Clinical Insights into SARS-COV-2 Infection in Rural Rajasthan, India

Authors

  • Anand Derashri
  • Shivadatta Padhi
  • Dinesh Vaishnav
  • Anish Jain
  • Ruma Bose
  • Vandana Tyagi

DOI:

https://doi.org/10.37506/ijphrd.v12i2.14089

Keywords:

SARS-CoV-2, novel coronavirus pneumonia, rural community, severity, SOFA score.

Abstract

Background: This study aimed to highlight the primary endpoint of death and to understand the clinical and
epidemiological characteristics of COVID-19 infection in the rural community of Chittorgarh, Rajasthan,
India.
Method: This was a retrospective, observational study of COVID-19 patients from March to June 2020 that
collected and analysed epidemiological, clinical, laboratory, and radiological data.
Results: In 353 patients, COVID-19 affected all age groups, mainly those aged 16–49 years, followed by
those aged 50–64 years; 82.43% were male; 68% of infected patients were asymptomatic at presentation
and were incidentally positive on contact tracing. Among symptomatic cases, fever (88%) was the most
common symptom; of 14 severe COVID-19 patients with pneumonia, 8 died. Leukopenia, lymphopenia,
thrombocytopenia, and abnormal liver function tests were common lab findings. Thirty patients had
radiographic evidence of pneumonia. The most common complications were acute respiratory distress
syndrome, multiple organ dysfunction syndrome, and kidney injury. The case fatality rate was 0.02%, and
the Sequential Organ Failure Assessment score>6 was a surrogate marker for admittance to the intensive
care unit.
Conclusion: Low case fatality rate and SOFA score surrogate for ICU admittance

Author Biographies

  • Anand Derashri


    Junior Consultant, Anaesthesia Shri Sanwaliyaji District Government Hospital, Chittorgarh, Rajasthan
    India

  • Shivadatta Padhi

    Consultant Gastroenterologist, Medishine Hospital, Raipur Chattisgarh, India; Ex-senior Resident
    Gastroenterology, Sawai Man Singh Medical College, Jaipur, India

  • Dinesh Vaishnav

    Consultant Surgeon, Shri Sanwaliyaji
    Government Hospital District, Chitorgarh, Rajasthan, India

  • Anish Jain

    Consultant Internal Medicine, Shri Sanwaliyaji
    Government Hospital District, Chittorgarh, Rajasthan, India

  • Ruma Bose

    Department of Anaesthesiology, Critical Care and
    Pain Medicine, Beth Israel Deaconess Medical Centre, Assistant Professor, Harvard Medical School, Boston,
    MA

  • Vandana Tyagi

    Ex-attending Consultant, Department of Critical Care, Fortis Hospital, Mulund Mumbai, India; Ex-Senior
    Clinical fellow (Critical Care)Royal Brompton and Harefield NHS Trust UK, Ex-junior consultant, Critical Care
    Services Specialty, Medical ICU, SMS Hospital, Jaipur, Rajasthan, India

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Published

2021-03-01

How to Cite

Clinical Insights into SARS-COV-2 Infection in Rural Rajasthan, India. (2021). Indian Journal of Public Health Research & Development, 12(2), 17-26. https://doi.org/10.37506/ijphrd.v12i2.14089