Turkiye Klinikleri Journal of Medical Sciences

.: REVIEW
A Review of Clinical Management Practice of COVID-19 in South Asian Countries: Systematic Review
Güney Asya Ülkelerinde COVID-19 İçin Klinik Yönetim Uygulamalarının Gözden Geçirilmesi: Sistematik Derleme
Insiat Islam RABBYa, Farzad HOSSAINb, Munadi Al ISLAMc, A. K. M. Sadrul ISLAMd, Israt Jahan AKHIe, Syed Nazmul HUDAf
aDepartment of Mechanical and Manufacturing Engineering, Universiti Putra Malaysia, Seri Kembangan, Selangor, MALAYSIA
bDepartment of Mechanical and Production Engineering, Islamic University of Technology, Gazipur, BANGLADESH
cHMO, Department of Medicine, Dhaka Medical College Hospital, Dhaka, BANGLADESH
dThe Ibn Sina Pharmaceutical Industry Ltd, Dhaka, BANGLADESH
eDepartment of Physiotherapy, Bangladesh Health Professions Institute, Savar, Dhaka, BANGLADESH
fBangamata Sheikh Fojilatunnesa Mujib Science & Technology University, Jamalpur, BANGLADESH
Turkiye Klinikleri J Med Sci. 2022;42(1):43-52
doi: 10.5336/medsci.2021-85503
Article Language: EN
Full Text
ABSTRACT
 Our world is currently fighting with highly infectious and deadly severe acute respiratory syndrome-coronavirus-2 virus which has no specific remedy yet. No study focused on reviewing applied clinical management and treatment protocol of coronavirus disease-2019 (COVID-19) by health ministry of different nations till date. Therefore, this study focuses to identify and compare clinical management and treatment protocol guidelines for COVID-19 from 8 South Asian countries. This study will assist the healthcare workers and authorities of different nations by sharing the key information from potential guidelines to treat COVID-19 patients. Necessary information has been collected from the clinical management guidelines for COVID-19 in Health Ministry website of India, Bangladesh, Sri Lanka, Pakistan, Afghanistan, Nepal, Bhutan, and Maldives. Though clinical management practices vary from country to country, all of these countries are utilizing high flow oxygen therapy and mechanical ventilation for critical cases. Moreover, some potential drugs have been suggested for treatment by most of the countries but were not recommended yet as all of them are under clinical trials. Hydroxychloroquine has been suggested by most of these countries. All the countries are developing and updating their guidelines for clinical management of COVID-19 patients. It is worth mentioning that the recovery rate of Bangladesh, India, Sri Lanka, Pakistan, Afghanistan, Nepal, Bhutan, and Maldives is 63.52%, 76.24%, 94.88%, 94.47%, 83.65%, 71.5%, 71.14%, and 83.83% respectively. The oxygen therapy and empirical antibiotic for preventing secondary infection have been used commonly in most of these countries as an effective treatment.

Keywords: Guideline; drugs; vaccine; treatment; management
ÖZET
 Dünyamız halen henüz özel bir ilacı bulunmayan, oldukça enfeksiyöz ve öldürücü olan ağır akut solunum sendromkoronavirüs-2 virüsü ile savaşmaktadır. Bugüne kadar koronavirüs hastalığı-2019 (COVID-19) için faklı ulusların sağlık bakanlıklarının uyguladığı klinik yönetim ve tedavi protokollerinin gözden geçirilmesine odaklanan herhangi bir çalışma yapılmamıştır. Bu nedenle, bu çalışmada 8 Güney Asya ülkesinin klinik yönetim ve tedavi protokolleri rehberlerini tanımaya ve karşılaştırmaya odaklanılmıştır. Bu çalışma COVID-19 hastalarının tedavisi için kılavuzlardaki anahtar noktaları paylaşmak suretiyle farklı ulusların sağlık çalışanlarına ve otoritelerine yardımcı olacaktır. Gerekli bilgiler Hindistan, Bangladeş, Sri Lanka, Pakistan, Afganistan, Nepal, Bhutan ve Maldivler'in sağlık bakanlığı web sitelerinde COVID-19 için klinik yönetim kılavuzlarından toplanmıştır. Klinik yönetim uygulamaları ülkeden ülkeye değişmekle birlikte bu ülkelerin hepsinde kritik olgularda yüksek akımlı oksijen tedavisi ve mekanik ventilasyon kullanılmaktadır. Dahası, çoğu ülkede tedavi için bazı potansiyel ilaçlar öne sürülmüştür fakat henüz önerilmemiştir çünkü hepsinin klinik çalışmaları sürmektedir. Bu ülkelerin çoğunda hidroksiklorokin önerilmiştir. Tüm ülkeler COVID-19'un klinik yönetimi için rehberlerini geliştirmekte ve güncellemektedir. Bangladeş, Hindistan, Sri Lanka, Pakistan, Afganistan, Nepal, Bhutan ve Maldivler'de iyileşme oranlarının sırasıyla %63,52, %76,24, %94,88, %94,47, %83,65, %71,5, %71,14 ve %83,83 olduğunu söylemeliyiz. Bu ülkelerin çoğunda etkili bir tedavi olarak oksijen tedavisi ve sekonder enfeksiyonların önlenmesi için ampirik antibiyotik tedavisi yaygın olarak kullanılmıştır.

