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Subsections
COVID-19: Treatment

Infectious Diseases

COVID-19: Treatment

Initial/Prep/Goals

  1. CDC currently recommends quarantine/universal precautions
    • See prevention guidelines
    • Separate triage of patient with respiratory conditions
    • Immediate application of surgical mask on all patients with respiratory conditions
    • If COVID-19 suspected after triage
      • Immediate isolation
      • Transfer to negative pressure rooms
      • Healthcare personnel use full protective gear and precautions (i.e., contact precautions, airborne precautions, eye protection)
      • Recommend isolation at least 24 hours after both symptom resolution overall and no fever (including not using fever-reducing medication)
        • Depending on the length of symptoms, isolation could be shorter, the same, or longer than 5 days of the previous guidance for COVID-19
    • If COVID-19 is diagnosed
      • Notify infection control within the institution
      • Maintain a list of all hospital personnel who may have been in contact
      • Notify the County Health Department per local protocol
    • Routine resuscitation as needed
      • IV fluids
      • Supplemental oxygen
      • Non-invasive ventilatory support as necessary
  2. Intubation Considerations
    • COVID-19 may cause hypoxemia even in the setting of little respiratory distress
      • May be profoundly hypoxemic without dyspnea (patients may "look" fine)
      • Work of breathing cannot be relied upon to detect patients who are failing on high-flow nasal cannula (HFNC)
    • Consider a lower threshold for intubation indications
      • Patients can develop worsening "silent" atelectasis and decline quickly and abruptly without lots of symptoms
      • Oxygenation techniques to maintain saturation during intubation may increase virus aerosolization (e.g., mask ventilation)
        • "Pure" rapid sequence intubation without bagging is preferred
        • Consider viral filter to BMV
      • This will be safer if the patient is starting out with more oxygenation reserve
      • Consider semi-elective intubation over crash intubation (decreases prep time)
    • Intubation procedure can place healthcare workers at risk of acquiring the virus
    • Endotracheal tube confirmation could pose an inoculation risk to a practitioner
    • Pulmonary complications by COVID-19
      • Atelectasis (consider PEEP, APRV, ARDSnet)
      • Alveolar fluid filling (drain fluid- prone positioning with ventilation, APRV, coughing or "dumping" breaths to help clear lungs)
    • WHEN TO INTUBATE?
      • Physician clinical decision
      • Consider if
        • Progressively rising FiO2 requirements (e.g. > 75% FiO2 - again, based on patient's status)
        • High flow cannula does not improve oxygenation
        • Comorbid conditions (e.g., COPD, asthma, cardiovascular disease, DM, etc.
  3. Supportive therapy (Inpatient)
    • IV fluids PRN, Antipyretics PRN, Oxygen PRN, Monitors
      • Target SpO2 of 92% to 96%
        • Optimal oxygen saturation is uncertain for those receiving supplemental oxygen

