What happens if you suspect a COVID-19 infection and post a COVID-19 diagnosis?

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A diagnosis with COVID-19 can be daunting and difficult to accept. However, with a global mortality rate of less than 3% and over 80% of those with the infection being asymptomatic, it is best for one to stay positive and focus on the recovery.

Once we develop symptoms of COVID-19 such as a cough, fever, sore throat, loss of taste or smell , headache or body pain; it is best to contact the helpline number. In India, the ‘1075’ number is the toll- free helpline number for COVID-19.

After assessing your symptoms and history through the call, you would either be required to self-quarantine at home until further symptoms develop or visit one of the government approved COVID-19 testing centres.

At the test centre, a doctor evaluates your symptoms and history and approves the test to be conducted if needed. A quick, 5-10 minute PCR test is conducted and this involves a painless throat swab. Depending on the severity of your symptoms, additional tests such as blood investigations or radiological investigations such as a CT chest/abdomen maybe taken.

Once your test results are revealed, (some tests take up to 2-3 days and self-quarantine, hospitalisation or institutional quarantine is advised during this waiting period depending on severity of symptoms) you would be informed confidentially about the results.

Mild cases:

If one does not show any symptoms or shows very mild symptoms and there are no co-morbidities or risk factors (such as diabetes, hypertension, cardia disease, old age, immunosuppression, etc.) , the person is advised to self quarantine at home.

Self quarantine at home:

  • A person suspected with this infection or is tested positive, should stay in a separate, well ventilated room with adequate facilities such as a toilet and access to the phone in case of emergencies.
  • Avoid using an air conditioner to prevent spread of infection to others in the house.
  • One main care giver should be appointed to take responsibility to provide the necessary needs for this person with protective equipment such as gloves and mask.
CORONAVIRUS PANDEMIC
  • The infected person should always wear a surgical mask and change to a new mask every 5-6 hours.
  • Hand washing and sanitizing should be practiced frequently.
  • Adequate water should be consumed and nutrient rich food should be taken to build immunity.
  • medications as prescribed by the doctor should be followed.
  • In Tamil Nadu, the government provides COVID-19 positive patients with additional vitamin supplements and ‘Kabasura Kudineer’ that should be taken to improve immunity and reduce worsening of the disease.
  • minimum contact with other family members should be maintained at all times and movement outside the room should be restricted.
  • The house should be cleaned with bleach at least once a week and metallic surfaces should be cleaned using alcohol.
  • symptoms should be monitored closely, communication with treating doctor should be maintained and immediate medical assistance needs to be sought if symptoms worsen.

Moderate cases:

these patients are quarantined in a government facility. Rules to be followed are very similar to those followed at home quarantine with additional support and help from healthcare professionals. Medications and food will be as supplied by the institutional authorities.

Severe cases:

These patients are hospitalized and treatment is given by doctors and other healthcare professionals in the hospital. Constant monitoring of vitals and supportive medication and drugs are prescribed until recovery.

Once a patient is infected, strict quarantine measures and treatment regimens are followed until the patient tests negative for COVID-19 in two consecutive PCR tests in a 24-hour duration.

Patients are advised to follow social distancing for a maximum of 14 days following a recovery.

coivd19 awareness

From the above, it is evident that though COVID-19 is a potentially fatal disease, the symptoms are not always severe and with the right treatment and support, a patient can recover completely. Also, research so far suggests that a patient who has been infected with COVID-19 will most likely not be re-infected with this virus.

It is important to understand that all COVID-19 positive patients do not need to be hospitalized. This is to avoid overcrowding at hospitals, reduce chances of re infection or cross infection and most importantly, reserve the essential medical supplies to critically ill patients who need it.

Therefore, anyone having symptoms or worried about their health need to consult a doctor before getting tested. Patients in home quarantine also need to be in touch with a doctor periodically to discuss symptoms and recovery. For these instances, telemedicine is of major importance and one can consult a doctor from anywhere , at anytime!

Curie is a one of a kind telemedicine platform and acts as the best place to consult a doctor online during these times. Download the Curie app and contact us at https://curie.health/ or +91-87788 26667 for more info!

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RE-STARTING YOUR DENTAL PRACTICE AFTER COVID19

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Dentists have been identified as being at a HIGH-RISK of Covid19 exposure and infection. They have been advised to NOT open practice around the globe. However, with lockdowns being eased and attempts to regain economic footing and livelihood being made, dentists have been given the choice to carry our emergency dental procedures and re-start practice in due course when the restrictions have been lifted.

