Why do we need to report on COVID-19 suspected cases presentation in primary care?

AlAnoud Saleh AlFehaidi, Zohor Ahmed Kamaleldin Mohamed, Mohamed Abd Elhamid, Bayan Alemrayat, Ehab Hamed


While research and reporting on COVID-19 disease focused on laboratory-confirmed cases, minimal to no reporting happen to suspected cases. Initially, WHO advised screen and quarantine strategy. All suspected cases who had mild symptoms were advised to have COVID-19 polymerase chair reaction test.Patients with positive results are advised to quarantine in either home or quarantine facilities dependant on local guidance. Feasibility of testing and isolation strategy seems unlikely in many settings because of the strain on resources; guidance was updated in different countries. Centers for disease control (CDC) and many international guidelines advised home isolation with no testing for suspected cases with mild symptoms. Case definition was updated on different occasions, but suspected cases generically defined based on history and/or risk factors. 


COVID-19, Primary care, Suspected cases

Full Text:



Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected V1.2. 2020. Available at: https://www. Accessed on 30 March 2020.

Interim Guidance: Healthcare Professionals 2019-nCoV. CDC. Available at: coronavirus/2019-ncov/hcp/clinical-criteria.html? Accessed on 29 March 2020.

Priorities For Testing Patients With Suspected COVID-19 infection. 2020. Available at: https:// priority-testing-patients.pdf. Accessed on 3 January 2020.

World Health Organization. (‎2020)‎. Revised case report form for confirmed Novel Coronavirus COVID-19 (‎‎‎report to WHO within 48 hours of case identification)‎‎‎. World Health Organization. Available at: 10665/331234. Accessed on 3 January 2020.

Fine MJ, Auble TE, Yealy DM, Hanusa BH, Weissfeld LA, Singer DE, et al. A prediction rule to identify low-risk patients with community-gain pneumonia. N Engl J Med. 1997;336(4):243-50.

Shah BA, Ahmed W, Dhobi GN, Shah NN, Khursheed SQ, Haq I. Validity of Pneumonia Severity Index and CURB-65 Severity Scoring Systems in Community Acquired Pneumonia in an Indian Setting. Indian J Chest Dis Allied Sci. 2010;52(1):9-17.

Gough JF. The pathological diagnosis of emphysema. Proc R Soc Med. 1952;45(9):576-7.

Hamed E, Abd Elhamid M, Alemrayat B. Suspected cases of COVID-19: study protocol for reporting characteristics and the outcomes. Fam Med Community Heal. 2020;8(2):e000400.