Anahtar Kelimeler: Rehber; ilaçlar; aşı; tedavi; yönetim
REFERENCES:
  1. Centers for Disease Control and Prevention. Basics of COVID-19. [Cited: May 2020]. Available from: [Link] 
  2. myGOV [Internet]. Copyright © MyGov 2014 [Cited: 27 August 2020]. India Fights Corona COVID-19. Available from: [Link] 
  3. worldometer [Internet]. © Copyright Worldometers.info [Cited: 27 August 2020]. Bangladesh. Available from: [Link] 
  4. Institute of Epidemiology, Disease Control and Research (IEDCR) [Internet]. [Cited: 27 August 2020]. COVID-19. Available from: [Link] 
  5. Government of Pakistan [Internet]. [Cited: 27 August 2020]. Pakistan cases details. Available from: [Link] 
  6. worldometer [Internet]. © Copyright Worldometers.info [Cited: 27 August 2020]. Srilanka. Available from: [Link] 
  7. worldometer [Internet]. © Copyright Worldometers.info [Cited: 17 September 2020]. Afghanistan. Available from: [Link] 
  8. worldometer [Internet]. © Copyright Worldometers.info [Cited: 17 September 2020]. Nepal. Available from: [Link] 
  9. worldometer [Internet]. © Copyright Worldometers.info [Cited: 17 September 2020]. Bhutan. Available from: [Link] 
  10. worldometer [Internet]. © Copyright Worldometers.info [Cited: 17 September 2020]. Maldives. Available from: [Link] 
  11. Government of India Ministry of Health & Family Welfare Directorate General of Health Services (EMR Division). Revised Guidelines on Clinical Management of COVID-19. 2020. Cited: 11 May 2020. Available from: [Link] 
  12. Disease Control Division, Directorate General of Health Services, Ministry of Health & Family Welfare, Government of the People's Republic of Bangladesh. National Guidelines on Clinical Management of Coronavirus Disease 2019 (COVID-19), Version 7.0. 2020. Cited: 11 May 2020. Available from: [Link] 
  13. Ministry of Health Sri Lanka. Provisional Clinical Practice Guidelines on COVID-19 Suspected and Confirmed Patients, Version 4. 2020. Cited: 11 May 2020. Available from: [Link] 
  14. Government of PAKISTAN [Internet]. © Designed & Developed by National Information Technology Board in collaboration with ECOM PK (Pvt.) Ltd. [Cited: 11 May 2020]. Guidelines. Available from: [Link] 
  15. Ministry of Public Health [Internet]. Copyright © 2019 | MOPH [Cited: 19 September 2020]. Provincial Nutrition Directorate, Nutrition Technical COVID-19 Guidance Note, Afghanistan. Available from: [Link] 
  16. Health Emergency Operation Center [Internet]. © 2018 Health Emergency Operation Center [Cited: 19 September 2020]. Coronavirus disease (COVID-19) outbreak updates & resource materials. Available from: [Link] 
  17. Ministry of Health, Royal Government of Bhutan. Guidance & SOP on Quarantine for COVID-19. 4th ed. 2020. Cited: 19 September 2020. Available from: [Link] 
  18. Health Protection Agency. COVID-19 Quick Reference Guidelines, Version 10. 2020. Cited: 19 September 2020. Available from: [Link] 
  19. Centers for Disease Control and Prevention [Internet]. [Cited: 12 November 2020]. Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19). Available from: [Link] 
  20. World Health Organization. Clinical management of COVID-19. 2020. Cited: 12 November 2021. Available from: [Link] 

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