A comprehensive design for prevention and management of COVID-19 in a tertiary medical institution in Bangladesh

  • Chitto Ranjan Debnath Department of Hepatology, Mymensingh Medical College and Hospital, Mymensingh, Bangladesh
  • Md Saiful Islam Khan COVID-19 Management Team, Hospital Management and Administrative Department, Mymensingh Medical College and Hospital, Mymensingh, Bangladesh
  • Md Sakirul Islam Khan Department of Anatomy and Embryology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan
  • Proggananda Nath COVID-19 Management Team, SK Hospital, Mymensingh, Bangladesh
  • Lakshmi Narayan Majumder COVID-19 Management Team, Hospital Management and Administrative Department, Mymensingh Medical College and Hospital, Mymensingh, Bangladesh
  • Md. Sayem Monowar Department of Medicine, Unique Hospital, Mymensingh, Bangladesh
  • Monalisa Khan Department of Radio Oncology, Mymensingh Medical College and Hospital, Mymensingh, Bangladesh
  • Farzana Islam Department of Anatomy and Embryology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan
  • Hiroaki Nabeka Department of Anatomy and Embryology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan
  • Tetsuya Shimokawa Department of Anatomy and Embryology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan
  • Seiji Matsuda Department of Anatomy and Embryology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan
  • Mamun Al Mahtab Department of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Sheikh Mohammad Fazle Akbar Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan
Keywords: SARS-CoV-2, COVID-19, Bangladesh, central control room, prevention and therapy, integrated approach

Abstract

Introduction: Containment of the further spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and reducing fatality due to coronavirus disease 19 (COVID-19) represent a pressing challenge to global health services. Here, we present a management blueprint for both the containment of SARS-CoV-2 and treatment of COVID-19 through a comprehensive approach.

Methodology: A cohort of 130 consecutive patients identified as positive for SARS-CoV-2 by testing of nasal swab by polymerase chain reaction were managed at a peripheral city of Bangladesh between 1 April and 31 May, 2020. Based on their clinical status, 64 of them were initially selected for isolation (Isolation Group) and 66 recommended for hospitalization (Hospital Group) as per the direction of the “Central COVID-19 Control” Center. Both groups of patients were allocated to receive standard of care management and oxygen inhalation, and intensive care unit management as and when necessary. Based on the conditions of the COVID-19 patients, there was an active system of patients being transferred from the “Isolation Group” to “Hospital Group” and vice versa.

Results: Twelve patients of the “Isolation Group” were transferred to the hospital, as they exhibited symptoms of deterioration. Four patients of the “Hospital Group” died during the observation period of two months in the intensive care unit. However, there has been no fatality among the patients of the “Isolation Group”.

Conclusions: The concept of “Isolation” and “Hospital Management” with the participation of the community seems to be an effective management strategy for COVID-19 in developing countries.

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Published
2022-08-30
How to Cite
1.
Debnath CR, Khan MSI, Khan MSI, Nath P, Majumder LN, Monowar MS, Khan M, Islam F, Nabeka H, Shimokawa T, Matsuda S, Mahtab MA, Akbar SMF (2022) A comprehensive design for prevention and management of COVID-19 in a tertiary medical institution in Bangladesh. J Infect Dev Ctries 16:1252-1257. doi: 10.3855/jidc.13729
Section
Coronavirus Pandemic