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Correlation of Mucormycosis with Various Clinical Parameters Among COVID-19 Patients: A Cross-Sectional Study
Harish Jadhav1, Prashanth Vishwakarma1, Snehal Thamke1
1Department of Public Health Dentistry, ACPM Dental College, Dhule, Maharashtra India.
Introduction:
Coronavirus disease 2019 (COVID-19), during the second wave in early 2021, caused devastating chaos in India. As daily infection rates continue to rise alarmingly, the number of severe cases also increased dramatically. Mucormycosis is an infection caused by filamentous molds, and there was a rise in mucormycosis cases after COVID-19 infection. The aim of the study is to assess various parameters associated with mucormycosis patients who suffered from COVID-19.
Material And Methodology:
This study was a cross-sectional questionnaire study. The target population for the study were 70 mucormycosis-infected patients (51 = males, 19 = females). The questionnaire mainly focused on association of various parameters of COVID-19 with mucormycosis.
Results:
Result showed that out of 70 cases of mucormycosis the association was found between history of diabetes mellitus 45 (64.2%), type of hospitalization, number of days of hospitalization, oxygen administered, type and maintenance of face mask, i.e., patient who had reused mask by washing 59 (84.3%), and method of oral hygiene practices.
Conclusion:
Mucormycosis is extremely rare in population. The study findings emphasize the need to be aware of invasive mucormycosis developing in COVID-19 patients, especially including patients with diabetes mellitus and outside the ICU, patient who had poor oral hygiene during COVID-19, patients receiving oxygen therapy should ensure that the water in the humidifier is clean and is refilled regularly, knowledge and education about the use of the facemask.
Insights
COVID-19 survivors, especially those with diabetes, face increased risk of mucormycosis. Poor hygiene and mask reuse were linked to this fungal infection in a study of 70 patients in India.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Epidemiology
Background:
- The second wave of Coronavirus disease 2019 (COVID-19) in India (early 2021) led to a surge in severe cases.
- A notable increase in mucormycosis, a fungal infection, was observed in patients following COVID-19 infection.
Purpose of the Study:
- To investigate the association between various parameters of COVID-19 and the occurrence of mucormycosis.
- To identify risk factors contributing to mucormycosis in COVID-19 patients.
Main Methods:
- A cross-sectional questionnaire study was conducted.
- The study included 70 patients diagnosed with mucormycosis post-COVID-19 (51 males, 19 females).
- Data collected focused on COVID-19 history, hospitalization details, and hygiene practices.
Main Results:
- A significant association was found between mucormycosis and a history of diabetes mellitus (64.2%).
- Factors like hospitalization type, duration, oxygen administration, and mask usage (reusable masks washed, 84.3%) were associated with mucormycosis.
- Oral hygiene practices also showed a correlation with the infection.
Conclusions:
- Invasive mucormycosis is a serious concern in COVID-19 patients, particularly those with diabetes mellitus.
- Recommendations include maintaining clean humidifiers for oxygen therapy and educating patients on proper mask use and oral hygiene.
- Awareness of mucormycosis risk factors is crucial for early detection and management in post-COVID-19 patients.
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