Management of patients without pneumonia or comorbidities

Management of patients without pneumonia or comorbidities
Although treatment in a hospital setting is preferred, sometimes inpatient care may not be available or
may be considered unsafe, or the patient refuses to be hospitalised. Home care may be considered on a
case-by-case basis.[69] The location of home care may depend on guidance from local health authorities
as forced quarantine orders are being used in some countries.
Patients suitable for home care
• Mild symptoms only (e.g., low-grade fever, cough, fatigue, rhinorrhoea, sore throat).
• No warning signs (e.g., shortness of breath or difficulty breathing, haemoptysis, increased sputum
production, gastrointestinal symptoms, mental status changes).
• No underlying health conditions.
Home infection prevention and control measures
• Infection prevention and control procedures are still important during home care. Recommend
patients use a single room and a single bathroom (if possible), minimise contact with other
household members, and wear a surgical mask if contact is necessary.[69]
Supportive therapies
• Recommend symptomatic therapies such as an antipyretic/analgesic, and advise patients to keep
hydrated but not to take too much fluid as this can worsen oxygenation.[69]
• Monitor patients closely and advise them to seek medical care if symptoms worsen as mild illness
can rapidly progress to lower respiratory tract disease.
More detailed guidance on home care is available from the WHO and the CDC