ABSTRACT
Encephalopathy is a severe and underestimated neurological complication of COVID-19 infection, with a high prevalence in COVID-19 patients in intensive care. We present a case of a 68-year-old male with severe COVID-19 encephalopathy and prolonged lowered consciousness, without showing any brain imaging abnormalities. There are multiple mechanisms of cause, such as inflammatory, hypoxic-metabolic and sepsis-related factors, and residual sedation, which were treated as described without effect on the encephalopathy. Interestingly, our patient showed no abnormalities on brain imaging and the encephalopathy only disappeared a full month after respiratory recovery. Encephalopathy considerably prolonged his ICU stay and after discharge from the medical rehabilitation clinic, he still showed mild neurological impairment. The late neurological recovery suggests that the severity of encephalopathy may not only be related to the severity of the COVID-19 pneumonia and there might be an inflammatory neurological response, without showing brain imaging abnormalities. Copyright © 2022, Netherlands Society of Intensive Care. All rights reserved.
ABSTRACT
Objectives: It is believed that the COVID-19 pandemic, which is a significant health concern, can be restrained through effective vaccination. In this regard, however, people’s hesitancy toward vaccines stands out as an important obstacle to achieving community immunization. The aim of this study is to evaluate the factors that affect individuals’ decisions to get a COVID-19 vaccine and to identify their literacy status for COVID-19 vaccines. Materials and Methods: This study consisted of 388 people aged 18 and over who presented to the COVID-19 adult vaccination outpatient clinic at the University of Health Sciences Antalya Training and Research Hospital between July 1st and September 1st, 2021. The participants were asked a number of questions contained in the COVID-19 vaccine literacy scale, and answers were recorded. Results: The participants’ mean vaccination literacy score was considered moderate within the range of 2.95 ± 0.54. The results revealed that the higher the education level of the participants, the higher the COVID-19 vaccine literacy, and that the COVID-19 vaccine literacy was higher among individuals who voluntarily got vaccinated. Conclusion: By recognizing that individuals may have hesitancy about vaccination, relevant strategies should be developed for the vaccination with the aim of giving information to and instilling confidence in society rather than causing fear. © 2022 Ankara Yildirim Beyazit University. All Rights Reserved.
ABSTRACT
INTRODUCTION: SARS-CoV-2 (COVID-19) was declared a global pandemic on 11 March 2020 and has become a serious threat to public health. As it can easily be transmitted through droplets and aerosols, there is an increased risk of transmission in enclosed environments such as hyperbaric oxygen treatment (HBOT) units if preventive measures are not taken. CASE REPORT: A 16-year-old female tested positive for SARS-CoV-2 during HBOT for idiopathic sudden sensorineural hearing loss. The other patients and the inside attendant who attended the sessions with her were regarded as contacts, tested for SARS-CoV-2, and quarantined until the test results were available. Ultimately, none of them tested positive. DISCUSSION: As HBOT in multiplace chambers entails a high risk of SARS-CoV-2 transmission, we strictly adapted our practice to consider that every patient could be a potential asymptomatic carrier. Therefore, the negative results of all contacts in this case and the fact that no confirmed cases of COVID-19 were reported suggests that these measures successfully prevented SARS-CoV-2 transmission in our HBOT clinic. SARS-CoV-2 transmission can be prevented if sufficient protective measures are taken.
Subject(s)
COVID-19 , Hearing Loss, Sudden , Hyperbaric Oxygenation , Adolescent , COVID-19/diagnosis , COVID-19/prevention & control , Female , Hearing Loss, Sudden/therapy , Humans , Hyperbaric Oxygenation/methods , Oxygen , SARS-CoV-2ABSTRACT
Objective: This study aims to determine the relationship between polypharmacy and Coronavirus disease-2019 (COVID-19) (+) related mortality. Materials and Methods: All older adults >60 years old who had positive COVID-19 polymerase chain reaction tests were included in the study, designed retrospectively. Polypharmacy was defined as drug use of five or more.
ABSTRACT
Cardiopulmonary resuscitation (CPR) includes all treatment procedures during cardiac arrest. Resuscitation of patients with diagnosed or suspected COVID-19 disease is particularly important in terms of protection and reducing the risk of transmission. In this review, the basic and advanced life support recommendations of Turkish Resuscitation Council for adult patients with a definite or probable diagnosis of COVID-19 are explained within the algorithm framework.