Epidemiological and Clinical Characteristics of Covid-19 Cases attended in a Tertiary Hospital in Bangladesh

Authors

  • SM Nurul Irfan Trainee Officer, MPhil (PSM), Armed Forces Medical Institute, Dhaka, Bangladesh
  • Syed Abul Hassan Md Abdullah Consultant, Public Health Management, US CDC, Bangladesh Office
  • Taufiqul Hasan Siddiquee Commandant, Combined Military Hospital, Dhaka, Bangladesh
  • Mahbubur Rahman Bhuiyan Deputy Commandant, Combined Military Hospital, Dhaka, Bangladesh
  • Sangita Mithun Instructor Physiology, Armed Forces Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jafmc.v17i2.58362

Keywords:

SARS-CoV-2, Combined Military Hospital, Epidemiological characteristics, Clinical features and outcome

Abstract

Introduction: The unprecedented global pandemic that sweeps the planet is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. To combat this pandemic, the clinical presentation as well as other epidemiological characters need to be understood clearly.

Objective: To describe epidemiological and clinical characteristics, management, and outcomes of Covid-19 patients attended at the Combined Military Hospital (CMH), Dhaka.

Materials and Methods: This cross sectional study was conducted at CMH Dhaka from 15 April 2020 to 31 May 2020 among purposively selected 237 COVID-19 positive patients. Data collection was done by face-to-face interview using semistructured questionnaire and medical record review.

Results: Highest numbers of the respondents were in the age group of 31-40 years (37.1%) with male predominance (83.1%). About 95.6% were Muslim and 58.6% were educated up to secondary level. About 87.8% had contact with a confirmed case and having 47.7%, 37.2% and 15.1% cardiovascular, endocrine and respiratory co-morbidities respectively. Fever (34.6%) was the common presenting symptoms followed by cough (22.9%), sore throat (10.6%). Radiologically about 7.2% developed bilateral pneumonia and 5.5% having lung involvement in HRCT. Almost half of the patients (48.9%) received Ivermectine and Doxicycline as treatment. Average duration of hospital stay was 14.61 (±4.29) days. About 17.7% showed neutrophilia, 30.0% positive D-dimer test, 22.4% either sepsis or systemic infection in procalcitonin estimation, 28.3% with increased ferritin, 28.7% positive C reactive protein, 21.1% with increased LDH.

Conclusion: The study findings will help the clinicians and medical administrators to understand the magnitude of the disease and take appropriate measures for its prevention.

JAFMC Bangladesh. Vol 17, No 2 (December) 2021: 22-28

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Published

2022-05-30

How to Cite

Irfan, S. N. ., Md Abdullah, S. A. H. ., Siddiquee, T. H. ., Bhuiyan, M. R. ., & Mithun, S. . (2022). Epidemiological and Clinical Characteristics of Covid-19 Cases attended in a Tertiary Hospital in Bangladesh. Journal of Armed Forces Medical College, Bangladesh, 17(2), 22–28. https://doi.org/10.3329/jafmc.v17i2.58362

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Section

Original Papers