Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines
Abstract Background Coronavirus disease 2019 (COVID-19) has spread to almost every region and country in the world, leading to widespread travel restrictions and national lockdowns. Currently, there are limited epidemiological and clinical data on COVID-19 patients from low and middle-income countri...
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ftdoajarticles:oai:doaj.org/article:cdd1c66b1f644915b5f3a6f28f77b74e 2023-05-15T15:18:40+02:00 Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines Eumelia P. Salva Jose Benito Villarama Edmundo B. Lopez Ana Ria Sayo Annavi Marie G. Villanueva Tansy Edwards Su Myat Han Shuichi Suzuki Xerxes Seposo Koya Ariyoshi Chris Smith 2020-06-01T00:00:00Z https://doi.org/10.1186/s41182-020-00241-8 https://doaj.org/article/cdd1c66b1f644915b5f3a6f28f77b74e EN eng BMC http://link.springer.com/article/10.1186/s41182-020-00241-8 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00241-8 1349-4147 https://doaj.org/article/cdd1c66b1f644915b5f3a6f28f77b74e Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-8 (2020) COVID-19 SARS-CoV-2 Coronavirus Philippines Manila Epidemiology Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1186/s41182-020-00241-8 2022-12-31T11:32:33Z Abstract Background Coronavirus disease 2019 (COVID-19) has spread to almost every region and country in the world, leading to widespread travel restrictions and national lockdowns. Currently, there are limited epidemiological and clinical data on COVID-19 patients from low and middle-income countries. We conducted a retrospective single-center study of the first 100 individuals with suspected COVID-19 (between Jan. 25 and Mar. 29, 2020) admitted to San Lazaro Hospital (SLH), the national infectious diseases referral hospital in Manila, Philippines. Results Demographic data, travel history, clinical features, and outcomes were summarized and compared between COVID-19 confirmed and non-confirmed cases. The first two confirmed cases were Chinese nationals, admitted on Jan. 25. The third confirmed case was a Filipino, admitted on Mar. 8. Trends toward confirmed COVID-19 cases not reporting international travel and being admitted to SLH from the densely populated area of Manila city were observed during Mar. 8-29. All 42 of the 100 confirmed COVID-19 cases were adults, 40% were aged 60 years and above and 55% were male. Three were health workers. Among individuals with suspected COVID-19, confirmed cases were more likely to be older, Filipino, not report international travel history and have at least one underlying disease, particularly diabetes, report difficulty in breathing, and a longer duration of symptoms. In over 90% of non-COVID-19 cases, the alternative diagnosis was respiratory. Nine (21%) confirmed cases died. The median duration from symptoms onset to death was 11.5 (range: 8–18) days. Conclusions Imported COVID-19 cases have reduced but local transmission persists and there is a trend toward cases being admitted to SLH from densely populated areas. This study highlights the difficulty in diagnosing COVID-19 on clinical grounds and the importance of diagnostic capacity in all settings. Difficulty of breathing was the only symptom associated with COVID-19 infection and should alert clinicians to the ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 48 1 |
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Directory of Open Access Journals: DOAJ Articles |
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COVID-19 SARS-CoV-2 Coronavirus Philippines Manila Epidemiology Arctic medicine. Tropical medicine RC955-962 |
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COVID-19 SARS-CoV-2 Coronavirus Philippines Manila Epidemiology Arctic medicine. Tropical medicine RC955-962 Eumelia P. Salva Jose Benito Villarama Edmundo B. Lopez Ana Ria Sayo Annavi Marie G. Villanueva Tansy Edwards Su Myat Han Shuichi Suzuki Xerxes Seposo Koya Ariyoshi Chris Smith Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines |
topic_facet |
COVID-19 SARS-CoV-2 Coronavirus Philippines Manila Epidemiology Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Coronavirus disease 2019 (COVID-19) has spread to almost every region and country in the world, leading to widespread travel restrictions and national lockdowns. Currently, there are limited epidemiological and clinical data on COVID-19 patients from low and middle-income countries. We conducted a retrospective single-center study of the first 100 individuals with suspected COVID-19 (between Jan. 25 and Mar. 29, 2020) admitted to San Lazaro Hospital (SLH), the national infectious diseases referral hospital in Manila, Philippines. Results Demographic data, travel history, clinical features, and outcomes were summarized and compared between COVID-19 confirmed and non-confirmed cases. The first two confirmed cases were Chinese nationals, admitted on Jan. 25. The third confirmed case was a Filipino, admitted on Mar. 8. Trends toward confirmed COVID-19 cases not reporting international travel and being admitted to SLH from the densely populated area of Manila city were observed during Mar. 8-29. All 42 of the 100 confirmed COVID-19 cases were adults, 40% were aged 60 years and above and 55% were male. Three were health workers. Among individuals with suspected COVID-19, confirmed cases were more likely to be older, Filipino, not report international travel history and have at least one underlying disease, particularly diabetes, report difficulty in breathing, and a longer duration of symptoms. In over 90% of non-COVID-19 cases, the alternative diagnosis was respiratory. Nine (21%) confirmed cases died. The median duration from symptoms onset to death was 11.5 (range: 8–18) days. Conclusions Imported COVID-19 cases have reduced but local transmission persists and there is a trend toward cases being admitted to SLH from densely populated areas. This study highlights the difficulty in diagnosing COVID-19 on clinical grounds and the importance of diagnostic capacity in all settings. Difficulty of breathing was the only symptom associated with COVID-19 infection and should alert clinicians to the ... |
format |
Article in Journal/Newspaper |
author |
Eumelia P. Salva Jose Benito Villarama Edmundo B. Lopez Ana Ria Sayo Annavi Marie G. Villanueva Tansy Edwards Su Myat Han Shuichi Suzuki Xerxes Seposo Koya Ariyoshi Chris Smith |
author_facet |
Eumelia P. Salva Jose Benito Villarama Edmundo B. Lopez Ana Ria Sayo Annavi Marie G. Villanueva Tansy Edwards Su Myat Han Shuichi Suzuki Xerxes Seposo Koya Ariyoshi Chris Smith |
author_sort |
Eumelia P. Salva |
title |
Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines |
title_short |
Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines |
title_full |
Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines |
title_fullStr |
Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines |
title_full_unstemmed |
Epidemiological and clinical characteristics of patients with suspected COVID-19 admitted in Metro Manila, Philippines |
title_sort |
epidemiological and clinical characteristics of patients with suspected covid-19 admitted in metro manila, philippines |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s41182-020-00241-8 https://doaj.org/article/cdd1c66b1f644915b5f3a6f28f77b74e |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-8 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s41182-020-00241-8 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00241-8 1349-4147 https://doaj.org/article/cdd1c66b1f644915b5f3a6f28f77b74e |
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https://doi.org/10.1186/s41182-020-00241-8 |
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Tropical Medicine and Health |
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48 |
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1 |
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1766348860612935680 |