CORONAVÍRUS

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O QUE É O COVID-19 (NOVO CORONAVÍRUS)?

Coronavírus é uma família de vírus que causam infecções respiratórias. O novo agente do coronavírus (SARS-CoV-2) foi descoberto em 31 de dezembro de 2019, após casos registrados na China, e provoca a doença chamada de coronavírus (COVID-19). Os coronavírus humanos foram isolados pela primeira vez em 1937. No entanto, apenas em 1965, o vírus foi descrito como coronavírus, em decorrência do perfil na microscopia, parecendo uma coroa.

A maioria das pessoas é infectada com os coronavírus comuns ao longo da vida, sendo as crianças pequenas mais propensas a se infectarem com o tipo mais comum do vírus. Os coronavírus mais comuns que infectam humanos são o alpha coronavírus 229E e NL63 e beta coronavírus OC43, HKU1.

SINTOMAS

Os sinais e sintomas do coronavírus são principalmente respiratórios, semelhantes a um resfriado. Podem, também, causar infecção do trato respiratório inferior, como as pneumonias. No entanto, o novo coronavírus (SARS-CoV-2) ainda precisa de mais estudos e investigações para caracterizar melhor os sinais e sintomas da doença.

Os principais sintomas conhecidos até o momento são:

Febre, Tosse Seca, Cansaço:

Dores e desconfortos, Dor de Garganta, Diarreia, Conjuntivite, Dor de Cabeça, Perda de Paladar ou Olfato, Erupção Cutânea na Pele ou Descoloração dos dedos das Mãos ou dos Pés.

Se apresentar febre a partir de 37,8°C e dificuldades para respirar, procure atendimento médico imediatamente. Se entrou em contato com pacientes confirmados ou retornou de viagem nos últimos dias, permaneça em casa em observação por no mínimo 7 dias. Havendo sintomas que persistem (tosse, febre a partir de 37,8°C, coriza), procure atendimento médico.

FORMAS DE TRANSMISSÃO

As formas de transmissão do novo coronavírus ainda estão em processo de investigação, mas já se sabe que acontece de pessoa para pessoa. Qualquer pessoa que tenha contato próximo (cerca de 1 metro) com alguém com sintomas respiratórios está em risco de ser exposta à infecção. Alguns vírus são altamente contagiosos (como sarampo), enquanto outros são menos. Ainda não está claro com que facilidade o coronavírus se espalha de pessoa para pessoa, mas já se sabe que a transmissão é menos intensa que do vírus da gripe.

A transmissão dos coronavírus costuma ocorrer por contato pessoal com secreções contaminadas, como:

  • Gotículas de saliva;
  • Espirro;
  • Tosse;
  • Catarro;
  • Contato pessoal próximo, como toque ou aperto de mão;
  • Contato com objetos ou superfícies contaminadas, seguido de contato com a boca, nariz ou olhos.

O período médio de incubação por coronavírus é de 5 dias, com intervalos que chegam a 12 dias, período em que os primeiros sintomas levam para aparecer desde a infecção. A transmissibilidade dos pacientes infectados por SARSCoV é, em média, de 7 dias após o início dos sintomas. No entanto, dados preliminares do coronavírus (SARS-CoV-2) sugerem que a transmissão possa ocorrer mesmo sem o aparecimento de sinais e sintomas. Até o momento, não há informações suficientes de quantos dias anteriores ao início dos sinais e sintomas uma pessoa infectada passa a transmitir o vírus.

DIAGNÓSTICO

O diagnóstico do coronavírus é feito com a coleta de materiais respiratórios (aspiração de vias aéreas ou indução de escarro). Na suspeita de coronavírus, é necessária a coleta de uma amostra, que será encaminhada com urgência para o Laboratório Central de Saúde Pública (Lacen).

Para confirmar a doença, é necessário realizar exames de biologia molecular que detecte o RNA viral. O diagnóstico do coronavírus é feito com a coleta de amostra, que está indicada sempre que ocorrer a identificação de caso suspeito.

Os casos graves devem ser encaminhados a um Hospital de Referência para isolamento e tratamento. Na Bahia, essa unidade é o Instituto Couto Maia (ICOM). Os casos leves devem ser acompanhados pela Atenção Primária em Saúde (APS) e instituídas medidas de precaução domiciliar.

TRATAMENTO

Não existe tratamento específico para infecções causadas por coronavírus humano. É indicado repouso e consumo de bastante água, além de algumas medidas adotadas para aliviar os sintomas, conforme cada caso, como, por exemplo:

  • Uso de medicamento para dor e febre (antitérmicos e analgésicos);
  • Uso de umidificador no quarto ou tomar banho quente para auxiliar no alívio da dor de garanta e tosse.

Assim que os primeiros sintomas surgirem, é fundamental procurar ajuda médica imediata para confirmar diagnóstico e iniciar o tratamento. Todos os pacientes que receberem alta durante os primeiros 7 dias do início do quadro (qualquer sintoma independente de febre), devem ser alertados para a possibilidade de piora tardia do quadro clínico e sinais de alerta de complicações, como: aparecimento de febre (podendo haver casos iniciais sem febre), elevação ou reaparecimento de febre ou sinais respiratórios, taquicardia (aumento dos batimentos cardíacos), dor pleurítica (dor no peito), fadiga (cansaço) e dispneia (falta de ar).

PREVENÇÃO

Devem ser adotados cuidados básicos para reduzir o risco geral de contrair ou transmitir infecções respiratórias agudas.

Algumas medidas são:

Lavar as mãos com frequência;

Evitar contato com pessoas que estejam com sintomas da gripe;

Usar lenço descartável para higiene nasal;

Cobrir sempre o nariz e a boca com a dobra do cotovelo ao espirrar ou tossir;

Evitar tocar nos olhos, nariz e boca;

Manter os ambientes bem ventilados.

Profissionais de saúde devem utilizar medidas de precaução padrão, de contato e de gotículas (máscara cirúrgica, luvas, avental não estéril e óculos de proteção).

Para a realização de procedimentos que gerem aerossolização de secreções respiratórias como intubação, aspiração de vias aéreas ou indução de escarro, deverá ser utilizada precaução por aerossóis, com uso de máscara N95.

Fonte de Pesquisa:

http://www.saude.ba.gov.br/temasdesaude/coronavirus/informacoes-sobre-a-covid-19

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