March 13, 2020
Today's update contains a lot of information. Please click through on the links for details. I would also ask practice administrators to please forward it to your clinicians.
- Confirmed cases continue to increase. I am again linking the most recent guidelines on PPE and infection control from the CDC from March 10th here.
This guideline was developed in collaboration with YNHH in an effort to provide consistent guidelines across the community. It is based upon best evidence/best practice information as of 3/13/2020 and is subject to change. The guideline does not address testing as test sites are not widely available; future iterations will include recommendations regarding testing.
This guideline is not a substitute for your clinical judgment. For example, there is a recommendation for empiric Tamiflu for phone triaged patients with flu-like illness. This recommendation may differ from your normal approach. The consensus is that there is sufficient benefit and little harm in prescribing Tamiflu, which ensures patients without access to flu swab testing can be treated. This pathway will also be used at YNHH emergency departments and their hotline for consistent application of the guideline. We are working for a similar pathway for pediatrics which I will disseminate as soon as possible.