{"id":5512,"date":"2020-10-29T18:55:56","date_gmt":"2020-10-29T16:55:56","guid":{"rendered":"https:\/\/www.borbolycsaba.ro\/ro\/?p=5512"},"modified":"2020-11-02T12:57:51","modified_gmt":"2020-11-02T10:57:51","slug":"noi-reguli-pentru-pacientii-infectati-cu-covid-19-asimptomatici","status":"publish","type":"post","link":"https:\/\/www.borbolycsaba.ro\/ro\/noi-reguli-pentru-pacientii-infectati-cu-covid-19-asimptomatici\/","title":{"rendered":"Noi reguli pentru pacien\u021bii infecta\u021bi cu Covid-19 asimptomatici"},"content":{"rendered":"

Bolnavii COVID-19 confirma\u0163i printr-un test RT-PCR care nu prezint\u0103 simptome sau au forme u\u015foare se vor putea \u00eentoarce la munc\u0103 \u00een 14 zile de la data primului test pozitiv, f\u0103r\u0103 a mai fi nevoie de efectuarea unui test de control \u015fi f\u0103r\u0103 a avea nevoie de un aviz epidemiologic de intrare \u00een colectivitate, se men\u0163ioneaz\u0103 \u00eentr-un ordin al ministrului S\u0103n\u0103t\u0103\u0163ii publicat mar\u0163i \u00een Monitorul Oficial. Infecta\u0163ii asimptomatici sau cu forme u\u015foare, care se afl\u0103 izola\u0163i la domiciliu sau la o loca\u0163ie declarat\u0103, vor fi monitoriza\u0163i zilnic, prin telefon, de medicii de familie. \u00cen fi\u015fa de monitorizare aprobat\u0103 de minister sunt prezentate simptome precum respira\u0163ie cu dificultate, tuse intens\u0103, febr\u0103, dureri de cap, musculare sau \u00een g\u00e2t, lipsa gustului sau a mirosului, diaree sau oboseal\u0103. La finalul celor 14 zile de izolare ace\u015fti pacien\u0163i sunt declara\u0163i vindeca\u0163i f\u0103r\u0103 un al doilea test de control \u015fi \u00ee\u015fi pot relua activit\u0103\u0163ile curente \u015fi profesionale cu p\u0103strarea distan\u0163ei \u015fi purtarea m\u0103\u015ftii at\u00e2t acas\u0103, c\u00e2t \u015fi la locul de munc\u0103, pentru \u00eenc\u0103 10 zile, se men\u0163ioneaz\u0103 \u00een ordinul ministrului S\u0103n\u0103t\u0103\u0163ii nr. 1819\/2020, intrat \u00een vigoare mar\u0163i.<\/p>\n

Mai exact, dup\u0103 14 zile de data recolt\u0103rii primului test pozitiv, pacien\u0163ii declara\u0163i vindeca\u0163i de COVID-19 se pot \u00eentoarce \u00een colectivitate (loc de munc\u0103, unitate de \u00eenv\u0103\u0163\u0103m\u00e2nt etc.) f\u0103r\u0103 a avea nevoie de un aviz epidemiologic sau de un test negativ ARN SARS-CoV-2.<\/p>\n

Alte aspecte importante men\u0163ionate \u00een acest ordin sunt legate de\u00a0utilizarea \u00een paralel a testelor rapide, dar \u015fi a celor RT-PCR, pentru depistarea infect\u0103rii cu COVID-19 a pacien\u0163ilor afla\u0163i \u00een Unit\u0103\u0163ile de Primiri Urgen\u0163e (UPU), \u00een scopul efectu\u0103rii triajului c\u00e2t mai rapid \u015fi a decongestion\u0103rii zonelor UPU. Pentru bolnavii asimptomatici nu se recomand\u0103, la acest moment, utilizarea testelor rapide.<\/p>\n

Pacien\u0163ii asimptomatici, dar care prezint\u0103 factori de risc, pot fi izola\u0163i \u00een spitalele de faza I, faza a II-a sau spitale suport la recomandarea medicului de familie, la solicitarea \u015fi cu acordul lor. Ace\u015fti pacien\u0163i care sunt pozitivi la testul de control pot fi externa\u0163i \u015fi mai devreme de 10 zile, dup\u0103 cel pu\u0163in 72 de ore de absen\u0163\u0103 a oric\u0103rui simptom COVID-19, dac\u0103 medicul curant \u00ee\u015fi d\u0103 acordul. Dup\u0103 externare, ace\u015fti pacien\u0163i vor r\u0103m\u00e2ne \u00een izolare la domiciliu p\u00e2n\u0103 la \u00eemplinirea celor 14 zile ale perioadei de izolare, care se calculeaz\u0103 de la data recolt\u0103rii primului test pozitiv. \u00cen perioada de izolare vor fi monitoriza\u0163i zilnic, prin telefon, de c\u0103tre medicul de familie.<\/p>\n

Pacien\u0163ii cu afec\u0163iune renal\u0103 care necesit\u0103 dializ\u0103 \u015fi care sunt pozitivi la proba de control pot fi men\u0163inu\u0163i interna\u0163i p\u00e2n\u0103 la 14 zile, \u00een vederea asigur\u0103rii accesului la dializ\u0103.<\/p>\n

Pacien\u0163ii care sufer\u0103 de forme medii sau severe vor fi interna\u0163i \u00een spitalele de faza I sau II, care au \u00een structur\u0103 sec\u0163ii de terapie intensiv\u0103, sau \u00een spitalele-suport. Ace\u015fti bolnavi vor fi interna\u0163i pentru cel pu\u0163in 14 zile de la data recolt\u0103rii primului test pozitiv, c\u00e2t timp nu au febr\u0103 cel pu\u0163in 72 de ore, iar simptomele se amelioreaz\u0103.<\/p>\n

Ordinul de ministru mai prevede c\u0103 pacien\u0163ii care prezint\u0103 sechele post-COVID-19 dup\u0103 externare, cum ar fi oboseal\u0103, tulbur\u0103ri neurologice \u015fi dificult\u0103\u0163i de respira\u0163ie, vor fi monitoriza\u0163i \u00een continuare at\u00e2t de medicul de familie, c\u00e2t \u015fi de medici speciali\u015fti, cu controale regulate ale func\u0163iei pulmonare, cardiace, test de mers sau alte investiga\u0163ii considerate necesare.<\/p>\n

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Bolnavii COVID-19 confirma\u0163i printr-un test RT-PCR care nu prezint\u0103 simptome sau au forme u\u015foare se vor putea \u00eentoarce la munc\u0103 \u00een 14 zile de la data primului test pozitiv, f\u0103r\u0103 a mai fi nevoie de efectuarea unui test de control \u015fi f\u0103r\u0103 a avea nevoie de un aviz epidemiologic de intrare \u00een colectivitate, se men\u0163ioneaz\u0103 […]<\/p>\n

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