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Clinico-epidemiological Characteristics of the Physician Affected with Covid-19
M N Hasan1, A S M Islam, S C Das
1Dr Mohammad Naymul Hasan, Assistant Professor, Department of Gastroenterology, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh;
Insights
This study highlights the clinico-epidemiological profile of physicians in Bangladesh affected by Coronavirus disease 2019 (COVID-19). Entry-level doctors and those in COVID-dedicated hospitals faced higher infection rates, with fever and cough being predominant symptoms.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) has caused significant mortality among healthcare professionals globally.
- Understanding the specific risks and characteristics of COVID-19 in physicians is crucial for targeted prevention and management strategies.
Purpose of the Study:
- To delineate the clinico-epidemiological characteristics of physicians affected by COVID-19 in Bangladesh.
- To identify risk factors and prevalent symptoms among physician COVID-19 cases.
Main Methods:
- A cross-sectional, Facebook-based survey was conducted from August to September 2020.
- Snowball sampling was employed, with 151 physicians affected by COVID-19 participating.
- Data on demographics, comorbidities, symptoms, and perceived severity were collected and analyzed using SPSS 25.0.
Main Results:
- The majority of affected physicians were male (64.9%) and aged 24-35 years (86.8%).
- Entry-level physicians (Medical Officer or Assistant Surgeon) and those in COVID-dedicated hospitals were most affected.
- Common symptoms included fever, cough, and myalgia; one-third had comorbidities like asthma, obesity, or diabetes.
Conclusions:
- Physicians, particularly entry-level doctors, are vulnerable to COVID-19, necessitating enhanced protective measures.
- The study underscores the need for continuous education and vigilance among healthcare professionals regarding COVID-19 prevention.
- Non-uniform drug use patterns were observed, highlighting a need for evidence-based treatment guidelines.
Abstract:
Coronavirus disease 2019 (Covid-19) disease have been associated with significant mortality amongst doctors globally including Bangladesh. To delineate the clinico-epidemiological characteristics of the physician affected with Covid-19 was the objective of the study. This cross-sectional 'Facebook' based survey was conducted in the period of August 2020 to September 2020. Snowball sampling methods was followed. A total of 151 physicians affected with Covid-19 participated in this survey. Self-reported perceived severity scale (zero meaning not severe at all and ten denoting the most severe) was used. Collected data were analyzed by SPSS 25.0. Among the participants, the majority were male, 98(64.9%). The most prevalent affected age groups were 24-35 years 131(86.8%). Approximately 45.0% worked in COVID dedicated hospital. Entry-level physicians (Medical Officer or Assistant Surgeon) were the most affected 117(94.4%). One-third of the physicians had at least the one co-morbidity. Bronchial asthma, obesity and diabetes were the most frequent. Predominate symptoms of the infection were fever 94(62.3%), cough 94(62.3%) and myalgia 92(60.9%). Half of the participants had sore throat, anosmia, gastro-intestinal symptoms and one-third of the patients developed dyspnea. Perceived severity of the symptoms ranged between 2 and 6. The pattern of drug use to prevent the Covid-19 showed no uniformity. However, intake of Zinc, Vitamin C, Vitamin D, antihistamine and Ivermectin was found in 74.8%, 67.5%, 41.7%, 49.0% and 37.7% respectively. As the current pandemic continues to evolve, physicians must be equipped with appropriate knowledge, skills and must be cautious on the prevention measures against Covid-19.
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