Coronavirus disease 2019 (covid-19): A guide for UK GPs

Razai, Mohammad S; Doerholt, Katja; Ladhani, Shamez; Oakeshott, Pippa

doi:10.1136/bmj.m800

Cited by 162COVID-19 Clinical Research StudiesHealthcare Systems and ChallengesInfection Control and Ventilation

Coronavirus disease 2019 (covid-19): A guide for UK GPs

Razai, Mohammad S, Doerholt, Katja, Ladhani, Shamez, Oakeshott, Pippa·2020·BMJ

DOI 10.1136/bmj.m800

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Abstract

What you need to know• Consider covid-19 infection in anyone with a new continuous cough, temperature ≥37.8 o C, flu like illness, pneumonia, or breathlessness • Any person with a new continuous cough and/or high temperature must self-isolate for seven days from the onset of symptoms, and asymptomatic household members should stay at home for 14 days • Triage all patients online or by phone to assess the need for face-to-face appointments.Use remote consultations when possible • When seeing patients suspected to have covid-19 who are unwell and require in-person assessment, wear personal protective equipment (PPE) and separate the consultation in time or place from other patients in the surgery.Subject to local risk assessment, PPE may also be indicated for routine medical work, regardless of the patient's status, in settings where there is sustained transmission of covid-19 • GP surgeries should develop protocols for managing patients with possible infection, including triaging remotely, postponing non-urgent services, isolation procedures, PPE provision, seeking specialist advice, decontamination, and collaborating with community services The UK recorded its first confirmed case of acute respiratory infection due to coronavirus disease 2019 (covid-19) on 31 January 2020 and initially responded by quarantining at-risk individuals to contain the spread of infection.However, when covid-19 cases increased and containment was no longer effective, the UK moved to a delay phase of the response on 12 March 2020.Executive agencies Public Health England (PHE), 1 Health Protection Scotland (HPS), and NHS England have since published updated guidance for healthcare providers on managing patients suspected to have covid-19.Guidance for the public and health professionals varies internationally, depending partly on risk levels and healthcare systems, and is being regularly updated.This article offers a practical guide for GPs and others working in UK primary care on when to suspect covid-19 and how to respond.It is based on current UK guidance at the time of publication and was updated on 3 April 2020.We recommend readers consult the latest guidance (box 1). Box 1: Essential resourcesCovid-19: latest case definition, investigation, and initial clinical management of possible cases: https://www.gov.uk/government/publications/wuhan-novel-coronavirusinitial-investigation-of-possible-cases/investigation-and-initial-clinicalmanagement-of-possible-cases-of-wuhan-novel-coronavirus-wn-covinfection

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Pre-existing medical conditions, chronic illness and/or self-evaluated poor health are considerable risk factors for loneliness, anxiety, depression and psychological distress.
“Further to this, pre-existing medical conditions, chronic illness and/or self-evaluated poor health, are considerable risk factors for loneliness, anxiety, depression and psychological distress [7,8,9].”
From The impact of the SARS-CoV-2 outbreak on the psychological flexibility and behaviour of cancelling medical appointments of italian patients with pre-existing medical condition: The “impact-COVID-19 for patients” multi-centre observational study (2021) · cites this paper as [8]

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Authors: Razai, M. S., Doerholt, K., Ladhani, S., & Oakeshott, P.
Affiliations: St George's, University of London (GB)
St George’s University Hospitals NHS Foundation Trust (GB)
Public Health England (GB)
ORCID: Razai, Mohammad S
Doerholt, Katja
Ladhani, Shamez
Oakeshott, Pippa
Venue: BMJ
Publisher: BMJ
Published: 2020-03-05
Volume: 368
Pages: m800
ISSN: 1756-1833 (ISSN-L)
DOI: 10.1136/bmj.m800
OpenAlex: W3009737407
Cited by: 162
References: 3
Citations by year: 2025: 1 · 2024: 8 · 2023: 7 · 2022: 36 · 2021: 43 · 2020: 67
FWCI: 5.01
Type: journal article
Language: en
Update notices: correction (2020-04-07)
Open access: closed
Licence: www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
Locations: BMJ (publishedVersion)
PubMed (publishedVersion)
St George's Online Research Archive (St George's University of London) (acceptedVersion)
HighWire Press Open Archive (submittedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
Keywords: COVID-19 pandemic, SARS-CoV-2, general practitioners, primary care, clinical management, self-isolation, remote triage, personal protective equipment, infection control, patient isolation, decontamination, clinical case definition
MeSH terms: United Kingdom, Humans, Practice Guidelines as Topic, Coronavirus Infections, General Practitioners

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Coronavirus disease 2019 (covid-19): A guide for UK GPs

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