ABSTRACT
COVID-19 has wreaked havoc ever since its inception and with the protean manifestations of the disease, it is imperative that progressively data are added to the literature. COVID-19 infection is a multisystem disorder with a wide range of clinical symptomatology. Recent information garnered has laid emphasis on pathological changes at microvascular level causing thrombotic/hemostatic defects, leading to the assorted clinical presentation. We present a consortium of three confirmed COVID-19 cases whose hospital course got convoluted with grave hematological complications in the form of hemolytic uremic syndrome and autoimmune hemolytic anemia. Regrettably, all three patients succumbed to their illness.
ABSTRACT
Background: COVID-19 is a viral infectious disease caused by the most recently discovered coronavirus named as SARS-CoV-2. The disease spread from person to person through droplets discharged from the nose or mouth of a person with COVID-19 while coughing or exhaling or through fomites. Hence, disinfection methods play an important role in preventing the COVID-19, which the health-care workers must know for better prevention, control, and the management of COVID-19. Aim: The aim of this study is to assess the knowledge, attitude, and practice (KAP) among health-care workers regarding disinfection measures in an ongoing COVID-19 pandemic. Materials and Methods: The study was a cross-sectional study with a study population as health-care professional (doctors and nurses) directly or indirectly involved in COVID-19. The study conducted partly in Chennai and partly rest over the country between March 2020 and April 2020. A pretested structured questionnaire was used to collect data. Results: A total of 210 participants (87.1% doctors and 21.9% nurses) included the study. Overall, 34 (16.2%) respondents had "adequate" knowledge, "correct" attitude and "proper" practices. Statistically significant association found between occupation and level of attitude (P = 0.003);occupation and level of practice (P = 0.011);qualification and level of knowledge (P = 0.017), attitude (P = 0.002), and practice (P = 0.015);involvement in patient care and level of attitude (P = 0.039) and practice (P = 0.003);involvement in training and level of attitude (P = 0.041) and practice (P = 0.003);ever trained on disinfection and level of attitude (P = 0.036) and practice (P = 0.011). Conclusions: KAPs of health-care workers with respect to methods of disinfection in the present ongoing COVID-19 pandemic are not adequate. These gaps should be addressed through educational initiatives, training, infection control campaigns, and strict implementation of guidelines issued by the WHO, Ministry of Health and Family Welfare India, Indian Council of Medical Research, and other reliable sources.