Schellack Natalie, Coetzee Monique, Schellack Gustav, Gijzelaar Michelle, Hassim Zeenat, Milne Marnus, Bronkhorst Elmien, Padayachee Neelaveni, Singh Nirasha, Kolman Sonya, Gray Andrew L
School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Pharmacy Services, Mediclinic Southern Africa, Stellenbosch, South Africa.
S Afr J Infect Dis. 2020 Jun 10;35(1):206. doi: 10.4102/sajid.v35i1.206. eCollection 2020.
Since the outbreak of COVID-19, and its declaration as a pandemic by the World Health Organization (WHO), the reliance on pharmacists as one of the first points of contact within the healthcare system has been highlighted. This evidence-based review is aimed at providing guidance for pharmacists in community, hospital and other settings in South Africa, on the management of patients with suspected or confirmed coronavirus disease 2019, or COVID-19. The situation is rapidly evolving, and new evidence continues to emerge on a daily basis. This guidance document takes into account and includes newly available evidence and recommendations, particularly around the following aspects relating to COVID-19: EpidemiologyThe virus, its modes of transmission and incubation periodSymptom identification, including the differentiation between influenza, allergic rhinitis, sinusitis and COVID-19Social media myths and misinformationTreatment guidelines and medicines that may need to be kept in stockTreatment and prevention options, including an update on vaccine developmentThe case for and against the use of NSAIDs, ACE-inhibitors and angiotensin receptor blockers (ARBs) in patients with COVID-19Interventions and patient counselling by the pharmacist. It is critical, though, that pharmacists access the most recent and authoritative information to guide their practice. Key websites that can be relied upon are: World Health Organization (WHO): https://www.who.int/emergencies/diseases/novel-coronavirus-2019National Institute for Communicable Diseases (NICD): https://www.nicd.ac.za/diseases-a-z-index/covid-19/National Department of Health (NDoH): http://www.health.gov.za/index.php/outbreaks/145-corona-virus-outbreak/465-corona-virus-outbreak; https://sacoronavirus.co.za/.
自新冠病毒病(COVID-19)爆发并被世界卫生组织(WHO)宣布为大流行以来,药剂师作为医疗保健系统中首要接触点之一的重要性已得到凸显。本循证综述旨在为南非社区、医院及其他场所的药剂师提供关于疑似或确诊2019冠状病毒病(COVID-19)患者管理的指导。情况正在迅速演变,新证据每天都在不断涌现。本指导文件考虑并纳入了最新可得的证据和建议,特别是围绕与COVID-19相关的以下方面:流行病学;病毒、传播方式和潜伏期;症状识别,包括流感、过敏性鼻炎、鼻窦炎与COVID-19之间的鉴别;社交媒体上的谣言和错误信息;治疗指南及可能需要储备的药品;治疗和预防选择,包括疫苗研发的最新情况;COVID-19患者使用非甾体抗炎药、血管紧张素转换酶抑制剂和血管紧张素受体阻滞剂(ARB)的利弊;药剂师的干预措施及患者咨询。不过,至关重要的是,药剂师要获取最新且权威的信息以指导其工作。可信赖的关键网站有:世界卫生组织(WHO):https://www.who.int/emergencies/diseases/novel-coronavirus-2019;国家传染病研究所(NICD):https://www.nicd.ac.za/diseases-a-z-index/covid-19/;国家卫生部(NDoH):http://www.health.gov.za/index.php/outbreaks/145-corona-virus-outbreak/465-corona-virus-outbreak; https://sacoronavirus.co.za/ 。