Friday, September 24, 2021

Miracle in Spain? Nope. Good Doctor-ing

Ticker tells a story about a nursing home in Spain which was hit with the ChiCom Flu.


That's because of 'good doctoring' and a drug-treatment regime that probably cost less than $50.00/patient.

  • 1. Early start of treatment, regardless of the severity of patient symptoms.
    • - Antihistamines every 12 h: dexchlorpheniramine 2 mg, cetirizine 10 mg or loratadine 10 mg.
    • - Azithromycin 500 mg orally every 24 h for 3 days if there is rapid improvement, and for 6 days if the duration of symptoms is prolonged.
    • - If pain or fever, acetaminophen 650 mg/6–8 h.
    • - Nasal washing and gargling with sodium bicarbonate water (half a glass of warm water with half a teaspoon of sodium bicarbonate).
      2. Patients with mild or recent-onset symptoms (cough, fever, general malaise, anosmia, polymyalgia):
    • - Antihistamines + Azithromycin (see mild treatment management)
    • - Levofloxacin 500 mg/12 h, up to 14 days of antibiotic treatment from diagnosis.
    • - Mepifilin solution, 50 mg/8 h as a bronchodilator, until subjective improvement. Patients with previous lung disease (asthma or COPD) used their usual bronchodilators.
    • - If the patient experienced increased breathing difficulty, prednisone 1 mg/kg/day divided into two doses until clinical improvement, and then it was slowly tapered down.
      3. If symptoms of severity (dyspnea, breathing difficulty, mild or moderate chest pain, with SpO2 >80%, heart rate <100 beats per minute at any time of the process):
  • 4. Prophylactic treatment for close contacts, including all asymptomatic residents:
    • - Antihistamines at the same dose as symptomatic patients.

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