Ayaz Caglayan Merve, Dizman Gulcin Telli, Metan Gokhan, Alp Alpaslan, Unal Serhat
Department of Infectious Diseases and Clinical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Infez Med. 2020 Sep 1;28(3):351-356.
The rapidly increased number of patients with COVID-19 resulted in the shortage of hospital beds. An outpatient follow-up plan was developed for COVID-19 patients with stable clinical condition and no concomitant diseases. The records of COVID-19 first admission clinic were retrospectively reviewed to identify the COVID-19 patients who were followed on home isolation as outpatients between March 17, 2020 and April 18, 2020 in Ankara, Turkey. Demographic and clinical characteristics of the patients, compliance with isolation rules, re-admission rates, and outcomes were investigated. A total of 41 patients with COVID-19 were followed on home isolation without hospitalization. The median age of the patients was 36 years. Twenty-four (58.5%) of 41 patients were female. Twenty-nine (70.7%) patients were healthcare workers. The most common symptoms at admission were cough, myalgia/arthralgia, and loss of smell and/or taste. Fourteen (34.1%) patients were asymptomatic on the first admission. Anti-viral treatment was given to 27 (65.8%) of 41 patients. Four of 41 patients were readmitted to the outpatient clinic and hospitalized. Three patients had worsening respiratory symptoms and pneumonia was detected in CT scans. One patient was hospitalized because of disseminated herpes zoster infection. Two patients who jeopardized the isolation rules were isolated and monitored at another hospital by provincial health directorate teams. If adequate conditions are provided, follow-up on home isolation seems to be a feasible method in carefully selected patients. However, these patients should be monitored closely by an experienced team during the isolation period.
新冠病毒病（COVID-19）患者数量的迅速增加导致了医院床位短缺。针对临床状况稳定且无合并症的COVID-19患者制定了门诊随访计划。回顾性分析COVID-19首次入院门诊记录，以确定2020年3月17日至2020年4月18日期间在土耳其安卡拉居家隔离接受门诊随访的COVID-19患者。调查了患者的人口统计学和临床特征、隔离规则遵守情况、再次入院率及转归。共有41例COVID-19患者居家隔离接受随访，未住院治疗。患者的中位年龄为36岁。41例患者中有24例（58.5%）为女性。29例（70.7%）患者为医护人员。入院时最常见的症状为咳嗽、肌痛/关节痛以及嗅觉和/或味觉丧失。14例（34.1%）患者首次入院时无症状。41例患者中有27例（65.8%）接受了抗病毒治疗。41例患者中有4例再次到门诊就诊并住院。3例患者呼吸道症状加重，CT扫描发现肺炎。1例患者因播散性带状疱疹感染住院。2例违反隔离规则的患者由省级卫生部门团队在另一家医院进行隔离和监测。如果提供适当条件，居家隔离随访似乎是精心挑选患者的一种可行方法。然而，在隔离期间，这些患者应由经验丰富的团队密切监测。