Medical/Pharmaceutical

  1. Supportive therapy (inpatient moderate to critical illness):
    • Hospitalization for routine monitoring of vitals
    • If undergoing procedures that generate aerosols (sputum production, intubation, HFNO, BiPAP/CPAP, etc.)
      • Isolate: single private negative pressure isolation room with HEPA filter
        • If no isolation room available: be extremely cautious when applying airway devices that deliver ≥ 6 L/min O2 (if not intubated) - may generate aerosols
      • High-flow nasal oxygen can give a fraction of inspired oxygen (FiO2) up to 100% and reduces the need for intubation
        • Apply airborne precautions
      • BiPAP and CPAP should be avoided if possible
        • Use with caution if necessary
      • If a private room not possible: keep ≥ 2 ft distance between patients
    • If concomitant asthma or COPD
      • Bronchodilators: use metered dose inhalers with a spacer instead of nebulizers (risk of aerosolization)
      • Continue treatment with inhaled corticosteroids; consider escalation of asthma treatment as needed
      • If severe asthma/COPD: consider epinephrine and early RSI
    • Consult Infectious Disease and Pulmonology services early
    • Conservative fluid management
      • Net fluid balance of 0 mL over first 7 days if ARDS and not hypotensive or shock
    • If suspect sepsis:
      • Empiric antibiotics (CAP vs HCAP) within 1 hr of recognition of sepsis, then work-up source of infection
      • Do not use hydroxyethyl starches for intravascular volume replacement
    • If flu season or suspect flu
      • Consider oseltamivir
    • If respiratory failure (hypercarbic or hypoxic)
      • Strongly consider advanced ventilatory support/intubation
      • DO NOT share ventilators
      • Hypoxemic respiratory failure
        • If conventional oxygen therapy failed: use a high-flow nasal cannula
        • If the high-flow nasal cannula not available and no indication for endotracheal intubation: perform a noninvasive ventilation trail and monitor closely
        • If the high-flow nasal cannula is required and no indication for endotracheal intubation: perform a trail of awake prone positioning
          • Do NOT use awake prone positioning as rescue therapy to avoid intubation
      • Acute respiratory distress syndrome (ARDS)
        • Use low total volume (VT) ventilation (VT 4–8 mL/kg of predicted body weight) over higher VT ventilation (VT >8 mL/kg)
        • Target plateau pressures of <30 cm H2O
        • Use a conservative fluid strategy over a liberal fluid strategy
        • Do not use inhaled nitric oxide routinely
      • Moderate to severe ARDS with mechanical ventilation
        • Use a higher positive end-expiratory pressure (PEEP) strategy over a lower PEEP strategy
        • If refractory hypoxemia despite optimized ventilation, use prone ventilation for 12 to 16 hours per day
        • No current recommendations for extracorporeal membrane oxygenation in refractory hypoxemia
        • As needed administer intermittent boluses of neuromuscular blocking agents or a continuous neuromuscular blocking agent infusion
      • Severe ARDS, COVID-19, and hypoxemia despite optimized ventilation
        • Use an inhaled pulmonary vasodilator as a rescue therapy
          • if no rapid improvement in oxygenation, taperer treatment
        • Use recruitment maneuvers
          • Do not use staircase (incremental PEEP) recruitment maneuvers
    • If refractory hypoxemia even with advanced ventilatory support
      • Consider extracorporeal membrane oxygenation (ECMO) if available
      • Do NOT use awake prone positioning as rescue therapy to avoid intubation
    • Gohibic (vilobelimab) injection
      • FDA EUA use for tx of COVID-19 in hospitalized adults within 48 hours of
        • Receiving invasive mechanical ventilation or ECMO
      • Recommended dosage: 800 mg administered by IV infusion after dilution
        • Given up to 6x over the treatment period
    • Shock: volume support and pressors:
      • Pressors
      • Albumin NOT recommended for initial use
      • Do NOT use hydroxyethyl starches for intravascular volume replacement
      • If cardiac dysfunction and persistent hypoperfusion despite adequate fluids and pressors:
      • If septic shock and a history of corticosteroid course completion for COVID-19
        • Use low-dose corticosteroid therapy over no corticosteroid therapy
    • Corticosteroids
      • Potentially beneficial
      • Dexamethasone
        • RECOVERY trial: dexamethasone (6 mg PO/IV daily for up to 10 days)
        • Reduced 28-day mortality in certain groups of hospitalized COVID-19 patients
      • Indications
        • Mechanically ventilated
        • Require supplemental oxygen
      • Contraindications
        • COVID-19 patients who do not require supplemental O2
    • ACEi/ARB therapy: short-term/long-term effects in COVID-19 risk/outcomes still unclear
      • Current recommendations: continue ACEi/ARB therapy during treatment of COVID-19 unless there is a contraindication
      • Not recommended to start ACEi/ARB therapy explicitly for the treatment of clinical sequelae from COVID-19
    • Remdesivir
      • Has not shown to be effective in reducing mortality as monotherapy
        • Consider combination with baricitinib in severe COVID-19
          • Who cannot receive a corticosteroid
      • IV nucleotide prodrug (adenosine analog)
        • Binding to viral RNA-dependent RNA polymerase
        • Inhibits viral replication by premature termination of RNA transcription
      • Start within 7 days of S/S onset
      • Day 1 loading dose: 200 mg IV infused over 30 to 120 mins, then
      • Day 2 and onwards: 100 mg IV qDay
        • Treatment duration 5 days, if no improvement clinically can extend treatment up to 10 days total.
        • If invasive mechanical ventilated or extracorporeal membrane oxygenation: 10 days
      • eGFR ≥ 30 mL/min: no dose adjustment
      • eGFR < 30 mL/min: not recommended
      • Combination therapy with corticosteroids may be beneficial for severe COVID-19; remdesivir alone showed a decrease in time to recovery compared to remdesivir and corticosteroids
      • FDA approval for use in hospitalized adult and pediatric patients (aged ≥ 12 years of age and ≥ 40 kg)
        • Pediatric patients: 3.5-40 kg, or aged < 12 years and weighing ≥ 3.5 kg
