Information for medical professionals

Information for medical professionals

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Coronavirus SARS-CoV-2 (english)

Information for medical professionals

Special edition of the Frankfurt Infect-Infos

Informationen zum SARS-CoV-2 für medizinisches Personal
Informationen zum SARS-CoV-2 für medizinisches Personal © ©velimir - stock.adobe.com, Foto: Nikolaj Saevich

On March 15th, the special edition No. 2 ‘Current procedures with regard to the handling of the SARS-CoV-2 Pandemia’ which has been sent to all medical practices in Frankfurt am Main. Should you not have received the ‘Infect infos’, please send us your email so that we can send you the ‘Infect Infos’ to provide the contact for all registered medical practitioners in Frankfurt. You may send your email address with SUBJ: "Infekt-Info" to: corona@stadt-frankfurt.deInternal Link

 

Test Centers in Frankfurt am Main

Who may assign patients to the Test Centers?

Since March 10th there are two Test Centers available in Frankfurt am Main conducting swab-sample-collections to relieve pressure on local medical practitioners and their practices. The addresses of the Test Centers are made available through the health insurance companies, Krankenversicherung (KV). Tests are conducted workdays from 9am-1pm.

 

Important:

Patients are either assigned by the local medical practitioners, the Medical On-Duty Service (Freephone 116 117) or the health authority. Without a relevant medical indication for testing, patients will not be assigned for testing in the Test Centers.

 

Note:
The first, second and amendment of the first and second Ordinance of the State of Hessen’s Ministry for Social issues and Integration for the Prevention of the Proliferation of the Coronavirus can be accessed in the download menu for downloading.

Ordinance for the Prevention of the Proliferation of the Coronavirus (13.03.2020) - Extract:

§1
To ensure the necessary staffing-levels for human health-care and the maintenance of public safety or order, dependents of the in paragraph (2) defined group of persons, who 14 days prior to the effectiveness of this ordinance or since then, have come in contact in areas-at-risk with infections related to the SARS-CoV-2—Virus are hereby generally ordered sequestrated pursuant to § 30 Paragraph. 1. Line 2 of the Infection Protection Law on their own private premises.

Note:
„(6) Insofar as the maintenance of health-care or the public safety or (public) order demand it, the sequestration or professional activity prohibition can in isolated cases not be enforced for the duration of the duty.”

 

What strategy has been put in place for the diagnostics and care of COVID-19-patients in Frankfurt am Main?
The medical resources of the municipality will provide the necessary diagnosis and care for COVID-19-patients on the basis of the existing precautionary standards for influenza. In general all local practitioners (medical doctors) and every hospital must care for COVID-19-patients. Where close contact is required (and in suspected cases) staff will protect themselves from droplet-infection using:

  • Eye protection
  • Mouth and nose protection, minimum FFP2 masks
  • Gloves
  • Protective gown

 

What is the exact procedure with the local practitioners (medical doctor)?

  • The suspected infection-case contacts his local medical practitioner via telephone.
  • An appointment is set with special and timely separation from other patients, as is the case with influenza.
  • Medical history and examination.
  • Depending on relevant indication the medical practitioner will perform a SARS-CoV-2 swab-test
  • The swab sample is then sent to a suitable laboratory (Frankfurt: University Clinic Frankfurt, Hessen: Virologie Marburg).
  • In- or out-patient-care

Patients showing only light symptoms do not have to necessarily be referred to in-patient-care. Following the conduct of the test and the reporting of the suspected case to the health authority the cases can then be placed under home-observation. As soon as the test-result is available, (usually the next day, if the lab receives the sample by lunch-time) the subsequent process will be determined by the health authority. The in-patient care must be performed in an isolation-room using the above described protective Equipment.


When should a person be examined for SARS-CoV-2?

When a reasonable suspected case based upon the Robert-Koch-Institute (RKI)-Definition can be determined:

 

I. Respiratory Symptoms independent of their gravity

AND

Contact with a confirmed COVID-19 patient within the preceding 14 days

 

II. Acute Respiratory Syndrome (ARS) (with, or, without fever, as well as, with, or, without cough) where based upon clinical, radiological and histopathological indicators for an infectious infiltrate indicate that the lower respiratory tracts are affected for example with pneumonia or Acute Respiratory Syndrome

AND

Sojourn, or stay in a risk region during the last 14 days.

