ABSTRACT
Background: in the history of humanity, the great pandemics have represented important and terrible scourges for the human race and the development of society. Objective: to describe the clinical and epidemiological characteristics of COVID 19 in the Cumanayagua municipality, Cienfuegos province, during the year 2021. Methods: A retrospective study of a series of cases was carried out, whose universe consisted of 5,710 positive cases for COVID 19. Variables studied: cases according to months, statistical weeks, age, sex, presence or absence of symptoms, clinical manifestations, source of infection, popular council, health area and deceased. Results: The months of August and September predominated with higher positive cases and deaths, more frequent in females, as well as in young adults. The highest percentage presented clinical symptoms, cough and asthenia were the most reported symptoms, followed by headache and runny nose. Being a contact of a positive case prevailed as a source of infection, the mountainous area reported a lower frequency of cases. Conclusions: The pandemic was an event that caused anguish, restlessness and anxiety on the planet. Being aware of your history is essential to differentiate progress from your progress and thus anticipate and take action for more challenging and dire situations. To this end, knowing its clinical and epidemiological characteristics and its constant updating is valuable to conceive the behavior of the COVID-19 disease, which behaved with an increase in the period studied in the municipality of Cumanayagua.
ABSTRACT
Background: health workers are the ones who remained on the front line of the response to COVID-19, so they were in greater danger in situations of potential exposure. Objective: to characterize health workers sick with COVID-19, from March 2020 to September the 30th, 2021, according to sociodemographic and epidemiological variables. to characterize sociodemographically and epidemiologically health workers sick with COVID-19, from March 2020 to September the 30th, 2021. Methods: Observational, descriptive cross-sectional study carried out in Cienfuegos. The universe was made up of all health workers diagnosed with COVID-19, during the study period. The variables were: age, sex, municipality of origin, occupational profile, clinical status at diagnosis, source of infection. The primary source for obtaining information was the database of the Health Surveillance Department of the Provincial Health Directorate. The processing was done using SPSS version 21.0. Results: the months with the highest diagnosis were July and August. The female sex was the most represented and the age groups of 25-34 and 45-54 years old. The Cienfuegos municipality was the one with the highest number of cases. Doctors and nurses were the most represented. The possible source of infection was extrainstitutional. 83.7% of the total cases showed some symptom. Conclusions: the largest number of health workers were infected in the peak months of the pandemic, but in most of them the infection occurred extra-institutionally.
ABSTRACT
Background: COVID-19 is the disease that affects the entire world and is a health emergency. Knowing the clinical and epidemiological characteristics of the patients is important to fight it. Objective: to describe the epidemiological profile of COVID-19 in Cumanayagua. Methods: a descriptive, retrospective, cross-sectional study was carried out that included the 14 positive cases diagnosed in 2020. With the data collected, a database was created, which was processed using the statistical package SPSS-PC version 25.0. The cases were collected according to epidemiological classification, age, sex, presence or absence of symptoms, comorbidity, source of infection, symptoms and places of residence from where the patients came. Results: the months of November and December were the ones with the highest reported cases, the native and imported cases behaved in the same way, those over 15 years of age predominated and there were no differences according to sex. Asymptomatic cases predominated. High blood pressure, diabetes mellitus, and obesity were the most frequent comorbidities. The symptoms that presented were fever and headache in greater numbers. The largest number of cases came from the places of residence, Vila and Las Brisas. Conclusions: Although in the year analyzed there were not many patients, it is important that the population fulfill with health and social distancing measures to avoid contagion.
ABSTRACT
Different studies show that COVID-19 outbreaks constantly occur. The objective of this work is to present the surveillance and control actions in a COVID-19 focus in the municipality of Cumanayagua, Cienfuegos. The index case was a traveler from the United States, who stayed in the community and was related to the first case found in the Municipality: male patient, 67 years old, retired and with no history of concomitant diseases, whose symptoms were cough, five days after contact with said traveler. Twenty-seven contacts were identified, two of them under 15 years of age, all asymptomatic. The other secondary cases were the niece's husband, a 22-year-old male, worker as a Security Agent, with a total of 14 contacts, all asymptomatic, and the daughter-in-law, 38, a housewife, with five contacts, also asymptomatic All contacts were transferred to an isolation center. The time elapsed between direct contact with the index case and the diagnosis of positivity was between three and five days. Secondary cases, a week were positive. Epidemiological measures were aimed at stopping transmission and preventing contagion.
ABSTRACT
Background: SARS-CoV-2 has affected every nation around the world. The 1st case in the Dominican Republic was reported in early March, with the most affected being the elderly and patients with comorbidities like cardiovascular diseases. Most hemodialysis patients share these comorbidities, in addition to a weaker immune system and health care facility exposure, it is thought to be a vulnerable population. The aim is to describe the clinical manifestation, main laboratory abnormalities, imaging findings at the moment of presentation, and the clinical course of patients on hemodialysis diagnosed with COVID-19 Methods: Exploratory study on 18 dialysis patients with Covid-19 in a renal replacement therapy facility. Demographics, symptoms, laboratories, CTscan, hospital course, ventilation requirement, treatment and complications were described Results: With a population of 204 patients, 18 were diagnosed with Covid-19 in the first 2 months of the outbreak in our facility. 77.8% were males, mean age was 60 years, and 44% had known contact with infected people outside the facility. All patients had cardiovascular disease and 12 had diabetes. Cough was the most common manifestation 77.8%, dyspnea 66.7%, fever 55.6%, and malaise 44.4%, among others manifestations. Oxygen therapy was required in 66.7%, with 11.1% needing mechanical ventilation. All presented abnormal CTscan findings, 60% with a COVID-RADS grade 3. Three patients were positive and asymptomatic on a round RT-PCR test taken for all facility patients, 2 of them with CTscan graded COVID-RADS 3. Only symptomatic patients were admitted, 3 were directly admitted to the ICU, and 2 were later transferred from inpatient floor to ICU. The mean duration of hospitalization was 11 days and just 1 lethal outcome. At the moment of admission, 22.2% presented negative results on RT-PCR but had clinical and imaging findings consistent with Covid-19, with serologic conversion later Conclusions: Even with the increased risk of exposure, comorbidities, and a weaker immune system, these didn't necessarily determine a higher probability of infection. We have found a high incidence of respiratory symptoms, in contrast to other case reports. Asymptomatic cases had imaging with COVID-RADS grade 3, this made us consider that the COVID-RADS grade on CT scan its a helpful tool for diagnosis of Covid-19.