Vol. 7, Issue 6 (2020)
Features, evaluation and treatment of COVID-19 infected patient: A case study in 31 hospitals in Nepal
Author(s): Asmita Adhikari, Shrishti Koirala, Santoshi Tiwari, Niskarsha Ghimire, Aamod Khatiwada, Rabin Dhakal, Prerna Kumari Lal
Abstract: An outbreak of most recently discovered severe acute respiratory syndrome coronavirus infection occurred in Wuhan, China at the end of December 2019 and spread to almost 210 countries around the world and has become a great global public health concern. Along with the rest of the world, Nepal with poor health care infrastructure is also struggling to contain the COVID-19. In this context, our research attempts to investigate the symptoms, conditions, comorbidities, laboratory abnormalities of the infected patient along with the condition of medical facilities all over Nepal. A quantitative and observational study is conducted among 109 health professionals who were involved directly in the care of the infected patient in 31 different hospitals within seven states across the country. The data is collected through the questionnaire which consists of answers to the above objectives of the research. The research reports the most common symptoms in the context of Nepal with fever, dry cough, and shortness of breath while the less common symptoms were fatigue, sore throat and loss of taste and smell. Interestingly, 30 % of the patients were found to be asymptomatic Moreover, about 60 % of the patient are found to be hemodynamically stable with mild illness. About 55 % of the infected patients were associated with comorbidities such as Diabetes, Hypertension, Cardiovascular and respiratory disease. The medical professionals are beavering away to cure the infected patient but most of them feel insecure, and they are yearning for a greater number of PPE and other medical facilities.