Treatment of COVID-19 Patients at a Medical College Hospital in Bangladesh.

Bangladesh Coronavirus disease 2019 Therapy

Journal

Euroasian journal of hepato-gastroenterology
ISSN: 2231-5047
Titre abrégé: Euroasian J Hepatogastroenterol
Pays: India
ID NLM: 101577625

Informations de publication

Date de publication:
Historique:
entrez: 4 8 2020
pubmed: 4 8 2020
medline: 4 8 2020
Statut: ppublish

Résumé

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has induced a sense of panic around the world as the disease is highly contagious and has been spreading in full swing during last 5 months causing millions of COVID-19 patients and hundreds of thousands of deaths. Bangladesh, a country of 170 million people, is not an exception regarding COVID-19; it has reported several thousand COVID-19 patients with several hundred of deaths. This observational study has been planned to assess the scope and limitation of management strategy against COVID-19 patients in a medical college hospital of Bangladesh with available drugs in a real-life situation. All patients in this cohort ( Out of total 33 patients, 1 patient died at day 4 day after admission. Two patients developed severe complications and were referred to tertiary hospital in Dhaka (2 and 3 days after admission), the capital of Bangladesh, where they recovered and were discharged from hospital after being SARS-CoV-2 negative. The rest 30 patients were discharged from the medical college hospital after being negative for SARS-CoV-2 in two subsequent assessments and improvement of their COVID-related symptoms. The average hospital stay of these patients was 14.5 days with a range of 10-24 days. It seems that most of the COVID-19 patients may be adequately managed by standard of care management with drug support. However, early diagnosis and hospitalization with adequate care may be important variables for better survival. These factors may be properly ensured if the patient burden remains at a palatable level in forthcoming days in Bangladesh. Bhuyan MAR, Al Mahtab M, Ashab E,

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has induced a sense of panic around the world as the disease is highly contagious and has been spreading in full swing during last 5 months causing millions of COVID-19 patients and hundreds of thousands of deaths. Bangladesh, a country of 170 million people, is not an exception regarding COVID-19; it has reported several thousand COVID-19 patients with several hundred of deaths. This observational study has been planned to assess the scope and limitation of management strategy against COVID-19 patients in a medical college hospital of Bangladesh with available drugs in a real-life situation.
MATERIALS AND METHODS METHODS
All patients in this cohort (
RESULTS RESULTS
Out of total 33 patients, 1 patient died at day 4 day after admission. Two patients developed severe complications and were referred to tertiary hospital in Dhaka (2 and 3 days after admission), the capital of Bangladesh, where they recovered and were discharged from hospital after being SARS-CoV-2 negative. The rest 30 patients were discharged from the medical college hospital after being negative for SARS-CoV-2 in two subsequent assessments and improvement of their COVID-related symptoms. The average hospital stay of these patients was 14.5 days with a range of 10-24 days.
CONCLUSION CONCLUSIONS
It seems that most of the COVID-19 patients may be adequately managed by standard of care management with drug support. However, early diagnosis and hospitalization with adequate care may be important variables for better survival. These factors may be properly ensured if the patient burden remains at a palatable level in forthcoming days in Bangladesh.
HOW TO CITE THIS ARTICLE UNASSIGNED
Bhuyan MAR, Al Mahtab M, Ashab E,

Identifiants

pubmed: 32742969
doi: 10.5005/jp-journals-10018-1317
pmc: PMC7376594
doi:

Types de publication

Journal Article

Langues

eng

Pagination

27-30

Informations de copyright

Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.

Déclaration de conflit d'intérêts

Source of support: Nil Conflict of interest: None

Références

Infect Genet Evol. 2020 Sep;83:104351
pubmed: 32387564
Microb Pathog. 2020 Aug;145:104209
pubmed: 32311431
N Engl J Med. 2020 Feb 20;382(8):727-733
pubmed: 31978945
JAMA Intern Med. 2020 May 1;:
pubmed: 32356871
Br J Haematol. 2020 May;189(3):428-437
pubmed: 32297671
Int J Antimicrob Agents. 2020 Mar;55(3):105924
pubmed: 32081636
J Immunother Cancer. 2018 Jun 15;6(1):56
pubmed: 29907163
N Engl J Med. 2020 Mar 5;382(10):929-936
pubmed: 32004427
N Engl J Med. 2020 Mar 19;382(12):1177-1179
pubmed: 32074444
N Engl J Med. 2020 Mar 5;382(10):970-971
pubmed: 32003551
Travel Med Infect Dis. 2020 May - Jun;35:101738
pubmed: 32387409
Semin Immunopathol. 2017 Jul;39(5):517-528
pubmed: 28555385
J Infect. 2020 Jun;80(6):607-613
pubmed: 32283152
Nat Microbiol. 2020 Apr;5(4):536-544
pubmed: 32123347
Eur J Clin Microbiol Infect Dis. 2020 Jun;39(6):1059-1061
pubmed: 32342252
N Engl J Med. 2020 Mar 26;382(13):1278-1280
pubmed: 32069388
JAMA. 2020 Feb 21;:
pubmed: 32083643

Auteurs

Muhammad Ar Bhuyan (MA)

Department of Medicine, Shaheed Syed Nazrul Islam Medical College Hospital, Kishoreganj, Bangladesh.

Mamun Al Mahtab (M)

Department of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

Eshita Ashab (E)

Department of Cardiology, Shaheed Syed Nazrul Islam Medical College Hospital, Kishoreganj, Bangladesh.

Md Jahirul Haque (MJ)

Department of Medicine, Shaheed Syed Nazrul Islam Medical College Hospital, Kishoreganj, Bangladesh.

Syed Md M Hoque (SMM)

Shaheed Syed Nazrul Islam Medical College Hospital, Kishoreganj, Bangladesh.

Akm Faizul Huq (A)

Department of Medicine, Combined Military Hospital, Dhaka, Bangladesh.

Md Atikul Islam (MA)

Department of Medical Gastroenterology, Sheikh Russel Gastroliver Institute and Hospital, Dhaka, Bangladesh.

Nuzhat Choudhury (N)

Department of Ophthalmology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

Reema A Alia (RA)

Department of Paediatrics, Uttara Adhunik Medical College, Dhaka, Bangladesh.

Musarrat Mahtab (M)

Department of Biochemistry and Biotechnology, North South University, Dhaka, Bangladesh.

Md Sakirul I Khan (MSI)

Department of Anatomy and Embryology, Ehime University Graduate School of Medicine, Ehime, Japan.

Sheikh Mf Akbar (SM)

Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Ehime, Japan; Miyakawa Memorial Research Foundation, Tokyo, Japan.

Classifications MeSH