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在埃塞俄比亚住院的 COVID-19 患者的流行病学特征和治疗结果。

Epidemiological characteristics and treatment outcomes of hospitalized patients with COVID-19 in Ethiopia.

机构信息

Department of Public health, Wachemo University, Ethiopia.

Department of Midwifery, Wachemo University, Ethiopia.

出版信息

Pan Afr Med J. 2020 Sep 11;37(Suppl 1):7. doi: 10.11604/pamj.supp.2020.37.7.24436. eCollection 2020.

DOI:10.11604/pamj.supp.2020.37.7.24436
PMID:33294108
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7704346/
Abstract

INTRODUCTION

coronavirus disease (COVID-19) has been identified as the cause of an outbreak of respiratory illness which epidemiologically linked to the seafood and wet animal wholesale market in Wuhan, Hubei Province, China. Since there is paucity of research on characteristics and treatment outcomes of COVID-19, the finding of this study will helps to provide insight for the effectiveness of measures to fight against coronavirus disease in resource-limited countries.

METHODS

a retrospective review of released data about cases in daily bases and documents from Ethiopian public health institute website. In this article, we included and analyzed data of cases from 13 March to 13 May 2020 which were available at the time of the review.

RESULTS

a total of 263 cases were included (median age, 34 years [range, 0.9-85 years]; 76% male). COVID-19 cases among age group 15-24 years and 25-34 years were 92(35%) and 76(28.9%) respectively. More than half (55.5%) of cases had travel history abroad and African countries are the leading 64(24.3%). About 167(63.5%) cases were identified based on symptom-based surveillance and the finding confirmed an interrupted kind of epidemiological curve. Whereas, one-third (41.1%) were recovered and the overall case fatality rate was 1.9%. Four out of five patients in ICU were deceased after 2-6days spent in critical care.

CONCLUSION

an integrated action includes the provision of health education to youths, taking measures to rise up treatment outcomes, enhancing ICU care quality. Moreover, tightening prevention and restriction measures to flattening the curve and also establishment of fast detection and advanced treatment of cases were critically requires through the patriotic efforts of frontline health workers, leaders, and stakeholders.

摘要

引言

冠状病毒病(COVID-19)已被确定为导致呼吸道疾病爆发的原因,该疾病与中国湖北省武汉市的海鲜和湿动物批发市场在流行病学上有关联。由于缺乏关于 COVID-19 的特征和治疗结果的研究,因此本研究的发现将有助于为资源有限的国家对抗冠状病毒病的措施的有效性提供见解。

方法

对埃塞俄比亚公共卫生研究所网站上发布的有关病例的日常数据和文件进行回顾性审查。在本文中,我们纳入并分析了截至审查时可获得的 2020 年 3 月 13 日至 5 月 13 日期间的数据。

结果

共纳入 263 例病例(中位数年龄为 34 岁[范围,0.9-85 岁];76%为男性)。15-24 岁和 25-34 岁年龄组的 COVID-19 病例分别为 92 例(35%)和 76 例(28.9%)。超过一半(55.5%)的病例有出国旅行史,非洲国家是主要的目的地,有 64 例(24.3%)。约 167 例(63.5%)的病例是基于症状监测确定的,该发现证实了一种中断的流行病学曲线。而三分之一(41.1%)的病例已康复,总体病死率为 1.9%。在重症监护病房接受 2-6 天重症监护后,有五分之四的患者死亡。

结论

包括向年轻人提供健康教育、采取措施提高治疗效果、加强重症监护护理质量等综合行动至关重要。此外,通过前线卫生工作者、领导人和利益攸关方的爱国努力,迫切需要加强预防和限制措施以平缓曲线,并建立快速检测和先进的病例治疗方法。

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