Out-of-Hospital Cohort Treatment of Coronavirus Disease 2019 Patients with Mild Symptoms in Korea: an Experience from a Single Community Treatment Center

Park, Peong Gang; Kim, Chang Hyup; Heo, Yoon Seok; Kim, Tae Suk; Park, Chan Woo; Kim, Choong Hyo

doi:10.3346/jkms.2020.35.e140

Cited by 67 publications

(74 citation statements)

References 3 publications

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“…Given the high infection rate within families, personal protective measures should be used at home to reduce the risk for transmission (6). If feasible, cohort isolation outside of hospitals, such as in a Community Treatment Center, might be a viable option for managing household transmission (7).…”

Section: Resultsmentioning

confidence: 99%

Contact Tracing during Coronavirus Disease Outbreak, South Korea, 2020

Park¹,

Choe²,

Park³

et al. 2020

Emerg. Infect. Dis.

461

476

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E ffective contact tracing is critical to controlling the spread of coronavirus disease (COVID-19) (1). South Korea adopted a rigorous contact-tracing program comprising traditional shoe-leather epidemiology and new methods to track contacts by linking large databases (global positioning system, credit card transactions, and closed-circuit television). We describe a nationwide COVID-19 contact tracing program in South Korea to guide evidence-based policy to mitigate the pandemic (2). The Study South Korea's public health system comprises a national-level governance (Korea Centers for Disease Control and Prevention), 17 regional governments, and 254 local public health centers. The first case of COVID-19 was identified on January 20, 2020; by May 13, a total of 10,962 cases had been reported.

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Section: Resultsmentioning

confidence: 99%

Contact Tracing during Coronavirus Disease Outbreak, South Korea, 2020

Park¹,

Choe²,

Park³

et al. 2020

Emerg. Infect. Dis.

461

476

View full text Add to dashboard Cite

show abstract

“…To minimize exposure of healthcare workers, patients were asked to report their daily temperatures through a phone-based app while in the center, and the adherence rate was greater than 80%; 2.3% were eventually transferred to an inpatient unit, and to date 31% have been discharged home. 2 In Italy, two models of home screening and home-based care have been described for oncology patients, 3 and patients with infl ammatory bowel disease. 4 Both aim to reduce the risk of exposure of patients and healthcare workers, while maintaining continuity of care.…”

mentioning

confidence: 99%

Home monitoring for COVID-19

Medina

Babiuch

Card

et al. 2020

CCJM

118

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The statements and opinions expressed in COVID-19 Curbside Consults are based on experience and the available literature as of the date posted. While we try to regularly update this content, any offered recommendations cannot be substituted for the clinical judgment of clinicians caring for individual patients. ABSTRACT Cleveland Clinic recognized the importance of mitigating community transmission of COVID-19 by keeping people at home. Patient-care activities quickly pivoted to remote touches, preserving continuity through a variety of digital and telephonic modalities. As the number of confi rmed cases grew, standardizing home-based care became critical to managing high-risk patients, moderating the risk of exposure for healthcare workers, and reducing the amount of community spread through appropriate education on home-based care for exposed or infected individuals. This novel, team-based approach to caring for patients with COVID-19 incorporates a self-monitoring app for patient engagement, monitors symptoms for early intervention, and promotes a holistic view of care.

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“…From 9 March 2020 to 10 April 2020, 347 patients with confirmed SARS-CoV-2 infection who were admitted at the Daegu-Gyeongbuk 7 th community treatment centre (an isolation facility for COVID-19 patients) [12] were enrolled this study. Patients were asymptomatic or mild and required no hospitalization, but needed isolation and active monitoring.…”

Section: Patients and Managementmentioning

confidence: 99%

Prolonged SARS-CoV-2 detection and reversed RT-PCR results in mild or asymptomatic patients

Kim

Hwang

Kwak

2020

Infectious Diseases

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Background: The clinical course and viral detection period in mild or asymptomatic coronavirus disease 2019 (COVID-19) patients are not yet known. The presumed low diagnostic sensitivity of upper respiratory specimens for Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) makes it difficult to confirm infection and recommend de-isolation. Methods: We retrospectively reviewed real-time reverse transcriptase-polymerase chain reaction (RT-PCR) test results of mild or asymptomatic COVID-19 patients who were admitted at the Daegu-Gyeongbuk 7th community treatment centre in Korea between 9 March 2020 and 10 April 2020. Patients underwent an upper respiratory RT-PCR test every week until discharge. From the RT-PCR results, we evaluated the rate of prolonged (>3 weeks) SARS-CoV-2 RNA positivity. We analysed the proportion of reversed results, defined as a positive or indeterminate result one day after a negative RT-PCR result, according to time (<14, 15-21, 22-28, >28 days) from the initial positive RT-PCR result. Results: In 23% (69/300) of patients, SARS-CoV-2 was detected more than 3 weeks after the initial positive RT-PCR. In 14% (42/300) of patients, the RT-PCR results were positive for more than 4 weeks. For 37.5% (152/405) of negative RT-PCR results, the results were reversed in the next day's test. And 43.5% (123/283) of negative RT-PCR results were reversed within 3 weeks of diagnosis. Conclusions: The detection of SARS-CoV-2 lasting more than 3 weeks was common in mild or asymptomatic patients. Upper respiratory RT-PCR results were frequently reversed from negative to positive.

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Out-of-Hospital Cohort Treatment of Coronavirus Disease 2019 Patients with Mild Symptoms in Korea: an Experience from a Single Community Treatment Center

Cited by 67 publications

References 3 publications

Contact Tracing during Coronavirus Disease Outbreak, South Korea, 2020

Contact Tracing during Coronavirus Disease Outbreak, South Korea, 2020

Home monitoring for COVID-19

Prolonged SARS-CoV-2 detection and reversed RT-PCR results in mild or asymptomatic patients

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