An Epidemiological Study of Laboratory Confirmed COVID-19 Cases Admitted in Dhaka Medical College Hospital

Background: The objective of the study was to report the epidemiological characteristics of symptomatic laboratory confirmed COVID-19 patients seeking care from Dhaka Medical College Hospital (DMCH). Methods: This observational study was conducted in department of Medicine, DMCH for the period of 2 months following ethical approval. Total 100 RT-PCR confirmed COVID-19 patients were included and interviewed. Informed written consent was ensured before participation. Collected data were entered in a predesigned case record form and subsequently analyzed by SPSS-20. Results: Average age of presentation was 37.20±10.02(SD) years with male predominance (77%). Urban presence was in 90%. Thirty-two percent of the patients had comorbidities, with diabetes (16%) and hypertension (19%) being the most frequently observed.The most commonly observed symptoms was fever (65%), followed by cough (58%), breathlessness (42%), Dysgeusia (40%) and fatigue (33%). Mean duration of illness was 8.74±4.8 (SD) days. Overall mortality was 9%. All patients were managed according to the national guidelines and only 7% required ICU support. Conclusion: Patients were mostly middle-aged and male. Typical presentations were fever, cough, breathlessness and dysgeusia. Overall mortality was 9% among the admitted patients and requirement of ICU was 7%. Further study with large sample size is recommended to get a more precise picture. J MEDICINE JUL 2020; 21 (2) : 69-75

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Health Problems Among Forcibly Displaced Myanmar Nationals (FDMNs) Admitted To The Medicine Ward of Cox’s Bazar Medical College Hospital

10.21203/rs.3.rs-1179257/v1 ◽

2021 ◽

Author(s):

Mohammad Ismail ◽

Mohammad Farhad Hussain ◽

Mohammad Abdullah Al Hasan ◽

AHM Mustafa Kamal ◽

Monjur Rahman ◽

...

Keyword(s):

Gastrointestinal Disease ◽

Health Problems ◽

Medical College Hospital ◽

Vulnerable Groups ◽

College Hospital ◽

Case Record ◽

Male Predominance ◽

Medical College ◽

Coronary Syndrome ◽

Snake Bites

Abstract Background Forcibly displaced Myanmar nationals (FDMNs) or Rohingya refugees are one of the vulnerable groups suffering from different kinds of health problems but have been less reported yet. Therefore, the study was designed to delineate the health problems among FDMNs admitted to Cox’s Bazar Medical College Hospital. Methods This hospital-based cross-sectional study was conducted at the Medicine ward, Cox’s Bazar Medical College Hospital, for a six-month period following approval. Rohingya refugees who were admitted during the study period were approached for inclusion. Informed written consent was ensured prior to participation. A structured questionnaire was used during data collection. Collected information was recorded in case record form. A total of 290 subjects were interviewed. Analysis was performed using the statistical package for social science (SPSS) version 20. Results The mean age of the participants was 48.76±18.67 years (range: 16-91), with a clear male predominance (60.7%). Family size ranged 6-8. All of the participants reported at least one of the illnesses. Of all, 29.66% patients reported disease of the respiratory system, and 26.9% reported disease of the gastrointestinal disease and hepatobiliary system. Accidental injury or injury due to electrocution or thin falls or snake bites was present in 10.4% of the cases. Among the single most common diseases, COPD (20%) was the most frequently observed, and the rest of them were chronic liver disease (13.1%), pulmonary TB (5.5%), ischemic stroke (5.5%), CAP (4.1%), acute coronary syndrome (3.4%), thalassaemia (3.4%) and hepatocellular carcinoma (3.4%). Among the top 6 reported diseases, PTB was more common in elderly individuals (p=0.29). The disease pattern was similar across the sexes among the refugees except community acquisition pneumonia (CAP), which was commonly observed among males (p=.004). Considering different age groups, genitourinary problems were more common in males aged >60 years, and rheumatology and musculoskeletal problems were equally affected in females aged between 40-60 years. Conclusion COPD, CLD and CAP were the most prevalent diseases in FDMN patients who attended the medicine ward of Cox’s Bazar Medical College Hospital. Further exploration is warranted before any policy making and comprehensive plan.

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Epidemiological Profile of Pandemic Influenza A (H1N1) 2009 at Dhaka Medical College Hospital

Journal of Medicine ◽

10.3329/jom.v11i1.4259 ◽

1970 ◽

Vol 11 (1) ◽

pp. 3-6

Author(s):

Quazi Tarikul Islam ◽

Azizul Kahhar ◽

Syed Mohammad Arif ◽

Ahmedul Kabir ◽

Khan Mohammed Arif ◽

...

