COVID-19

Publications and Guidelines

03.04.2020

Can SARS-CoV-2 Infection be acquired in utero? More definite evidence is needed

Critical appraisal of reports on SARS-CoV-2 IgM positive neonates

Coment Taskforce Knowledge-Management Covid-19

Keine virologischen Hinweise für vertikale Transmission auf Föten. IgM können falsch positiv sein.

#diagnosis #pediatrics #infectious diseases
03.04.2020

Universal Masking in Hospitals in the Covid-19 Era

Wearing masks by all healthcare workers may reduce transmission by asymptomatic coworkers or patients

Comment Taskforce Knowledge-Management Covid-19

Masken im Spital für alle wahrscheilich sinnvoll.

#prevention #general
02.04.2020

Management of Critically Ill Adults With COVID-19

Guidelines der Surviving Sepsis Campaing zum Umgang mit kritisch KRanken Covid-Patienten, resultierend aus einer systematischen Liaterturrecherche und GRADE-Methodologie

Comment Taskforce Knowledge-Management Covid-19

Pragmatische, evidenzbasierte Zusammenfassung der DO's and DONT's. Fortlaufend aktualisiert unter www.sccm.org/SurvivingSepsisCampaign/Guidelines/COVID-19

#treatment #prevention #ICU #anaesthesiology #emergency medicine
02.04.2020

COVID-19 Information for Switzerland

Täglich aktualisierte Website, die die kantonalen Daten zu COVID19 Fällen, Prävalenz, Hospitalisationen und Verstorbenen übersichtlich und transparent darstellt. Link zu den Rohdaten.

#general #epidemiology
02.04.2020

Detection of SARS-CoV-2 in different types of clinical specimens

Die Autoren haben teils widerholt Phyaryngealabstriche von 205 Patienten mit gesicherter COVID19 Infektion genommen und mittels RT-PCR analysiert sowie mit Proben aus anderem Material (zB Urin, Sputum, Nasenabstriche, oder BAL) verglichen. Die höchste Sensitivität ergab sich für Proben per BAL (92%; 15 gesamt) , während Nasenabstriche (63%, 8) und Pharyngealabstriche (32%, 398) deutlich schlechter abschnitten.

Comment Taskforce Knowledge-Management Covid-19

Auch wenn die Studie klein und methodisch eingeschränkt ist: Vorsicht mit der Interpretation der COVID-Abstriche! Sowohl zum Entisolieren als auch - bei miserablem positiv prädiktiven Wert - Screenen taugt die RT-PCR allein nicht.

#diagnosis #emergency medicine
02.04.2020

Covid-19-Pandemie: Triage von intensivmedizinischen Behandlungen bei Ressourcenknappheit

Die Richtlinien spezifizieren anhand von zwei definierten Stufen, wie aus ethischer Sicht entschieden werden soll, wenn aufgrund unzureichender notfall-- und intensivmedizinischer Ressourcen Rationierungsentscheidungen erforderlich werden.

Comment Taskforce Knowledge-Management Covid-19

Eine praxistaugliche, fundiert hergeleitete und breit abgestützte Hilfestellung für extrem schwierige Entscheidungen.

#consensus statement #treatment #ICU #emergency medicine
01.04.2020

Circulation Video Series: COVID Updates From the Front Lines

Several in-depth interviews with experts working in COVID-19 hotspots from the editors of Circulation are presented.

#general #audio / video #cardiovascular #cardiology
01.04.2020

Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19

In this overview, the authors discuss the uncertain effects of RAAS inhibitors on ACE2 in humans and as well the potential for benefit rather than harm of RAAS inhibitors in Covid-19 patients.

#general #review #cardiovascular #cardiology
01.04.2020

Chest CT Findings in Cases from the Cruise Ship “Diamond Princess” with Coronavirus Disease 2019 (COVID-19)

This study analysed the CT images of 112 COVID-positive passengers on the cruise ship Diamond Princess. CT revealed abnormal findings in keeping with COIVD-19 pneumonia in 44 (>50%) of the 82/112 asymptomatic patients. Among the 30/112 symptomatic patients CT was abnormal in 80% (24/30) but normal in 20% (6/30) cases.

Comment Taskforce Knowledge-Management Covid-19

Despite its small size, the study is important because it has revealed that CT findings suggestive of COVID-19 can be present in asymptomatic patients. This insight has not only enabled the University Hospital Inselspital Bern to detect, diagnose and isolate an unsuspecting seemingly healthy carrier of SARS-COV-2 but also changed the practice of radiology at this hospital where all CTs – regardless of patient history or clinical query – are checked for findings attributable to COVID-19 before patients leave the scan room.

#diagnosis #imaging #prevention #radiology
01.04.2020

Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19

In this “Consensus Statement on Reporting of CT Findings Related to COVID-19”, the Radiological Society of North America (RSNA) offers aids in recognizing, reporting, and communicating CT imaging findings of COVID-19 pneumonia to facilitate the management and care of patients.

Comment Taskforce Knowledge-Management Covid-19

This useful publication has the potential to improve the diagnostic accuracy and clarity of radiology reports and increase their practical value during this pandemic.

#imaging #review #consensus statement #radiology