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


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



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


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,
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

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,

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



How to Cite

Anand Derashri, Shivadatta Padhi, Dinesh Vaishnav, Anish Jain, Ruma Bose, & Vandana Tyagi. (2021). Clinical Insights into SARS-COV-2 Infection in Rural Rajasthan, India. Indian Journal of Public Health Research & Development, 12(2), 17-26.