Beneficial Treatment Outcomes of Severe COVID-19 Patients Treated Entirely in Primary Care Settings With Dexamethasone Including Regimen—Case Series Report

Frontiers in Pharmacology

Jelena Pejić¹  Matea Ćorluka¹  Željko Zovko²  Zdravka Erkapić³  Josipa Juričić³  Damir Vukoja³  Andrea Jurić⁴  Tomislav Pejić⁵ 

[1] Department of Dermatology and Venerology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina;Department of Emergency Medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina;Grude Health Center, Grude, Bosnia and Herzegovina;Institute for Public Health of West Herzegovina County, Grude, Bosnia and Herzegovina;Ministry of Health, Labor and Social Welfare of West Herzegovina County, Grude, Bosnia and Herzegovina;

关键词: COVID-19;    coronavirus;    SARS-CoV-2;    dexamethasone;    corticosteroids;    primary health care;   

DOI  :  10.3389/fphar.2021.684537

来源: DOAJ

【 摘 要 】

Even in 2021, coronavirus disease 2019 (COVID-19) remains a major global health concern, especially in developing countries. The burden of this disease, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which affects not only primary respiratory but also other organ systems, keeps rising as the pandemic continues. Primary health care centers are the first line where COVID-19 patients are managed and should be able to manage the vast majority of them successfully. In this paper, we present a case series and concept of beneficial management of even deteriorating and severe patients treated entirely in our primary health center. The management is based on well-timed and rational dexamethasone use, as well as on various other pharmacological and nonpharmacological treatments and interventions, and is supported by provided statistical data. According to the presented experience and positive outcomes achieved, it seems that even deteriorating and severe COVID-19 patients can be treated successfully to some extent or even completely in primary care settings. This kind of approach could be particularly beneficial in conditions of overload of higher-level health care institutions.

【 授权许可】

Unknown