受 Covid-19 影响的医生的临床流行病学特征。

Mymensingh medical journal : MMJ Pub Date : 2024-07-01
M N Hasan, A S M Islam, S C Das, F Ahmed, M A M Sarkar, M M A Shobuj, S Zaman, N E Ambia
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摘要

2019年冠状病毒病(Covid-19)与包括孟加拉国在内的全球医生的大量死亡有关。本研究的目的是了解感染 Covid-19 的医生的临床流行病学特征。这项基于 "Facebook "的横断面调查于 2020 年 8 月至 2020 年 9 月期间进行。调查采用了 "滚雪球 "抽样方法。共有 151 名受 Covid-19 影响的医生参与了此次调查。调查采用自我报告感知严重程度量表(0 表示完全不严重,10 表示最严重)。收集的数据由 SPSS 25.0 进行分析。在参与者中,男性占大多数,有 98 人(64.9%)。受影响最大的年龄组为 24-35 岁,131 人(86.8%)。约 45.0% 在 COVID 专用医院工作。入门级医生(内科医生或助理外科医生)受影响最大,占 117 人(94.4%)。三分之一的医生至少患有一种并发症。其中以支气管哮喘、肥胖和糖尿病最为常见。感染的主要症状是发热 94(62.3%)、咳嗽 94(62.3%)和肌痛 92(60.9%)。半数参与者有咽喉痛、无嗅、胃肠道症状,三分之一的患者出现呼吸困难。感觉到的症状严重程度在 2 至 6 级之间。预防 Covid-19 的药物使用模式并不一致。不过,摄入锌、维生素 C、维生素 D、抗组胺剂和伊维菌素的比例分别为 74.8%、67.5%、41.7%、49.0% 和 37.7%。随着当前疫情的不断发展,医生必须掌握适当的知识和技能,并在预防 Covid-19 的措施方面保持谨慎。
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Clinico-epidemiological Characteristics of the Physician Affected with Covid-19.

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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