Living on the Frontline of COVID-19 in MCO And CMCO: Clinical Updates in COVID-19
By Cheng Hoon Chew, Yan Yee Yip, Ming Tsuey Lim and
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About this ebook
This book contains transcript from the live webinar "Clinical Updates in COVID-19" organized by Institute for Clinical Research, NIH Malaysia on 4th of June 2020. There are four presentations in this webinar focusing on:
- Management of ILI and COVID-19 in Health Clinic by Dr. Narul Aida Salleh, Kuala Lumpur Health Clinic.
- The scars of COVID-19 by Dr. Syazatul Syakirin binti Sirol Aflah, Institute of Respiratory Medicine, Kuala Lumpur.
- Kawasaki Disease and Multisystem Inflammatory Syndrome In Children (MIS-C) by Dr. Hung Liang Choo, Hospital Tunku Azizah, Kuala Lumpur.
- Continuing Care to Cancer Patients during COVID-19 Pandemic-Experience from Radiotherapy and Oncology Department, Hospital Umum Sarawak by Dr. Voon Pei Jye, Sarawak General Hospital.
Cheng Hoon Chew
Dr. Chew Cheng Hoon (MD, MPH) is a medical doctor working in Institute for Clinical Research with a demonstrated history of working in the hospital & health care industry. Skilled in Epidemiology, Clinical Medicine, Healthcare Information Technology (HIT), Healthcare, Healthcare Management and Health Education. Strong healthcare services professional graduated from Universiti Kebangsaan Malaysia.
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Living on the Frontline of COVID-19 in MCO And CMCO - Cheng Hoon Chew
Living on the Frontline of COVID-19 in MCO And CMCO
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Clinical Updates in COVID-19
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Cheng Hoon Chew, Yan Yee Yip, Ming Tsuey Lim, Narul Aida Salleh, Syazatul Syakirin Sirol Aflah, Liang Choo Hung, Pei Jye Voon, Pik Pin Goh
Published by Institute for Clinical Research, NIH MY, 2020.
While every precaution has been taken in the preparation of this book, the publisher assumes no responsibility for errors or omissions, or for damages resulting from the use of the information contained herein.
LIVING ON THE FRONTLINE OF COVID-19 IN MCO AND CMCO
First edition. June 14, 2020.
Copyright © 2020 Institute for Clinical Research NIH, Malaysia
Front cover photo: Sunrise view of the Mount Kinabalu taken at 6:33 AM at Kokol Hill, Sabah on 16th August 2014 by Chew Cheng Hoon. Front cover design by Chew Cheng Hoon.
Written by Cheng Hoon Chew, Yan Yee Yip, Ming Tsuey Lim, Narul Aida Salleh, Syazatul Syakirin Sirol Aflah, Liang Choo Hung, Pei Jye Voon, Pik Pin Goh
Living on the Frontline of COVID-19 in MCO And CMCO
Disclaimer
● This transcript was prepared based on the Clinical Updates in COVID-19 live webinar session on 4/06/2020. The panellists for this webinar are Dr. Narul Aida Salleh, Dr. Syazatul Syakirin binti Sirol Aflah, Dr. Hung Liang Choo and Dr. Voon Pei Jye.
● The transcript was prepared by Ms.Yip Yan Yee, Mdm Lim Ming Tsuey and Dr. Chew Cheng Hoon from Institute for Clinical Research, NIH Malaysia.
● This is intended to share within healthcare professionals, not for the public.
––––––––
Citation:
Chew, C.H., Yip, Y.Y., Lim, M.T., Narul, A.S, Syazatul, S.S.A., Hung, L.C., Voon, P.J., & Goh, P.P. (2020). Living on the Frontline of COVID-19 in MCO And CMCO: Clinical Updates in COVID-19. Kuala Lumpur, Malaysia: Institute For Clinical Research, NIH
Table of Contents
Management of ILI and COVID-19 in Health Clinic
by Dr.Narul Aida Salleh, Kuala Lumpur Health Clinic
Introduction
References
Primary Care/ General practice
Influenza-like Illness (ILI) & Severe Acute Respiratory Illness (SARI)
Algorithm for Treatment of ILI in Adult Patients in Primary care - Before COVID-19 Pandemic
Algorithm from the Infectious Disease Society of America
How did we manage ILI before COVID-19 pandemic?
