Objective One of the keys elements to control the transmission of COVID‐19 is to decrease the source of infection and transmission to the community. Following the instructions is very important to achieve that. This study aimed to evaluate awareness and practices related to the COVID‐19 quarantine instructions among the home quarantine COVID‐19 patients, and persons who contacted them at home quarantine. Methods During May and June 2020, the home quarantine COVID‐19 patients (mild and moderate cases who need not be admitted to hospital) and the contacting persons were asked to fill an online structured questionnaire. Data were collected to assess the awareness regarding the quarantine instructions. The questionnaire was divided into three sections, consisting of 35 questions for a total possible score of 0‐35. The first section was to assess the participants' awareness [19 items]; the second was to assess the awareness of the participants’ families [11 items]; the third was to assessing awareness and attitude regarding the efforts provided to face COVID‐19 [5 items]. Results A total of 300 subjects participated, 96% of them were committed not to leave the house till the end of the self‐isolation period; 85% cared for house cleanliness and good ventilation of rooms; 63% maintained a balanced diet without fats, oil, and sugar; 70% used vitamins D and A to strengthen the immune system. The important role of the media in informing subjects of COVID‐19 was known by 90%, while 63% of the participants are not satisfied with the hospital services in the area where they live. The average score of this questionnaire was 28.18/35 (80.5%) about the awareness of COVID‐19 quarantine instructions. Conclusion Home quarantined COVID‐19 patients and people in close contact with them in the study had a good awareness of the home quarantine instructions. They had good knowledge about the home quarantine instructions; instructions for family members of infected patients; and awareness and attitude of the efforts provided to counter COVID‐19.

Background: The purpose of this study was to evaluate the effectiveness of limited-resource hospitals in managing mild and moderate hospitalized cases of COVID-19 with comorbidities and in preventing their progression to severe illness. Methods: Data were obtained from 88 moderate COVID-19 patients with comorbidities who were admitted to limited-resource hospitals. The data were classified into several parts: comorbidities, chronic medication before hospital admission, symptoms of COVID-19 before and during hospitalization, clinical features, laboratory findings on hospital admission, complications during hospitalization, as well as worst laboratory values during hospitalization, hospital stay, and outcomes. The clinical features, laboratory results, type of oxygen therapy used, and the final treatment outcome were all evaluated to assess for any potential relationship. Results: All patients were alive upon discharge. Before admission, the majority of patients (60.2%) received COVID-19 treatment, and the average hospital stay was 12 days. The most common symptoms were fever (88.7%), cough (95.5%), shortness of breath (90.9%), myalgia (84.1%), confusion (63.6%), headache (62.5%), sore throat (88.7%), rhinorrhea (17%), chest pain (58%), diarrhea (19.3%), nausea and vomiting (38.6%), anosmia (62.5%), as well as dysgeusia (64.8%). Based on chest radiograph or computed tomography (CT) scan, 9.1% of the patients had unilateral pneumonia, 90.9% had bilateral pneumonia, and 96.6% had multiple mottling and ground-glass opacity. Age was found associated with a significant increase in headache (p = 0.005), rhinorrhea (p = 0.013), chest pain (p = 0.007), and the need for positive airway pressure (p = 0.008). Between pre- and post-hospital admissions, there was a significant increase in lactate dehydrogenase and ferritin but a decrease in platelet, D-dimer, hemoglobin, lymphocytes, neutrophils, and total leucocyte count (p < 0.001). There was a significant association between hospital stay and D-dimer level (p = 0.05). Conclusion: Limited-resource hospitals in Egypt were efficient in managing mild and moderate hospitalized cases of COVID-19 with comorbidities. Many of these cases did not escalate to severe illness and were all alive upon discharge. Early management of COVID-19 tends to delay the disease progression to severe illness and improves patients’ chances of survival. Treating COVID-19 or using oxygen therapy at home can also delay the need for hospitalization in mild or moderate cases.