    • Nirmatrelvir/ritonavir
      • FDA approved for COVID-19
      • Preferred agent by NIH
      • Dosing based on renal fxn
        • eGFR > 60 mL/min
          • 300 mg/100 mg (nirmatrelvir/ritonavir, co-admin) PO q12hr x5 days
        • eGFR ≤ 60 mL/min and ≥ 30 mL/min
          • 150 mg/100 mg (nirmatrelvir/ritonavir, co-admin) PO q12hr x5 days
        • eGFR < 30 mL/min
          • Not recommended
      • If hospitalization occurs during Tx course
        • May complete Tx per providers discretion
      • Administration:
        • Take with/without food
        • Co-admin nirmatrelvir and ritonavir tabs
        • Swallow whole; do not crush, chew, split tabs
        • Missed dose: if ≤ 8 hrs take a dose, otherwise skip
      • IDSA recommendation
        • Recommended for use in ambulatory pts w/ mild-to-moderate COVID-19 at high risk for
          • Progression to severe disease
            • Nirmatrelvir/ritonavir should be initiated w/in 5 days of symptom onset
              • Rather than no tx w/ nirmatrelvir/ritonavir
    • Molnupiravir
      • FDA EUA for COVID-19
        • 800 mg PO q12h x5 days
        • Initiate within 5 days of S/S onset
        • Safety/efficacy of >5 days Tx not established
      • If hospitalization occurs during Tx course
        • May complete Tx per providers discretion
      • Administration:
        • Take with/without food
        • Swallow whole; do not open, crush, chew
        • Missed dose: take asap if ≤10 hrs since missed, otherwise skip
    • Baricitinib
      • FDA-approved for COVID-19 in hospitalized adults requiring supplemental oxygen, non-invasive or invasive mechanical ventilation, or ECMO
      • Dosing based on renal function
        • eGFR ≥60 mL/min: 4 mg PO QD
        • eGFR 30 to <60 mL/min: 2 mg PO QD
        • eGFR 15 to <30 mL/min: 1 mg PO QD
        • eGFR <15 mL/min/: Not recommended
        • Dosing may be adjusted due to adverse reactions, follow baricitinib monograph for further details
      • Administration
        • Take with/without food
        • PO, oral dispersion in water, via gastronomy/nasogastric/orogoastric tube
      • Duration
        • 14 days or until discharge
    • Bebtelovimab (not currently authorized in any US region; not effective against BQ.1 and BQ.1.1 variants)
      • FDA EUA for COVID-19
        • 175 mg IV x1
        • Admin ASAP after positive results and ≤ 7 days of S/S onset
      • Administration
        • Admin as single IV injection for ≥30 sec in a healthcare setting
        • Monitor for IRRs for ≥ 1 hr after infusion
      • Authorized for mild-to-moderate COVID-19 in
        • Adults
        • Children (12 years and weighing at least 40 kg)
      • Do not use in patients, who:
        • Hospitalized due to COVID-19, OR
        • Require oxygen therapy and/or respiratory support due to COVID-19, OR
        • Require an increase in baseline oxygen flow rate and/or respiratory support due to COVID-19 and are on chronic oxygen therapy and/or respiratory support due to underlying non-COVID-19 related comorbidity
      • Used to prevent progression to severe COVID-19 and
        • Do not have access or clinically inappropriate for other treatments
    • Interferon alfa/beta
      • NIH recommends against the use for:
        • Nonhospitalized pts with mild to moderate COVID-19, except in clinical trials
        • Hospitalized pts, except in clinical trials
    • Interleukin-6 inhibitors
      • IDSA recommends tocilizumab in patients with elevated CRP in addition to steroids
        • Sarilumab in addition to steroids if tocilizumab is not available
    • Anti-SARS-CoV-2 monoclonal antibodies
  1. Investigational Therapy
    • Interferon gamma 1b
      • RCT from Hong Kong
        • Concomitant with lopinavir/ritonavir and ribavirin (triple therapy) yielded quicker clinical improvement and reduced viral shedding
        • Suspect most of the benefits derived from interferon
          • However, many hesitate its use since it tends to make people feel terrible
      • Phase II inhaled formulation trial yielded favorable results
    • IVIG
      • NIH recommends against the use for Tx of COVID-19, except in clinical trials
    • Anecdotally reported:
      • Sarilumab (anti-IL6R)
        • Failed trial, Phase III
      • Anakinra (anti-IL1)
        • IDSA guideline panel suggests against routine use in hospitalized patients w/ severe COVID-19
          • Most effective when used ≥ 10 days, doses ≥ 100 mg, IV administration, and initiated early
          • Potential to prevent progression to severe disease
      • anti-GM-CSF
      • GM-CSF
    • Siltuximab (anti-IL6): 11 mg/kg IV single dose
      • IL-6 antagonist monoclonal antibody
      • Under trial for serious COVID-19 cases
    • Camostat mesilate
      • Serine protease inhibitor used in Japan for treatment of pancreatitis; shown to inhibit SARS-CoV 2 entry into human lung cells (in vitro)
      • Not found to be effective or affect clinical improvement, progression, or mortality
    • Favipiravir (Asia only) + IFN-α1b inhalation
      • Meta-analysis of RCTs found favipiravir to have no benefit in reducing ICU admission, oxygen therapy requirements, and viral clearance
      • Open-label, nonrandomized control study showed improved viral clearance time and chest CT vs lopinavir/ritonavir in non-severe, non-ICU pts
      • Investigational dosing:
        • Hospitalized with < 7 days since signs/symptoms onset: 1600 mg PO BID for 1 day, then 600 mg PO BID (7-14 days total Tx)
    • Convalescent plasma transfusion
      • Definition
        • Has been used as passive immunotherapy for infections for > 100 years
        • In recent years, studies derived from people who had recovered from specific infections showed encouraging results
          • However, these studies were typically small, non-randomized and largely descriptive
        • Transfusion of COVID-19 virus antibody-rich plasma
      • IDSA recommendation
        • Against the use of COVID-19 convalescent plasma
          • For ambulatory patients w/ mild-to-moderate COVID-19 at high risk for progression
            • To severe disease and who have no other treatment options
            • Suggests the use of FDA-qualified high-titer COVID-19 convalescent plasma
              • Within 8 days of symptom onset, rather than not given
          • For immunocompromised patients hospitalized w/ COVID-19

