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Covid-19 for the Primary Care Clinician: Current Recommendations—Don’t Blink!

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Handbook of Outpatient Medicine
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Abstract

The chapter will discuss the outpatient assessment of the patient with possible Covid-19. The outpatient provider’s tasks are the following:

  • Appropriately identify those who are sick enough to warrant inpatient treatment.

  • Recognize those patients who are at high risk for progression to severe Covid-19 based on risk factors and to guide them toward interruptive therapy with antibody infusion or inhibitors of viral replication.

  • Advise about testing, treatment, isolation/quarantine, and follow-up care including vaccination guidelines.

Patients with post-acute sequelae of Covid-19 (Long Covid) are also usually under the aegis of the primary care provider. The post-acute course of Covid-19 is described, and the assessment and management of these patients are discussed.

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References

  1. Eguia RT, Crawford KHD, Stevens-Ayers T, Kelnhofer-Millevolte L, Greninger AL, Englund JA, et al. A human coronavirus evolves antigenically to escape antibody immunity. PLoS Pathog. 2021;17(4):e1009453. https://doi.org/10.1371/journal.ppat.1009453.

    Article  CAS  Google Scholar 

  2. Stokes Z, et al. Coronavirus disease 2019 case surveillance United States, January 22-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:759.

    Article  CAS  Google Scholar 

  3. Brandal LT, Mac Donald E, et al. Outbreak caused by the SARS Co-V-2 omicron variant in Norway November-December 2021. Euro Surveillance. 2021;26(50):2101147.

    CAS  Google Scholar 

  4. SARS-CoV-2 variants of concern and variants under investigation in England, UK health security agency, technical briefing 34, 14 January 2022.

    Google Scholar 

  5. Peeling R, Heymann D, et al. Diagnostics for Covid-19: moving from pandemic response to control. Lancet. 2022;399(10326):757–68. https://www.thelancet.com/journals/lancet/issue/vol399no10326/PIIS0140-6736(22)X0007-X

    Article  CAS  Google Scholar 

  6. Jennifer H, Heidi L-T, et al. Oral nirmatrelvir for high-risk, nonhospitalized adults with Covid-19. NEJM. 2022;386(15):1397–408. https://doi.org/10.1056/NEJMoa2118542.

    Article  Google Scholar 

  7. Bernal AJ, Gomes de Silva MM, et al. Molnupiravir for oral treatment of Covid-19 in nonhospitalized patients. N Engl J Med. 2022;386:509–20. https://doi.org/10.1056/NEJMoa2116044.

    Article  CAS  Google Scholar 

  8. Madewell ZJ, Yang Y, Longini IM, Halloran ME, Dean NE. Household transmission of SARS-CoV-2: a systematic review and meta-analysis. JAMA Netw Open. 2020;3(12):e2031756. https://doi.org/10.1001/jamanetworkopen.2020.31756.

    Article  Google Scholar 

  9. Greenhalgh T, Knight M, et al. Remote management of covid-19 using home pulse oximetry and virtual ward support. BMJ. 2021;373:n677.

    Article  Google Scholar 

  10. Shah S, Majmudar K. Novel use of pulse oximetry in covid 19 patients discharged from the emergency department identifies need for hospitalization. Acad Emerg Med. 2020;27(8):681–92.

    Article  Google Scholar 

  11. Townsend L, Dyer AH, Jones K, Dunne J, Mooney A, Gaffney F, et al. Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. PLoS One. 2020;15(11):e0240784. https://doi.org/10.1371/journal.pone.0240784.

    Article  CAS  Google Scholar 

  12. Taquet M, Luciano S, Geddes JR, Harrison PJ. Bidirectional associations between COVID-19 and psychiatric disorder: retrospective cohort studies of 62354 COVID-19 cases in the USA. Lancet Psychiatry. 2021;8:130–40.

    Article  Google Scholar 

  13. Sørensen AIV, Spiliopoulos L, et al. Post-acute symptoms, new onset diagnoses and health problems 6 to 12 months after SARS-CoV-2 infection: a nationwide questionnaire study in the adult Danish population. medRxiv preprint. 2022. https://doi.org/10.1101/2022.02.27.22271328.

  14. Chadda K, Blakey E, et al. Long Covid-19 and postural orthostatic tachycardia syndrome–is dysautonomia to be blamed? Front Cardiovasc Med. 2022;9:860198. https://doi.org/10.3389/fcvm.2022.860198.

    Article  CAS  Google Scholar 

  15. Singh I, Joseph P, et al. Persistent exertional intolerance after COVID-19: insights from invasive cardiopulmonary exercise testing. Chest. 2022;161(1):54–63.

    Article  CAS  Google Scholar 

  16. www.cdc.gov/vaccines/covid-19/downloads/COVID-19-immunization-schedule-ages-6months-older.pdf. Accessed 27 June 2022.

  17. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html. Accessed 5 Oct 2022.

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Correspondence to Matthew Love .

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Love, M. (2022). Covid-19 for the Primary Care Clinician: Current Recommendations—Don’t Blink!. In: Sydney, E., Weinstein, E., Rucker, L.M. (eds) Handbook of Outpatient Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-15353-2_2

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  • DOI: https://doi.org/10.1007/978-3-031-15353-2_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-15352-5

  • Online ISBN: 978-3-031-15353-2

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