Management of Suspected and Confirmed Cases
The management of suspected and confirmed cases can be evaluated in
Table 4. These strategies have been formulated using the guidelines
proposed by CDC and principles suggested by Rasmussen et al.36
Among other recommendations to deal with confirmed cases are:
- Kalafat et al: The authors commenced the treatment of their patient
with azithromycin, hydroxychloroquine and oseltamivir as per Turkish
national COVID-19 treatment guidelines. Favipiravir and steroids were
added to her treatment regimen later37.
- Mullins et al. recommends that the decision regarding the mode of
delivery should be an obstetric indication and not on presumed
protection of the infant16.
- Li N et al. recommend the use of regional anesthesia because it is
known to be safer for both mother and fetus than general anesthesia.
The authors also recommended to limit the aerosols generated during
the procedure. It’s also recommended to ensure that the patient has
donned adequate facial mask to protect her from nosocomial infection3.
- Wang S et al: Treated the mother with 40 μg of recombinant human
interferon α1b-atomized inhalation with 2 mL of sterilization
injection water twice daily and ganciclovir (0.25 g every 12 hours,
intravenously). They also added Abipenem (0.3 g every 12 hours,
intravenously) and moxifloxacin (0.4 g once daily, intravenously) to
the treatment regime. The child was treated with methylprednisolone
(40 mg once daily, intravenously) 5.