Owing to this, the various national and regional Dental associations and organizations have come up with the best and safest practices to be followed by all dentists during clinical practice for an indefinite period:

· Information to be passed on to all patients :

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Ø Intimate your patients that the clinic is open for EMERGENCY PROCEDURES.

Ø Elective procedures to be rescheduled to when normal clinical operations resume

Ø Complete medical and travel history of the patients to be obtained 

Ø No patients will be seen without a prior appointment

Ø Consent forms to be signed regarding procedure details and precautions are taken

Ø No attenders to accompany patients inside the clinic unless in special cases. Video/audio conferencing or call can be allowed if needed.

Ø Patients to undergo a routine medical check-up, on arrival to the clinic.

Ø Masks should be worn by patients and should be only removed during the procedure

Ø Procedure charges would be higher than usual due to extra costs incurred for safety and infection control

Ø Payments will be digital

· Precautions at the clinic entrance:

Washbasins with soap and running water to be set up near the entrance

Ø Patients should be intercepted at the entrance by the clinic assistant and directed to the washbasin

Ø Patient drape, 3 layer face mask, shoe covers to be adorned before entering the clinic

Ø Hand sanitizer should be used before/after the procedure, entering/exiting the clinic.

dental clinic practice

Ø Non-touch thermometer should be used to record the patient’s temperature and other symptoms should be recorded. Any patient showing covid19 symptoms to be referred to a fever clinic.

Precautions in the waiting room:

Covid19 related info to be displayed in several strategic areas in the waiting halls for patient education

Ø Record details of every patient visiting the clinic

Ø Seats in the waiting room should be spaced and not more than one appointment should be given at one slot to prevent crowding in the clinic

Ø Consent forms and self-declaration forms to be signed before the procedure

Ø All surface areas should be thoroughly disinfected before and after every procedure

Ø Staff to be trained on how to maintain minimum contact with the patient and wear PPE (gloves, mask, head cap, shoe covers) at all times

Ø Avoid using AC at all spaces

· Procedural precautions:

Ø Not more than one assistant to help with the procedure, 4 handed technique can be used.

Ø All clinical personnel including doctor and assistant should be draped in adequate, appropriate PPE- HAZMAT SUIT(for all aerosol procedures), surgical gown, surgical apron, head cap, face mask (FFP3[FOR TREATING COVID19 PATIENTS], N95), eye goggles, shoe covers, gloves, rubber dam, head cap.

dental clinic practice

Ø Appropriate rooms for changing in and out of PPEs

Ø Proper biomedical waste disposal areas

Ø Patients to gargle with 1.5% hydrogen peroxide or 0.2% povidone-iodine before the procedure

Ø Use of 3-way syringes to be avoided

Ø Dental chair, contact surfaces, handles, and other equipment to be wrapped with barrier fil and changed after every patient

Ø Air purifiers with HEPA filters to be used 

Ø High volume suction to be used for all aerosol procedures

Ø Disinfection of all surfaces before and after each procedure

Ø Disinfection of impressions using soap solution for at least 10mins

Ø Diligent sterilization of all instruments following each procedure

Ø High-speed suction to be used

Ø Extraoral radiographs to be preferred

· Post-procedural precautions:

Ø Fresh masks to be given to all patients when they leave

Ø Wet mopping of floors using 1% hypochlorite solution

Ø 5% Lysol disinfection of procedure rooms

Ø Biomedical waste disposal strictly following protocols

dental clinic practice

Ø Hypochlorite solution or bleaching powder to be sprayed on all wastes

Ø Fumigation of the clinic should be done at regular intervals

The Tamil Nadu Health and Family Welfare has also suggested excluding all employees who are >65 years of age, have immuno-compromised conditions, have co-morbidities, or are pregnant. 

They have also advised the following precautionary prescription:

Ø Vitamin C 100mg oral for 10days

Ø Zinc 20mg for 10days

Ø Siddha suggested- Nilavembu Kudineer 

This is a very challenging time for all of us and it will take the entire world a few months to get back on its feet. However, always remember that the first and foremost focus is the health and wellbeing of our family and the people around us. 

Re-opening of your clinic might be difficult and tedious. Especially with all these new precautions and rules. To make everything in your clinic digitalized and reduce contact to zero, you need a partner like Curie to help you out. Right from logging in patients, storing their personal and medical records, storing procedural notes, giving prescriptions and post-procedure instructions, communicating with patients, service-providers, labs, etc and payment, Curie takes care of everything for you with the latest technology.

Contact Curie by logging on to https://curie.health or call +91-87788 26667

For a free demo or trial.

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