Surgical/Procedural

  1. Possible intubation/mechanical ventilation as needed

Special Considerations

  1. Critical Care Guidelines (interim)
  2. Immunity and Reinfection Risk
    • Individuals who have been infected are normally induced with antibodies
      • Preliminary studies suggest some of the antibodies are protective
      • Evidence is not confirmed
    • Unknown whether immunity in previously infected patients is sufficient for protective purposes and how long immunity will last
    • NOTE: FDA has granted EUA for tests that qualitatively identify antibodies against SARS-CoV-2 in serum or plasma
  3. Pregnant women
    • Do not withhold COVID-19 vaccination due to pregnancy/lactation
    • Intrauterine or perinatal transmission has not been identified
    • Clinical guidelines for pregnant women with suspected COVID-19 should be similar to those in nonpregnant individuals except for:
      • NIH recommends against using molnupiravir unless no other options are available
    • ACOG indicates that infants born to mothers with confirmed COVID-19 should be considered a patient under investigation and appropriately isolated and evaluated
    • Individual agents during pregnancy NIH recommendations
      • Recommended in hospitalized Pts if indicated:
      • Recommended if indicated: remdesivir, nirmatrelvir/ritonavir
      • Recommended against: molnupiravir
    • Breastfeeding
      • Unknown whether the virus can be transmitted through breast milk
      • Droplet transmission could occur through close contact during breastfeeding
      • Therefore, while breastfeeding, mothers should use appropriate hand hygiene and a facemask
      • Consider having a different individual feed expressed breast milk to the infant
    • Individual agents during lactation:
      • Breastfeeding may continue, the agent should be offered:
        • abatacept, dexamethasone, heparin (LMWH/UFH), infliximab, remdesivir, nirmatrelvir/ritonavir, tocilizumab
      • Breastfeeding not recommended during and for 4 days after the last dose:
        • molnupiravir
      • Avoid breastfeeding during and for 4 days after last dose:
        • baricitinib
  4. Pediatric COVID-19
    • NIH Guidelines
    • Risk level based on health conditions for COVID-19 progression
      • High risk
        • Moderately or severely immunocompromised regardless of the vaccine status
        • Vaccination status not up to date AND:
          • Obesity
          • Respiratory technology dependence
          • Severe neurologic, genetic, metabolic, or other disability that results in impaired airway clearance or limitations in self-care or activities of daily living
          • Severe asthma or other severe chronic lung disease requiring ≥2 inhaled or ≥1 systemic medications daily
          • Severe congenital or acquired cardiac disease
          • Multiple moderate to severe chronic diseases
          • Pregnancy
      • Intermediate risk
        • < 1 y/o
        • Premature and ≤2 y/o
        • Sickle cell disease
        • Diabetes mellitus (poorly controlled)
        • Chronic kidney disease
        • Nonsevere cardiac, neurologic, or metabolic disease
        • Vaccination status up to date AND:
          • Obesity
          • Respiratory technology dependence
          • Severe neurologic, genetic, metabolic, or other disability that results in impaired airway clearance or limitations in self-care or activities of daily living
          • Severe asthma or other severe chronic lung disease requiring ≥2 inhaled or ≥1 systemic medications daily
          • Severe congenital or acquired cardiac disease
          • Multiple moderate to severe chronic diseases
          • Pregnancy
      • Low risk
        • Mild asthma
        • Overweight
        • Diabetes mellitus (well controlled)
    • Treatment plan
      • Nonhospitalized
        • Symptomatic - supportive care
        • High risk
          • 12-17 yo: start either nirmatrelvir/ritonavir or remdesivir
          • < 12 yo: nirmatrelvir/ritonavir not approved. Consider remdesivir based on age and risk factors
        • Intermediate risk - insufficient evidence
        • Low risk - supportive care
      • Hospitalized
        • Start supportive care
        • ≥12 yo, use prophylactic anticoagulation unless contraindicated
      • No supplemental oxygen required
        • If high risk of progression, consider remdesivir for 12-17 y/o
      • Conventional oxygen required
        • Start remdesivir
        • Add dexamethasone if oxygen needs increase
      • HFNC or NIV required
        • Start dexamethasone or dexamethasone and remdesivir
