Treating Covid-19 patients in the "new normal"

In the "new normal" conditions, while effectively controlling the Covid-19 pandemic, Binh Duong continues to improve its treatment capacity at the grassroots level, reorganize isolation and treatment areas, and maintain a number of hospital beds appropriate to the level of the pandemic in the province.

Treating Covid-19 patients at Tan Uyen City Medical Center

Improving treatment capacity at the primary healthcare level.

Ms. Nguyen Thi Cau, 62 years old, residing in An Thanh Ward, Thuan An City, tested positive for SARS-CoV-2 during a medical examination. After screening, medical staff at the An Thanh Regional Multi-Specialty Clinic decided to isolate and treat her at home. Although infected with Covid-19, her symptoms were mild (no signs of pneumonia or oxygen deficiency), she had no underlying health conditions, was not obese, was mentally alert, and had received all booster vaccinations. Therefore, she agreed to self-isolate and receive treatment at home as instructed by the clinic's doctors and medical staff. With the assistance of the clinic's medical team and her own efforts, after 7 days of isolation and treatment, she tested negative for the virus. Ms. Nguyen Thi Cau called the hotline to express her gratitude to the doctors and medical staff for their dedicated help in her recovery.

Ms. Nguyen Thi Cau is one of many cases where doctors and medical staff did not implement isolation and treatment at medical facilities but instead instructed patients to self-isolate and receive treatment at home. Over the past period, home treatment has proven effective, contributing to reducing the burden on higher-level facilities and limiting the number of patients becoming seriously ill or dying. Currently, the province still has over 70 patients isolated and treated at home. Each day, the province receives 5-6 COVID-19 patients for treatment at medical facilities, but has also successfully treated and discharged 7 patients per day.

Dr. Huynh Nguyet Phuong, Director of Thuan An City Health Center, said: “Local authorities are strictly implementing the assessment and classification of the risk of SARS-CoV-2 infection, collecting information on patients with underlying medical conditions from households, compiling lists of F0 cases at home, and dividing them into risk groups; at the same time, assessing the risk of severe illness and promptly transferring them to higher-level facilities. In addition, health stations are guiding F0 cases at home to use medication correctly as prescribed and at the right time, monitoring and supervising home isolation conditions and the care and nutrition of F0 cases.”

Ensuring the supply of medicines, medical supplies, and medical equipment.

Currently, the Covid-19 pandemic is developing in a complex and unpredictable manner. Most outbreaks in the community have been controlled, and the majority of new cases are detected at healthcare facilities and through community screening. Following the directives of the Department of Health, localities have allocated sufficient personnel and facilities, ensuring adequate medical supplies and equipment to serve the admission and treatment of Covid-19 patients.

Assessing the clinical severity and progression of COVID-19 patients is a crucial step in triaging and providing timely emergency care. Daily, treatment facilities on the first and second levels assess risk, closely monitor disease progression, promptly detect signs of worsening conditions in each patient, provide on-site emergency care, contact hospitals for transfer, and ensure timely and safe transfer, minimizing fatalities.”

(Dr. Huynh Minh Chin, Deputy Director of the Department of Health)

Under the new normal, the Department of Health directs units to proactively prepare isolation and treatment facilities for F0 cases in the province. The principle of preparation is to ensure that 20% of Covid-19 patients belong to level 2 of the treatment pyramid/total number of predicted infections. These treatment facilities must ensure sufficient infrastructure, equipment, resources, and personnel to accommodate 2% of Covid-19 patients belonging to level 3. Treatment areas at the district, town, and city levels will receive and treat asymptomatic patients and those with mild symptoms. To enhance treatment capacity, localities are urgently arranging and completing the treatment system at levels 1 and 2, and investing in additional equipment to handle both mild and severe cases.

To ensure the best possible treatment for patients, Dr. Huynh Minh Chin, Deputy Director of the Department of Health, said that the department has directed medical units to proactively review and develop plans to supplement and ensure sufficient emergency and intensive care equipment, consumables, and medical supplies for all treatment levels. Level 1 must have at least oxygen cylinders to meet the emergency needs of patients requiring oxygen via mask or nasal cannula. Level 2 must have at least high-flow oxygen ventilators, non-invasive ventilators, oxygen cylinders, liquid oxygen tanks, compressed air lines, pressure suction lines, and vaporizers to meet the emergency and intensive care needs of patients requiring high-flow oxygen or non-invasive mechanical ventilation for patients with severe conditions. The third floor must have at least high-flow oxygen ventilators, non-invasive and invasive ventilators, liquid oxygen tanks, compressed air lines, pressure suction lines, vaporizers, liquid oxygen cylinders, and gaseous oxygen cylinders to meet the emergency and intensive care needs of critically ill patients.

HOANG LINH

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