How to treat an infection with the new coronavirus?

How to treat an infection with the new coronavirus?

The treatment is said to be symptomatic (it aims to relieve the symptoms): medicines against fever (paracetamol)… In severe forms, sick people can receive antibiotics when a bacterial co-infection is present, be put on respiratory assistance…

Anti-inflammatory drugs not recommended
To lower the fever, the Ministry of Health advises against starting a treatment based on anti-inflammatory drugs (ibuprofen, cortisone, etc.) or aspirin: taking this type of medication "could be an aggravating factor. the infection".

Taking paracetamol should be preferred. Do not exceed 60 mg / kg / day in children, 3 g per day in adults. Note that in pharmacies, the sale of paracetamol is now restricted.

People already on anti-inflammatory drugs due to a chronic disease should not stop their treatment without their doctor's advice.


Four therapeutic combinations are being tested

Research to find an effective treatment is looking at both proven drugs in the treatment of other diseases, especially viral, as well as the development of an antiviral drug specific to Covid-19.

In France, a clinical trial promoted by Inserm will be set up (announcement of March 11) to "evaluate and compare four therapeutic combinations: remdesivir (an antiviral which has been the subject of clinical development in the disease virus), lopinavir, the combination lopinavir and interferon, each associated with non-specific and symptomatic treatments, and finally non-specific and symptomatic treatments. " Some 3,200 people are participating in this trial, including 800 in France.

How many people are affected by Covid-19?
In the world
According to figures from March 17, nearly 180,160 cases (including 61,098 in Europe) have been identified, and 7,103 people have died (including 2,740 in Europe), mainly in China where the epidemic now appears to be under control. A total of 155 countries and territories on five continents are now affected by the epidemic. The most affected countries, excluding China, are Italy, Iran, Spain and Germany. The virus is now classified as a pandemic by the World Health Organization (WHO).

To follow the real-time evolution of the epidemic: consult this interactive map.

In France
France is the seventh country most affected by the epidemic in the world. The latest assessment shows 7,730 people infected with the new SARS-CoV-2 coronavirus, a figure probably underestimated since screening for suspected cases is no longer systematic. Since the first cases were detected on the territory, 175 patients have died.


The most affected regions in mainland France are:
- Ile-de-France: 2,177 cases;
- Grand-Est: 1,820 cases;
- Auvergne-Rhône-Alpes: 710 cases;
- Hauts-de-France: 612 cases;
- Bourgogne-Franche-Comté: 549 cases;
- Provence-Alpes-Côtes-d'Azur: 478 cases.

What measures are in place at stage 3 of the epidemic?

France is now in stage 3 of the epidemic. Since the speech of the President of the Republic Monday March 16, it is placed from Tuesday March 17 at 12 noon in confinement for a minimum of two weeks. Any Frenchman who has to travel must present a document attesting on his honor the reason for the trip. This document can be downloaded from the website of the Ministry of the Interior or can be written on plain paper.


This measure is in addition to those already in force:
- closure, from Saturday March 14 at midnight and until further notice, of all "places receiving the public which are not essential to the life of the country": restaurants, cafes, cinemas, non-food shops ... Pharmacies, banks, petrol stations, and the tobacco and press offices remain open.
- closure of crèches, schools, colleges and universities since Monday March 16;
- postponement of non-emergency operations in hospitals;
- incentive to telework and implementation of exceptional partial unemployment measures;
- prohibition of visits to Ehpads (accommodation establishments for dependent elderly people) and long-term care units.

Pharmacies can produce and sell their own hydroalcoholic gel solution, the price of which is regulated by a decree. They are exceptionally authorized until May 31, 2020 to renew an expired prescription as part of chronic treatment (order with immediate effect published in the Official Journal on March 15, 2020).

The white plan for hospitals and the blue plan for nursing homes, which involve the exceptional mobilization of medical resources, are activated. The Sanitary Reserve has been mobilized to respond to the epidemic. The Medical Association, the French Order of Nurses and Public Health have called doctors and nurses who can join it.

What is the procedure for taking care of patients in France?
Since mid-February, France has strengthened its care system. The progression of the virus is such that it implies a reorganization of the healthcare system to increase care at the local level. The procedures for handling suspected cases have evolved since the introduction of reinforced containment.

In case of symptoms
A person with mild symptoms of suspicion (cough, fever) must now call their doctor before going to their office. She can also benefit from a teleconsultation. In this perspective, the rules of telemedicine have been relaxed. It is no longer necessary to have consulted your doctor during the previous 12 months before performing a remote consultation. A doctor can now see a patient on teleconsultation and, if in doubt about the diagnosis, move on. We must no longer call the Samu.


The call to Samu (15) is in fact reserved for people with severe symptoms (cough, fever, difficulty breathing and / or malaise). The requirement for systematic screening has been lifted. Only patients with severe signs or residents of medico-social establishments or caregivers remain subject to it.

If the infection is proven, “mild” patients (80% of patients) remain confined to their homes and are followed by their general practitioner.

Patients "at risk" continue to be treated in hospital. “This system aims not to saturate the hospitalization capacities of health establishments”, indicates the ministerial methodological guide intended for health professionals.

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