 

III. Persons who have stayed during the last 14 days in affected countries, who also did not stay in contaminated provinces or regions, but are showing influenza symptoms, should be examined for influenza. In the case of negative diagnosis for influenza, they should be tested only with recourse to the responsible health authority for SARS-CoV-2.

 


How are doctors and hospitals approaching lab-testing?


The municipality of Frankfurt am Main 
In Frankfurt am Main there are (time-log: March 13th, 4 p.m.) 21 confirmed cases. The municipal health authority of the city is currently reviewing all contact-persons.

 

Federal State of Hessen
The daily up-date of confirmed COVID-19 in the state of Hesse can be reviewed here: HMSIExternal Link

 

Germany
In Germany the new Coronavirus has been confirmed in all federal states of the German Bundesrepublik. The current case data for Germany can be reviewed on the homepage of the Robert-Koch-Institut (RKI): RKI-Fallzahlen in DeutschlandExternal Link

The current risk-evaluation for COVID-19 of the RKI can be reviewed here: RKI_Risikobewertung zu COVID-19 für DeutschlandExternal Link

 

Global
The global update on the case data can be reviewed here: 
Coronavirus COVID-19 Global Cases by Johns HopkinsExternal Link

 

Regions at Risk (according to RKI)
An overview of risk regions can be reviewed here: Robert Koch-Institut_RisikogebieteExternal Link

 

Travel alerts
Whether travel is safe to an affected country can be researched on the webpages of the German government’s ministry for foreign affairs or “Auswärtiges Amt (AA)”: Länderseiten des AA im InternetExternal Link

 

Are medical practitioners, hospitals, rescue services and health authorities sufficiently informed and equipped?
All medical facility employees have been informed by the Robert-Koch-Institute and the respective health authorities how they are to act in a suspected case. This includes the putting-on of the protective clothing and equipment, also consisting of respiratory protection, visor-protection and gloves, as well as the placement in isolation of suspected cases in separate rooms. In general all hospitals within the State of Hessen are prepared to deal with patients requiring treatment for these infections. If treatment must be performed in an isolation-ward, this will be determined based upon the gravity of the illness.

 

What measures are in place should local medical practitioners not have sufficient protective equipment available?
Many local medical practitioners do not have the respective protective equipment. In particular they do not have face-masks. It is for this reason that they often cannot take the necessary swab-samples for COVID-19 testing, as they have to protect themselves and their medical staff. In this case the Medical On-Call Duty Service (Ärztliche Bereitschaftsdienst) should be contacted (Freecall 116 117) to enquire which local medical practitioners have the necessary equipment and can conduct the relevant Tests.

 

Do, or, will all persons who have tested positive for SARS-CoV-2 be registered as in-patients?
Seriously ill persons, for example with radiologically verified pneumonia, Acute Respiratory Syndrome and so on, must be treated and cared for in hospital. This includes family members or people living in the premises without sufficient possibilities of isolation at home, they too must be registered for in-patient care so as to avoid a further contagion of the infection.
Persons showing only light symptoms can be treated with out-patient-care. In this case the health authority will impose 14 day isolation at home.
What should be observed with contact persons, including medical professionals?

Please see attached document of the Robert Koch Institute (RKI):
RKI - Management von KontaktpersonenExternal Link

 

What should be observed with contact persons, including medical professionals?
Please see attached document of the Robert Koch Institute (RKI): RKI - Management von KontaktpersonenExternal Link


Can a Coronavirus test for infection be performed even without symptoms?
A test will only be performed when a reasonable cause (suspicion) for this Coronavirus infection has been identified.

 

 

CORONAVIRUS HOTLINE OF THE STATE OF HESSEN

A Hessenwide Hotline for questions, issues and information regarding the coronavirus is available under 0800- 555 4666 - daily from 8am to 8pm. You can also send your questions by mail to buergertelefon@stk.hessen.deInternal Link .


Important Notice: Absolutely no test-results will be provided via this Hotline. All test results must be obtained through your general practitioner or referred doctor.

The statewide (State of Hessen) Hotlines are also available to all Frankfurt residents, there is not separate hotline for Frankfurt. In the case of verified infections with SARS-CoV-2 all necessary measures for Frankfurt residents will be taken by the Frankfurt health authority (Frankfurter Gesundheitsamt).
For residents from all other counties and districts in the State of Hessen Hotline Staff are standing by and in the case of verified infections the local health authorities are responsible for all further measures. To locate your local health authority please use the postal-code application of the Robert Koch Institute in the following link: local health authorityExternal Link

 

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