        • If no improvement in oxygenation within 24 hrs, consider adding baricitinib or tocilizumab for children ≥2
      • ECHMO or MV required
        • Start dexamethasone
        • If no improvement in oxygenation within 24 hrs, consider adding baricitinib or tocilizumab for children ≥2
  5. COVID-19 and Kawasaki Disease in the Pediatric Population
    • There are reports of children experiencing Kawasaki disease secondary to COVID-19 infection
      • Particularly in Europe and more recently in the United States
    • Most children with COVID-19 are asymptomatic or exhibit only mild symptoms
      • Recently, a small number of children developed a serious inflammatory syndrome due to underlying COVID-19 infection
      • Inflammatory symptoms were found to be Kawasaki Disease-like
        • Fever 102-104°F for ≥ 5 days
        • Lymphadenopathy
        • Erythematous morbilliform rash
        • Conjunctival injection
        • Erythema/swelling of hands and feet with desquamation
        • Oral mucositis
    • Progression in disease may cause
      • Persistent fever
      • Inflammation
      • Toxic shock syndrome
      • Single or multi-organ dysfunction (shock, cardiac, respiratory, renal, gastrointestinal, or neurological disorder)
    • Children may have some/all the features of Kawasaki disease
    • Hospitalization and intensive care were required in some cases
    • Prompt diagnosis and treatment is essential
      • Usually self-limited and most children resolve with treatment in 5-6 weeks
      • 25% of patients have cardiac sequelae (e.g., MI, coronary artery aneurysm)
      • Please see the monograph for further diagnostic/management details of Kawasaki Disease
  6. MIS-C ASSOCIATED WITH COVID-19 in the Pediatric Population Use of Specific Medications
    • Multi-system inflammatory syndrome in children associated with COVID-19 Criteria:
      • An individual aged < 21 years of age presenting with:
        • Fever (Fever > 38.0°C for ≥ 24 hrs, or report of subjective fever lasting ≥ 24 hrs)
        • Lab evidence of inflammation (Including, but not limited to, ≥ 1:
          • Elevated: CRP, ESR, fibrinogen, procalcitonin, D-dimer, ferritin, LDH, IL-6, neutrophils
          • Reduced: lymphocytes, albumin
        • Evidence of clinically severe illness
          • Hospitalization
          • Multisystem (> 2) organ involvement
          • No alternative plausible diagnoses
          • Positive for current or recent SARS-CoV-2 infection by RT-PCR, serology, or antigen test
          • Exposure to COVID-19 case within 4 weeks prior to onset of symptoms
        • Some individuals may fulfill full or partial criteria for Kawasaki disease but should be reported if they meet the case definition for MIS-C
      • Consider MIS-C in any pediatric death with evidence of SARS-CoV-2 infection
      • Clinical presentation includes:
        • Fever
        • Red eyes/Red cracked lips
        • Abdominal pain
        • vomiting
        • Diarrhea
        • Skin rash
        • musculocutaneous lesion
        • Swollen Hands and Feet
        • Hypotension, shock (severe cases)
      • Other evaluations include:
        • Echo
        • EKG
        • Cardiac enzymes and troponin testing
        • Lactate
        • BNP, NT-proBNP
      • Treatment
        • Fluid Resuscitation
          • Balancted crystalloids are recommended over 0.9% normal saline or albumin if shock is present for initial resuscitation
        • Inotropic support
          • Epinephrine or norepinephrine recommended over dopamine
        • Respiratory support
        • Anti-inflammatory measures (Steroids/IVIG)
      • NIH treatment recommendations
        • Initial
          • IVIG 2g/kg IBW IV (up to max total dose of 100 g) PLUS low-moderate dose methylprednisolone (1-2 mg/kg/IV) or another glucocorticoid at equivalent dose
          • Glucocorticoid monotherapy, only if IVIG is unavailable/contraindicated
          • IVIG monotherapy, only if glucocorticoids are contraindicated
        • Intensification
          • Recommended when no improvement within 24 hrs of initial immunomodulatory Tx
          • High dose anakinra 5-10 mg/kg/day IV (preferred) or SUBQ in 1–4 divided doses
          • Higher-dose glucocorticoid (methylprednisolone 10–30 mg/kg/day IV for 1–3 days, up to a maximum of 1,000 mg/day, or equivalent glucocorticoid for 1–3 days)
          • Infliximab 5–10 mg/kg IV x 1 dose
      • Please see the monograph for further diagnostic/management details of MIS-C
    • Corticosteroids
      • Patients on chronic corticosteroids for another underlying condition should not discontinue its use
