Policy responses for Malta - HSRM


Policy responses for Malta

3.2 Managing cases

Once positive cases are diagnosed, they are contacted by public health specialists in the case management team. Besides initiating the process of contact tracing, the clinical condition of the patient together with co-morbidities are assessed in conjunction with the clinical team. Based upon this information it is decided whether the patient should be isolated within a medical facility, and if so which medical facility this should be (an individual who is likely to suffer more intensive medical care would be isolated in a facility within the acute hospital and close to ICU beds). Generally healthy COVID-19 patients are placed under mandatory quarantine within their own houses and monitored regularly by the medical team organised within the primary health care.

In accordance with current evidence, those patients who develop pneumonia and oxygen saturation levels at or below 93% are considered to be severe cases. Currently (as of 29/03/2020) the total number of cases in Malta amount to 149 persons, three of which require intensive care and one in critical condition. To date no deaths have been reported and all cases have been adequately managed with no requirement for rationing of care. COVID-19 positive patients who are moderately/severely unwell are being administered Chloroquine / Hydrochloroquine combined with Azithromycin and to date there are no unlicensed medications that are currently being tested.