwise.</li><li>Suspected COVID-19 patient having fever and recent loss of taste and smell be tested for COVID-19.</li><li>Patient with severe acute respiratory illness of unknown aetiology be tested for COVID-19.</li><li>Patient with bilateral consolidation on chest X-ray or ground glass appearance on chest CT or interstitial oedema on chest ultrasound (not fully explained by volume overload) be tested for COVID-19 in moderate to high risk communities/countries.</li><li>Suspected COVID-19 patients with lymphopenia, high ESR or rise in C-reactive protein and suspected of viral fevers be tested for COVID-19.</li><li>Screening of pregnant women for COVID-19 with rapid testing preferably with Elisa in moderate to high risk communities/countries.</li><li>Screening with rapid testing preferably with Elisa prior to invasive interventions, including operations, in moderate to high risk communities/countries.</li><li>Limit the exposure of hospital staff who are susceptible to develop severe complications of COVID-19.</li><li>Hospitals provide PPE to staff depending upon exposure as per international/national/local guidelines.</li><li>Hospitals implement infection prevention control measures meticulously in context of COVID-19.</li></ol> ER -