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Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected *notes to self
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link to www.who.int (secure)
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Introduction
This is the first edition of this document for novel coronavirus, an adaption of WHO Clinical management of severe acute
respiratory infection when MERS-CoV infection is suspected publication (2019).
This document is intended for clinicians taking care of hospitalised adult and paediatric patients with severe acute respiratory
infection (SARI) when 2019-nCoV infection is suspected. It is not meant to replace clinical judgment or specialist consultation
but rather to strengthen clinical management of these patients and provide to up-to-date guidance. Best practices for SARI
including IPC and optimized supportive care for severely ill patients are essential.
This document is organized into the following sections:
1. Triage: recognize and sort patients with SARI
2. Immediate implementation of appropriate infection prevention and control (IPC) measures
3. Early supportive therapy and monitoring
4. Collection of specimens for laboratory diagnosis
5. Management of hypoxemic respiratory failure and acute respiratory distress syndrome (ARDS)
6. Management of septic shock
7. Prevention of complications
8. Specific anti-nCoV treatments
9. Special considerations for pregnant patients
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