The Costa Rican Social Security Fund (CCSS) ensures the treatment of people who attend health services with symptoms of the disease COVID-19 and other respiratory infections according to guidelines of the World Health Organization (WHO), reported the doctor Daniel Quesada, director of the Center for Attention to Emergencies and Disasters (CAED).
For her part, Dr. Angélica Vargas Camacho, head of the drugs area of the Directorate of Pharmacoepidemiology, said that the institution knows this pathology and does not require other drugs in addition to those on the official list of the CCSS. “There is sufficient supply for the approach of patients.”
Dr. Marco Vinicio Boza Hernández, a specialist in Intensive Care and Internal Medicine, indicated that “the only thing that the institution does not offer at this time are the experimental medicines that are being developed and tested in the world without being certain of their usefulness until now. ”
The specialist explained that COVID-19 disease manifests with three clinical scenarios. “The first scenario is the patient with flu symptoms, his treatment is done from fever, pain, cough and stuffy nose.” From what is known so far of the behavior of the COVID-19 disease, “80 percent show symptoms and signs of the flu,” said the doctor.
The doctor explained that the second scenario “are people who develop pneumonia and of this group, 15 percent of infected people have pneumonia caused by the virus.” “This pneumonia does not have specific treatment, but it is managed in hospitals with rehydration serums, with medications for fever and pain and, in a very small percentage, with antibiotics when there are bacteria that bind to the virus in pneumonia,” he explained. the specialist.
Regarding the third scenario, Boza indicated, “we have 5% of the infected people who are going to be seriously ill and must be admitted to intensive care units, where multidisciplinary professional teams will treat them with mechanical pulmonary ventilators, renal replacement therapy and medications, to normalize the functioning of the heart and circulation. ”
Dr. Boza emphasized that the population with the highest risk of developing pneumonia due to this new coronavirus are the elderly and those with cardiovascular disease, hypertension, diabetes, respiratory problems (asthma and Obstructive Pulmonary Disease), among others. In this sense, he recalled that they must take extreme measures of their health care such as: hand washing, coughing and sneezing, not approaching people who have respiratory symptoms, avoid direct greeting contact or not touch their mouth, nose or eyes.
And in case of presenting a respiratory infection, go for medical attention if you have a fever higher than 38 centigrade, cough, shortness of breath or shortness of breath, feeling of tight chest or whistling, decompensation of the disease. In addition, in older adults, caregivers should observe if they have disoriented or excessive falls.