        • Poorly controlled asthma/COPD may lead to a more complicated disease course
        • However, asthma/COPD does not seem to be a risk factor for acquiring COVID-19
      • Systemic corticosteroids are the mainstay of management of systemic inflammation
        • For patients w/ severe COVID-19 infection
        • Ciclesonide
          • Demonstrates the ability to block SARS-CoV-2 viral replication in vitro
          • May offer both anti-inflammatory and antiviral activity
          • Did not reduce time to recovery
      • In patients w/ severe disease on corticosteroids
        • IDSA suggests baricitinib to be added, rather than no baricitinib
          • Baricitinib 4 mg/day (or appropriate renal dosing) up to 14 days or until discharge
            • Shows most benefit in pts w/
              • Severe COVID-19 on high-flow O2/non-invasive ventilation
    • ACE inhibitors/ARBs
      • Despite ACE2 being a receptor for SARS-CoV-2, patients taking ACE inhibitors and ARBs should continue treatment with these agents
        • There is no evidence to support a more severe course of infection by taking these agents
        • Consider the individual patient needs before making any changes
        • Stopping these medications may exacerbate comorbid cardiovascular/kidney disease thereby increasing mortality
      • Angiotensin II reported to be significantly elevated in COVID-19 patients
        • Linear positive correlation to viral load and lung injury
        • However, no data suggests immediate need to initiate RAAS inhibitors unless comorbid indication exists
    • Statins
      • Continue statins in hospitalized patients with COVID-19 who are already taking them
      • Many severe COVID-19 patients have underlying
        • Cardiovascular disease
        • Diabetes mellitus
          • Other indications for use of statins
      • Also, statins are indicated because acute cardiac injury is a reported complication of COVID-19
      • Whether statins could impact the course of SARS-CoV-2 infection is not clear
    • Immunomodulators
      • Immunocompromised patients with COVID-19
        • At increased risk for severe disease
      • Decision to terminate immunomodulators
        • Must be determined on a case-by-case basis
      • For individuals who require treatment with these agents and DO NOT have COVID-19 infection
        • There is NO evidence supporting the routine discontinuation of the drugs
      • AGA Recommendations for Immunomodulator use in IBD for COVID-19
        • IBD patients with symptomatic COVID-19 (e.g., fever, respiratory symptoms, GI symptoms, etc.) should stop medications after consultation with GI or primary care physicians
        • Drugs to be temporarily discontinued include thiopurines, methotrexate, tofacitinib, and anti-TNFs (i.e., ustekinumab and vedolizumab)
        • However, some drugs may still be continued for IBD (i.e., aminosalicylates, topical rectal therapy, dietary management, oral budesonide, and antibiotics)
    • NSAIDs
      • FDA and WHO indicate current epidemiologic evidence is not sufficient to advise against NSAIDs in COVID-19 pts
      • WHO retracted earlier warning against the use of ibuprofen
        • Warning was due to theoretical mechanism suggesting NSAIDs increase expression of ACE2, the receptor by which the coronavirus enters host cells
        • It was unclear whether harm was associated with intermediate or prolonged use of NSAIDs
      • Currently, discontinuation of chronic ibuprofen use is not advised
      • WHO and NHS suggest acetaminophen is preferred to treat pain and fever until more evidence is collected
      • Stronger evidence is needed to deduce causation of harmful effect of ibuprofen in COVID-19 patients
    • Avoid nebulized medications
      • Avoid the risk of aerosolization of SARS-CoV-2 through nebulization
      • Use metered dose inhaler for inhaled medications
      • Use appropriate infection control measures
    • Fluvoxamine
      • NIH recommends against use for nonhospitalized COVID-19 pts
      • If used for an underlying condition, continue Tx
    • Ivermectin
      • Do NOT use for Tx of COVID-19
    • Metformin
      • NIH recommends against use for hospitalized COVID-19 pts, except in clinical trials
      • If used for an underlying condition, continue Tx
    • Colchicine
      • Failed to show benefit in trails
    • Vitamin C
      • NIH recommends against use for hospitalized COVID-19 pts
    • Vitamin D
      • Insufficient evidence
    • Zinc
      • Do not use the above recommended dietary allowance, except in clinical trials
        • 11 mg QD for men; 8 mg QD for nonpregnant women

