Health
AIIM-The New Indian Express
Express news service
NEW DELHI: AIIMS-A study of two Covid-19 patients admitted in Delhi warns that some cases may be missed by overemphasizing fever as the main symptom of the coronavirus. I am.
This study is based on the clinical profile of 144 patients admitted to the AIIMS Trauma Center and the institution’s Jajar Center from March to April and was published in the Indian Journal of Medical Research of the Indian Council of Medical Research. ..
Research reports pointed out that fever was present in only 17% of these patients.
According to the paper, 44% had a fever at the time of its release and far less than other reports around the world, including a Chinese cohort that 88% had a fever during hospitalization.
“Therefore, emphasizing fever too much as a key symptom may miss some cases,” said a study, “Clinical demographics of Covid-19 patients admitted to tertiary care centers in Northern India. Profile and hospital results”.
In India, clinical symptoms such as fever, cough, fatigue and shortness of breath have long been announced by the government as symptoms of infectious diseases in India. Only in June was the Department of Health identified with smell and taste deterioration, diarrhea, and muscle aches as signs of Covid-19.
However, the study states that more than 44% of hospitalized patients were asymptomatic at admission and remained so for a long time.
“This may be a cause for concern because these asymptomatic patients are potential carriers of infections in the community,” the study said.
Also, most symptomatic patients had mild respiratory symptoms such as nasal symptoms, throat irritation, and coughing, unlike those reported in other studies, and only two were infected. ..
Research hasn’t stated it explicitly, but gives enough clues to suggest that most of these patients were part of the Tabri Gijamat-Delhi spread early in the Indian pandemic. Religious gatherings.
“This one study of 144 inpatients with confirmed Covid-19 in North India showed that a characteristic finding was a high proportion of young, asymptomatic patients, up to PCR negative. The need for intensive care is low and the need for intensive care is low,” the authors write. Dr. Randeep Guleria, including the AIIMS Director, pointed out.
The majority of patients were treated supportively, requiring symptomatic treatment alone or with antihistamines (48.6%), vitamin C (47.2%), and paracetamol (20.8%), whereas the antibiotic azithromycin was 29 (20.1%). ), hydroxychloroquine was administered to 27 (18.7%) patients, and 11 (7.6%) received both HCQ and azithromycin.
Only 5 (3.5%) patients needed supplemental oxygen, 4 (2.8%) had serious illness requiring intensive care, 1 needed mechanical ventilation, 2 Deaths occurred in humans (1.4%).
The time to negative RT-PCR was 16-18 days.
However, the article declared that the differences in symptom profiles may be due to selection bias, as most patients were identified by active screening.
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