ANALYSIS OF THE IMPLEMENTATION OF CLINICAL MANIFESTATIONS OF COVID-19 IN CONTACT PERSONS
Introduction. The emergence of a new coronavirus infection (COVID-19) caused by the SARS-CoV-2 virus, which first appeared in December 2019, has led to a rapid spread and a global pandemic with 103 million cases reported worldwide. The clinical picture of COVID-19 develops within 14 days after infection, on average, 97,5% of people experience symptoms within 11.5 days. COVID-19 can progress from asymptomatic infection to extremely severe, critical (acute respiratory failure (ARF), acute respiratory distress syndrome (ARDS), shock, multiple organ failure syndrome (MOFS)).
Purpose of the study. To investigate the age characteristics, comorbidities and timing of the main clinical symptoms of COVID-19 in contact patients.
Methods. A retrospective study was carried out, including the collection of clinical data from electronic medical records of patients with COVID-19 who were hospitalized from March 13 to June 5, 2020, taken from the Integrated Medical Information System (CMIS) from all regions of Kazakhstan. The data obtained were processed by descriptive statistics methods.
Results. We analyzed 5326 electronic medical records of patients with COVID-19, of which 94,4% (n = 5011) patients at the time of laboratory confirmation (PCR +) had clinical manifestations of COVID-19 of varying severity, and the remaining 315 were hospitalized as contact persons with positive PCR SARS-CoV-2, in the process of further monitoring it was found that 5,6% of patients realized clinical manifestations of COVID-19 of varying severity during the period of inpatient treatment.
Conclusions. Early detection and monitoring of contact persons with COVID-19 allows the identification of patients from the “risk group” and timely treatment, which helps to reduce the risk of complications. Patients with a mild and asymptomatic course pose a high risk in the continuation of the pandemic and are the cause of a severe epidemiological situation. The results obtained show the importance of early detection, isolation and monitoring of persons in contact with COVID-19. This study with reliable and timely information obtained contributes to timely preventive, therapeutic and diagnostic measures, which contributes to a significant reduction in deaths among people of the "risk group".
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Актуальная тема COVID-19
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Mynzhanova A., Baesheva D.A., Omarova A.K., Khamitova M.O., Daulbaeva A.U., Turdalina B.R., Seidullayeva A.Zh., Zhuzzhasarova A.A., Altynbekova A.V., Kirpicheva U.A., Kushugulova A.А., Kozhakhmetov S.S. Analysis of the implementation of clinical manifestations of COVID-19 in contact persons // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, 1 (Vol.23), pp. 5-14. doi 10.34689/SH.2021.23.1.001Похожие публикации:
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