Complications

  1. Long COVID
  2. Death

Prevention

  1. Avoid endemic areas and persons who've traveled to endemic areas
  2. CDC recommends everyone ages ≥ 6 months
    • Receive an updated 2024-2025 COVID-19 vaccine
      • To protect against the potentially serious outcomes of COVID-19 this fall and winter
      • Whether or not they previously have been vaccinated with a COVID-19 vaccine
  3. COVID-19 Vaccines
  4. Pre-Exposure Prophylaxis
    • Cilgavimab/Tixagevimab
      • No longer authorized for use in the US until further notice by FDA
      • < 10% of circulating variants in the US are susceptible to Evusheld
    • Pemgrada (pemivibart)
      • FDA EUA (issued March 22, 2024) for COVD-19 in
        • Adults and adolescents ≥ 12 yo and weighing ≥ 40 kg (≥ ~88 lbs)
      • Authorized for individuals
        • Who are not currently infected w/ SARS-CoV-2 and
          • Have not had a known recent exposure to an individual infected w/ SARS-CoV-2
        • AND who have moderate-to-severe immune compromise due to a medical condition or
          • Due to taking immunosuppressive medications or treatments and
          • Are unlikely to mount an adequate immune response to COVID-19 vaccination
  5. Post-Exposure Prophylaxis
  6. VTE Prophylaxis
    • Adults who require low-flow oxygen and do not require ICU-level care
      • Recommendation: use a therapeutic dose of heparin for pts w/ D-dimer levels above ULN
        • If pt requires low-flow oxygen and does not have increased bleeding risk
    • Adults who require ICU-level care, including those receiving high-flow oxygen
      • Recommendation: use of prophylactic dose of heparin as VTE prophylaxis (unless CI exists)
      • Intermediate dose (e.g., enoxaparin 1 mg/kg once daily) or
        • Therapeutic dose of anticoagulation for VTE prophylaxis
      • Pts on a therapeutic dose of heparin in a non-ICU setting due to COVID-19 and then transferred to ICU, the panel recommends switching to a prophylactic dose of heparin unless VTE confirmed
    • Duration of anticoagulation
      • Continue Tx until either of the following occurs first:
        • 14 days of anticoagulation: switch to prophylactic anticoagulation until discharge
        • Transfer to ICU: continue anticoagulation until discharge
        • Pt discharged
    • Contraindications to anticoagulation due to increased risk of bleeding with COVID-19
      • Platelet count <50,000 cells/µL
      • Hemoglobin <8 g/dL
      • Need for dual antiplatelet therapy
      • Bleeding within the past 30 days that required an emergency department visit or hospitalization
      • History of a bleeding disorder
      • Inherited/active acquired bleeding disorder
    • Special considerations during pregnancy and lactation
      • Pregnant pts who are receiving anticoagulation/antiplatelet tx should continue even after COVID-19 dx
      • Recommends use of a prophylactic dose of anticoagulation for pregnant pts hospitalized due to COVID-19
        • Unless CIs exist
        • Continuation of VTE prophylaxis in pregnant/postpartum pt after discharge should be
          • Individualized, with consideration of concomitant VTE risk factors
      • Anticoagulation therapy during labor and delivery requires specialized care and planning
        • UFH, LMWH, and warfarin do not accumulate in breast milk and
          • Do not induce anticoagulant effect in newborn
          • Can be used by breastfeeding individuals who require VTE prophylaxis or tx
  7. CDC Strategies for Personal Protective Equipment (PPE) Shortages
    • Limited availability of personal protective equipment (PPE) has complicated the care of patients and the protection of healthcare providers (HCP) worldwide
    • CDC guidance on optimizing the supply of PPE:
    • Canceling non-urgent procedures or visits that would warrant the use of PPE
      • Prioritize the use of certain PPE for the highest-risk situations
      • Consider allowing HCPs to extend the use of respirators, facemasks, and eye protection, beyond a single patient contact
      • If no commercial PPE is available, carefully consider if alternative approaches will reduce the risk of HCP exposure and are safe for patient care (i.e., home-made PPE)
        • Cautious/limited reuse of PPE
      • NOTE: as PPE becomes available, healthcare facilities should promptly resume standard practices
    • Decontamination of PPE for reuse (particularly for N95 respirators)
      • Under normal circumstances, CDC and NIOSH do not recommend that PPEs be decontaminated and then reused as standard care
      • Disposable filtering facepiece respirators (FFR) decontamination and reuse may need to be considered as a crisis capacity strategy to ensure continued availability
      • Methods for decontamination
        • Ultraviolet light
        • Hydrogen peroxide vapor
        • Moist heat
  8. OSHA Interim Guidance
    • Appropriate respiratory protection required if providing direct care of these patients
    • Conserve supplies of these respirators while safeguarding HCP
      • Healthcare employers may provide HCP with another respirator of equal or higher protection
        • N99 or N100 filtering facepieces
        • Reusable elastomeric respirators with appropriate filters or cartridges
        • Powered air purifying respirators
      • Change method of fit testing from destructive (i.e., quantitative) to non-destructive method (i.e., qualitative)
        • For filtering facepiece respirators, qualitative and quantitative fit-testing methods are both effective at determining whether the respirator fits properly
    • Use only NIOSH-certified respirators
      • Implement CDC/OSHA strategies for optimizing supply of N95 filtering facepiece respirators and prioritizing their use
      • Perform initial fit tests for each HCP with the same model, style, and size respirator that the worker will be required to wear for protection against COVID-19
        • Initial fit testing is essential
      • N95 filtering facepiece respirators should be preserved and prioritized for use in situations where they are required to be worn
      • Perform user seal check (i.e., a fit check) at each donning
      • Conduct fit test if observe visual changes in wearer if it could affect respirator fit (e.g., facial scarring, dental changes, cosmetic surgery, or obvious changes in body weight)
      • Inform supervisor/administrator if integrity and/or fit of N95 filtering facepiece respirator is compromised
      • NOTE: inspect N95 respirator to determine if the structural and functional integrity of the respirator has been compromised
        • Straps, nose bridge, nose foam materials may degrade
        • If integrity is compromised, or if a successful user seal check cannot be performed, discard
  9. CDC Mask Guidance
    • Fully vaccinated people can resume activities that they did prior to the pandemic
    • Fully vaccinated people can resume activities without wearing a mask or physically distancing
      • Exception: where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance
      • Home-made Cloth Face Mask

