The Department of Medical Services admits 60% of people infected with COVID are asymptomatic, ready to adjust new treatment guidelines for COVID. people without severe symptoms But there are risk factors. or people without risk factors but has pneumonia Antiviral drugs must be given according to symptoms. but must be fast As for the sick with an oxygen value lower than 94%, they need to go to the hospital.
Dr. Sophon Iamsirithavorn Deputy Director General Department of Disease Control Mentioning the COVID-19 infection situation that around the world, the rate of COVID infection is currently in a downward trend. due to the end of winter in the north If you look in European countries The infection rate did not increase. Thailand Usually in early April Few people are found infected and sick. Found an average of more than 100 people per week, but it is expected that after the Songkran festival there will be an increase in the number of infected patients. Obviously, on April 9-15, the number of patients began to increase 2 times. The number of patients with pneumonia and tracheal intubation began to increase by 30-40% of the patients in the previous week. As for the number of deaths, 2 people were found, among whom were young people, 23-year-old females and 24-year-olds with low immunity. been vaccinated for a long time Another has not been vaccinated at all. However, the trend of COVID After Songkran, it will be the same as the year before 2022, where more infected people will be found in small waves and will return to see more patients during the rainy season. The number of deaths is still considered lower than expected.
Dr. Naruemon Sawanpanyalert, M.D. Dr. Songwut Advisor to the Medical Department said that the outbreak of XBB was found in 5 countries such as the United States, India, Singapore, Bangladesh. It is similar to influenza. and not different from other species If comparing the symptoms in children and adults in the XBB.1.16 strain, it will be found that in adults there will be fever, cough, sore throat, runny nose, body aches, and headache. In children, there will be high fever and red eyes. Therefore, in the diagnosis and treatment guidelines, adjust 2 issues 1. Adjusting antiretroviral drug administration in patients with severe risk factors In the case of any level of hospitalization if there is a respiratory infection Suspected of COVID, check ATK or PT-PCR if not found. consider as appropriate Both compliance with the DMS is to keep a distance, wear a mask and strictly wash your hands for 5 days. If symptoms do not improve within 48 hours, repeat the infection test. But in case of infection mild symptoms symptomatic treatment and 2. adjusting LAAB administration conditions
Narumon said that at present, the Department of Medical Services has divided patient care into 4 groups, namely group 1, people who have no symptoms, are fine, treated as outpatients. Emphasis on keeping a distance, wearing masks, washing hands for 5 days, which found that up to 60% of people like this were asymptomatic, so they did not need antiviral drugs. Because it can heal on its own. Group 2 has mild symptoms, pneumonia, no other disease risk factors. outpatient treatment Emphasis on keeping a distance, wearing a mask, washing hands for 5 days, treating according to the symptoms. According to the doctor’s discretion. Group 3 people without severe symptoms. But there are risk factors. or people without risk factors but has pneumonia There are 11 groups of risk factors, including age over 60 years, obstructive pulmonary disease, chronic kidney disease, cerebrovascular disease, diabetes, obesity, cancer, cirrhosis, low immunity. people infected with HIV by being able to choose one of the treatment drugs Let’s start with the patient’s symptoms. Consider either molnupiravir or paxlovid or remdesivir or LAAB but be quick. to reduce the death rate In which this group will change the treatment as before
Dr. Naruemon said that for the fourth group, patients with pneumonia symptoms If oxygen is below 94%, hospitalization is required. because there may be pneumonia as well Remdesivir must be given as soon as 5-10 days and steroids must be given together. For pregnant women, traditional treatment As for the drugs that still work, andrographis paniculata, molnupiravir, paxlovid, remdesivir and LAAB did not develop drug resistance. – Thai News Agency
Source: Thai News Agency