Management of ILI / PUI during the pandemic in health clinic setting (KK)
Definition of PUI (Patient under Investigation)
Criteria for admission
Management of ILI during COVID-19 pandemic
Movement of ILI patients
Surveillance activity for the pandemic: Sentinel sampling
Outcome of sentinel sampling surveillance
Acknowledgement
The Scars of COVID-19
by Dr.Syazatul Syakirin Sirol Aflah, Respiratory Medicine Institute
Background
Coronavirus cases
What happened to the recovered patients?
Article: Some patients who survive COVID-19 may suffer lung damage
Coronavirus Family: COVID-19, MERS & SARS
What were the evidences in the past?
Study 1: Comparison between SARS patients with and those without evidence of fibrosis
Study 2: Long-term bone and lung consequences associated with hospital-acquired SARS
Study 3: Spirometric evaluation
Study 4: Exercise capacity and health status of SARS survivors
Study 5: COVID-19 illness in native and immunosuppressed states
Pathogenesis of lung damage
Wuhan - Radiological findings
Local experience
Case 1
Seen in the clinic after 6 weeks
Case 2
Seen in the clinic after 6 weeks
Case 3
Seen in the clinic after 6 weeks
Case 4
CT Thorax at 4th week & 6th week
Case 5
Chest X-ray
CT scan at 4th and 6th week of illness
Article: Follow-up studies in COVID-19 recovered patients. Is it mandatory?
A clinical trial to evaluate the efficacy and safety of Pirfenidone with novel coronavirus infection
Summary
References
COVID-19 and Kawasaki Disease
by Dr. Hung Liang Choo, Hospital Tunku Azizah, Kuala Lumpur
General Information
Kawasaki Disease
Introduction to Kawasaki Disease
History of Kawasaki Disease
Aetiology of Kawasaki Disease
Incidence of Kawasaki Disease
Pathophysiology of Kawasaki Disease
Diagnostic Clinical Features of Kawasaki Disease
Classical Diagnostic Clinical Criteria According to American Heart Association
Classification of Kawasaki Disease
Associated Symptoms of Kawasaki Disease During Acute Phase
Evaluation of Suspected Incomplete Kawasaki Disease
Treatment of Kawasaki Disease (Acute Phase)
IVIG-resistant Kawasaki Disease
Cardiovascular Complications in Kawasaki Disease
Multisystem Inflammatory Syndrome In Children (MIS-C)
Introduction to Multisystem Inflammatory Syndrome in Children (MIS-C)
WHO Case Definition
Sharing of Data to WHO Network
Studies Related To Kawasaki Disease And Multisystem Inflammatory Syndrome In Children (MIS-C)
Hyperinflammatory Shock COVID-19 Pandemic (UK Group)
An Outbreak of Severe Kawasaki Disease-like Disease at the Italian Epicentre of the SARS-CoV-2 Epidemic: An Observational Cohort Study (Italian Group)
Paediatric Acute Heart Failure and SARS-CoV-2 Infection (France and Switzerland Group)
Conclusion
MIS-C and Kawasaki Disease Associated with COVID-19
The Way Forward
Reference
Continuing Care to Cancer Patients during COVID-19 Pandemic-Experience from Radiotherapy and Oncology Department, Hospital Umum Sarawak
by Dr. Voon Pei Jye, Sarawak General Hospital
Introduction
How Much Do We Know Regarding Cancer and COVID-19?
Higher Mortality Rates of COVID-19 in Cancer Patients?
The Largest Real World Dataset Investigating Risk of Hospitalization and Death Rates (CCC-19 and TERAVOLT Trials)
How Do We Manage COVID-19 Patients During Pandemic Time? What Do the Guidelines Say?
Radiotherapy and Oncology