The Department of Medical Services has adjusted the guideline for the treatment of “COVID”, No. 26, starting on November 30, adjusting the risk factors for 3 groups of diseases, “obstructive pulmonary disease – heart disease – diabetes”, considered a risk group without a disease period. Helping access to drugs more conveniently and adding LAAB as a treatment option for this group. Expect the new year to increase the number of infected people but not much more severe symptoms Level 2-3 bed utilization is unlikely to reach 50%.
On November 29, Dr. Thongchai Keeratihatthayakon The Director-General of the Department of Medical Services said that the 26th edition of the guidelines for the diagnosis and treatment of COVID-19 has now been revised, which was approved by the Public Health Emergency Operations Center (EOC) in case of COVID-19 on Nov. 28. past Which today experts have a meeting to clarify guidelines or guidelines for more than 200 doctors, expected to be announced on November 30, with the latest version that has been modified 1. Patients with symptoms mild no pneumonia No risk factors for severe disease From the original, very detailed was then adjusted to provide outpatient care, follow DMHT for at least 5 days, and provide symptomatic care at the doctor’s discretion. If antiretroviral therapy is required, molnupiravir may be given. or favipiravir in children under 18 years of age.
2.Patients with mild symptoms but risk factors for severe disease or no risk factors but with mild to moderate pneumonia that does not require oxygen The criteria for risk factors for severe disease have been adjusted. To make access to antiviral drugs more convenient in 3 groups: COPD and other chronic lung diseases in stage 2 and above, cardiovascular disease Class 2 and above, and uncontrolled diabetes. was adjusted to no stage of disease and normal diabetes The doctor can prescribe medication at his discretion. which the antiviral drugs in this group Immunotherapy has been added (LAAB) as well. LAAB may be given alone or in combination with other antiretroviral drugs according to symptoms or at the discretion of the physician.
“In addition, the dosage recommendations have also been adjusted. Paxlovid should be started within 5 days of onset of symptoms 5 days of 10 doses Remdesivir should be started within 5 days of onset of symptoms 3 days of 3 doses LAAB should be started 7 days of onset have symptoms, give 1 dose and molnupiravir should be started in 5 days from the onset of symptoms, 5 days, 10 doses, “said Dr. Thongchai.
Asked regarding the case of a patient dying at home and then finding out that it was COVID. It also comes from knowing that you are addicted and having access to treatment late or not. Dr. Thongchai said More than 70% of the deaths are now among the unvaccinated. Received less than 3 doses of vaccination and the last dose lasted more than 3 months. Some had symptoms that were not observed or not examined. think it is influenza, so if there is a high fever, coughing a lot, starting to pant, you should hurry to the hospital, especially the 608 group and the group that has not received the vaccine or has not received all of them. Symptoms will change quickly. therefore requesting him to come and see a doctor for a timely diagnosis and treatment. In addition, he emphasized that everyone should receive 4 doses of vaccination to help reduce the risk of infection. or already stuck, the chances of severe symptoms and death are much less Even if you’ve been infected before, you don’t have to count. count only the vaccine But if infected, then keep a distance of 3 months and then inject more.
When asked regarding the situation of the COVID bed during the New Year Dr. Thongchai said Currently, we have returned the beds to care for patients with other diseases. There are 7,564 COVID-only care beds, regarding 1,168 beds, or 19.4%, only level 2-3 beds that care for the moderate to severe group use regarding 35%. There is an increase in infection But it is expected that patients with severe symptoms will not increase much. Estimated that the use of beds until the new year may not reach 50% because if the campaign for more people to be vaccinated Severe symptoms that require bed use are reduced. thought that there was no need to adjust the bed for other diseases to take care of COVID like before for patients with other diseases began to return to normal treatment since October 1, the past As for the patients who have accumulated queues, such as surgery, it has already begun to clear. For example, in the Yothi Medical District, beds are shared, the operating room, and the recovery bed help patients access faster. For patients with repeated COVID, it was found that Less symptoms than the first infection
