Wuhan Sağlık ve Sağlık Hizmetleri Komitesi (Hubei Eyaleti, Çin), 31 Aralık 2019'da, 8 Aralık'tan itibaren semptomları olan 27 pnömoni vakası olduğunu bildirdi. 7 Ocak 2020'de Çinli yetkililer, salgına neden olan ajanın geçici olarak 'yeni koronavirüs (2019-nCoV)' olarak adlandırılan Coronaviridae virüs ailesinin yeni bir türü olduğunu tespit etti. Dünya Sağlık Örgütü (DSÖ), 30 Ocak 2020'de salgını uluslararası acil durum olarak ilan etti, Mart 2020'de pandemi olarak nitelendirdi. DSÖ tarafından daha önce 2019-nCoV olarak anılmakta iken 11 Şubat 2020'de hastalık, şiddetli akut solunum sendromukoronavirüs-2 olarak isimlendirildi. Avrupa'dan Türkiye'ye dönen bir hastanın test sonucu pozitif çıktıktan sonra hastalığın, 11 Mart 2020'de Türkiye'ye ulaştığı doğrulanmıştır. Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] için en uygun tedavi yaklaşımı hâlen belirsizdir. Mevcut tedavi protokolleri sınırlı verilere dayanmaktadır ve klinik veriler ortaya çıktıkça, hastalığa ve tedaviye yönelik bilgilerimiz hızla gelişmektedir. Randomize kontrollü çalışmalardan, gözlemsel kohortlardan ve vaka serilerinden çok sayıda veri ve yayın, bazıları hakemli dergilerde bazıları ise henüz hakemler tarafından gözden geçirilmemiş makaleler olarak hızla ortaya çıkmaktadır. Türkiye Cumhuriyeti Sağlık Bakanlığı, uzmanlık dernekleri ile birlikte COVID19 yönetimi için bir klinik protokol hazırlama amacı ile Türkiye Pandemi Çalışma Grubu'nu oluşturmuş ve kanıta dayalı güncel bilgiler doğrultusunda tedavi önerilerini düzenlemiştir. Ulusal ve uluslararası rehberlerdeki güncel tedavi önerileri doğrultusunda, COVID-19 tedavisinin özetlenmesi amaçlanmıştır.
Anahtar Kelimeler: COVID-19; pandemi; tedavi
On 31 December 2019, the Wuhan Municipal Committee of Health and Healthcare (Hubei Province, China) reported that there were 27 cases of pneumonia of unknown origin with symptoms starting on the 8 December. On 7 January 2020, the Chinese authorities identified that the agent causing the outbreak was a new type of virus of the Coronaviridae family, temporarily called 'new coronavirus, 2019-nCoV'. On January 30th, 2020, the World Health Organisation (WHO) declared the outbreak an international emergency and described it as a pandemic in March 2020. While it was previously referred to as 2019-nCoV by WHO, on February 11, 2020, the disease was named as severe acute respiratory syndrome-coronavirus2. The disease was confirmed to have reached Turkey on 11 March 2020, after a patient who had returned to Turkey from Europe, tested positive. The most appropriate treatment approach to treating COVID-19 remains unclear. Current treatment protocols are based on limited data and are evolving rapidly as clinical data emerge. A large volume of data and publications from randomized controlled trials, observational cohorts, and case series are emerging promptly, some in peer-reviewed journals, others as manuscripts that have not yet been peer reviewed. The Republic of Turkey Ministry of Health invited the specialties societies to prepare a clinical protocol for the management of COVID-19. The Turkish Pandemic Working Group prepare the present recommendations with the evidence available at the time of preparing them. It is aimed to summarize the treatment management of COVID-19 in line with the current treatment recommendations in national and international guidelines.
Keywords: COVID-19; pandemic; treatment
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