Disposition

  1. Admission Criteria
    • Decision to monitor inpatient vs outpatient settings should be made on a case-by-case basis; consider
      • Clinical presentation, patient's ability to self-monitor, home isolation, and risk of transmission in home environment
    • Patients with mild clinical presentation may not initially require hospitalization
      • Clinical signs/symptoms may worsen (e.g., lower respiratory illness progression due to comorbidities)
    • All patients should be monitored closely
    • Consider
  2. Home Care
    • CDC guidelines for discontinuation of home isolation
      • If you test positive
        • Quarantine can end after Day 5 if asymptomatic
        • Continue to wear a mask around others for 5 additional days
        • If you have a fever
          • Continue to stay home until your fever resolves
      • If you have been boosted, had completed Pfizer/Moderna vaccine < 6 months or complete J&J < 2 months
        • Wear a mask around others for 10 days
        • Test on day 5, if possible
        • Development of symptoms, get a test and stay home
      • If you completed the Pfizer/Moderna vaccine > 6 months ago and are not boosted, completed J&J > 2 months ago and are not boosted or unvaccinated
        • Stay home for 5 days, wear a mask for 5 additional days around others afterwards
        • If you cannot quarantine, wear a mask for 10 days
        • Test on day 5 if possible
        • If symptomatic, get a test and stay home
  3. Consult(s)
    • Local health dept and CDC
  4. Discharge/Follow-up Instructions
    • Stopping Transmission-based Precautions for COVID-19
      • Meeting criteria is NOT indication for discharge
      • Symptomatic COVID-19 patients should remain in transmission-based precautions until either
        • Symptom strategy
          • ≥ 3 days (72 hrs) since recovery, defined as:
            • Resolution of fever without use of antipyretics AND
            • Improvement of respiratory symptoms AND
            • ≥ 10 days since onset of symptoms
        • Test-based strategy
          • Resolution of fever without use of antipyretics AND
          • Improvement of respiratory symptoms AND
          • Negative results of an FDA Emergency Use Authorized COVID-19 molecular assay for detection of SARS-CoV-2 RNA from ≥ 2 consecutive respiratory specimens collected ≥ 24 hrs apart
            • Total of 2 negative specimens
          • *Note: there have been reports of prolonged detection of RNA without direct correlation to viral culture
      • Laboratory-confirmed COVID-19 patients who have not had any symptoms should remain in Transmission-Based Precautions until either
        • Time-based strategy
          • 10 days since date of first positive COVID-19 diagnostic test (assumes no developed symptoms since positive test)
          • *Note: symptoms cannot be used to gauge where these individuals are in the course of their illness
            • Possible that duration of viral shedding could be longer or shorter than 10 days after first positive test
        • Test-based strategy
          • Negative results of an FDA Emergency Use Authorized COVID-19 molecular assay for detection of SARS-CoV-2 RNA from ≥ 2 consecutive respiratory specimens collected ≥ 24 hrs apart
            • Total of 2 negative specimens
          • *Note: because absence of symptoms, it is not possible to gauge where these individuals are in the course of their illness
            • There have been reports of prolonged detection of RNA without direct correlation to viral culture
        • *Note:
          • Detecting viral RNA via PCR does not necessarily mean that infectious virus is present
          • Consider consulting with local infectious disease if suspect patients might remain infectious > 10 days (e.g., severely immunocompromised)

Related Topics

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Contributor(s)
  1. Wedro, Benjamin, MD
  2. Ho, Nghia, MD
  3. Cherian, Geo, MD
  4. Singh, Ajaydeep, MD
  5. Shaw, Iissha, PharmD Candidate
  6. Krivova, Irina, PharmD Candidate
  7. Brown, Tim, PharmD Candidate

Updated/Reviewed: November 2024