Selected Aspects of Diagnosis and Treatment of Surgical Patients with New Coronavirus Infection: a Clinical and Epidemiological Assay

• Published in: Creative surgery and oncology
• Main Authors: A. G. Hasanov, A. M. Menshikov, A. I. Sendik, E. R. Ibatullin, T. Yu. Latypov, Yu. R. Sagadatova
• Format: Article in Journal/Newspaper
• Language: English; Russian
• Published: Bashkir State Medical University 2020
• Subjects: коронавирус; covid-19; sars-cov-2; заболеваемость; смертность; факторы риска; сопутствующие болезни; Surgery; RD1-811; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; RC254-282; Antarc*; Antarctica
• Online Access: https://doi.org/10.24060/2076-3093-2020-10-2-94-99; https://doaj.org/article/4be757fe64844494978867fab36329cb

Introduction. High incidence of influenza and other acute respiratory diseases is an important medical and social problem. Coronavirus accounts for 4 to 20 % of ARVI cases. In late 2019, the People’s Republic of China experienced an outbreak of a new coronavirus infection with the epicentre in Wuhan. Th e virus spread rapidly across all continents except Antarctica. On 11 March 2020, the spread was declared a pandemic.Materials and methods. The study reports an assay of 72 cases of treating the new coronavirus infection at the Municipal Clinical Hospital No. 8 for the period of 10.04–18.05.2020. Th e average age was 54.1 ± 16.0 years. In all patients, diagnosis was confirmed by PCR-identifi cation of the SARS coronavirus RNA in nasopharyngeal mucosa smears.Results and discussion. Asymptomatic infection was confirmed in 6.9 % of cases. In the most severe clinical cases, the level of pulmonary tissue lesion constituted 10–25 %. Medium-severe symptoms were prevailing (62.5 %) and age-dependent in degree. Chronic morbidity aggravates the course of the disease. Timely treatment of surgical pathologies signifi cantly improves prognosis. Th e new coronavirus infection has high mortality rates (27.8 %).Conclusion. Successful treatment of the new coronavirus infection precludes decompensation of concomitant diseases. Th e new coronavirus infection is hazardous in terms of both contagiosity and mortality rate.