Keyword(s):

Pandemic Influenza ◽

Influenza A ◽

Medical College Hospital ◽

College Hospital ◽

Case Record ◽

Suspected Infection ◽

Medical College ◽

First Case ◽

Influenza A H1n1 ◽

Epidemiological Characteristics

The first case of 2009 pandemic influenza A (H1N1) virus infection in Bangladesh was documented on June 18. Subsequently, persons with suspected cases of infection and contacts of those with suspected infection were tested. Individuals in whom infection was confirmed were hospitalized and quarantined, and some of them were closely observed for the purpose of investigating the nature and duration of the disease. In Dhaka Medical College Hospital, there were 28 admitted patients in flu ward and 2335 registered suspected H1N1 influenza cases attended in flue corner but 833 highly suspected cases were recorded in case record form. We describe the epidemiological characteristics of 28 indoor (flu ward) and 833 outdoor (flu corner) patients. Most of them were in between 20 to 30 years age group. Among 833 outdoor patients 611(73.34%) were male and 222(26.65%) were female. 354 (42.49%) patients were student, 195 (23.40%) were service holder. No patients (indoor) had any serious underlying medical conditions. Keywords: Pandemic influenza A (H1N1), Dhaka Medical College Hospital, Bangladesh, epidemiology. DOI:10.3329/jom.v11i1.4259 J Medicine 2010: 11: 3-6

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Clinico-Demograhic Profile, Treatment Outline and Clinical Outcome of 236 Confirmed Hospitalized COVID- 19 Patients: A Multi-Centered Descriptive Study in Dhaka, Bangladesh

Bangladesh Journal of Medicine ◽

10.3329/bjm.v31i2.48532 ◽

2020 ◽

Vol 31 (2) ◽

pp. 52-57

Author(s):

Quazi Tarikul Islam ◽

HT Hossain ◽

FR Fahim ◽

Mu Rashid

Keyword(s):

Clinical Outcome ◽

Treatment Protocol ◽

Descriptive Study ◽

Medical College Hospital ◽

College Hospital ◽

Case Record ◽

Medical College ◽

Global Pandemic ◽

Age Range ◽

Taste And Smell

Introduction :In Bangladesh, the first confirmed case of COVID1 9 was detectedon 8th March’2020, almost 3 months after the initial outbreak in late December’ 2019 in Wuhan, China.The number of affected cases and deaths both have become exponential during this global pandemic. Clinical data on COVID 19 in Bangladesh is still lacking. The objective of our study was to evaluate clinico-demograhic Profile, treatment Outline & clinical outcome within a defined period among COVID-19 Bangladeshi Patients. Methods: We conducted a retrospective multicenter descriptive study on epidemiological & clinical profile along with treatment outcomes of 236 Rt-PCR confirmed patients of COVID 19 from COVID dedicated units of 3 hospitals- Dhaka Medical College Hospital ( DMCH)(n-87), Kuwait Bangladesh Moitry Hospital ( KBMH)(n-50),Popular Medical College Hospital ( PMCH)(n-99) during the period of May to July 2020 with a pre-determined case record form. Results: Among the total 236 patients, highest percentage of patients (26%) belonged to 50-59 years age range, however it was found that no age was immune.Regarding gender distribution, two-third patients were male (65%) & one-third patients were female (35%).The predominant symptoms of our enrolled patients were fever (89%), cough (85%) & dyspnea (76%) ,fatigue (23%), chest pain (23%)& anosmia (19.5%), followed by gastro-intestinal symptoms. Almost half of the patients had been suffering from Hypertension (48%) and Diabetes (47%) Regarding treatment, 100% patients received tromboprophylaxis with low molecular weight Heparin (LMWH)& around 2/3 patients received steroid in different forms following treatment protocol of our national guideline. 20% patients required ICU support & death rate was 4.7%. Around two-third patients could be discharged in < 10 days’ time. Conclusion: Covid-19 in Bangladesh is presented in adult male with fever, cough and dyspnoea predominantly with occasional lack of taste and smell. Supportive care was effective with predominantly good outcome Bangladesh J Medicine July 2020; 31(2) : 52-57

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Outcome of Clinically Suspected Encephalitis Patients Admitted To Faridpur Medical College Hospital, Bangladesh

Faridpur Medical College Journal ◽

10.3329/fmcj.v11i1.30874 ◽

2016 ◽

Vol 11 (1) ◽

pp. 20-22

Author(s):

Md Towhid Alam ◽

Shakh Abdul Fattah ◽

MM Shahin Ul Islam ◽

Md Anisur Rahman Howlader ◽

Ahmed Manadir Hossain ◽

...

Keyword(s):

Nipah Virus ◽

Medical College Hospital ◽

Clinical Parameters ◽

Age Group ◽

College Hospital ◽

Hospital Records ◽

Medical College ◽

Neurological Features ◽

Using Data ◽

Epidemiological Characteristics

Significant number of Encephalitis patient was admitted in Faridpur Medical College Hospital (FMCH) in last years. There was an outbreak of Nipah Virus encephalitis in Faridpur in 2004. Among the 34 cases 26 patients were expired. After that, occurrence of disease is continuing. In this study a total number of 100 cases of clinically suspected encephalitis patients were studied for different clinical parameters and observed their clinical outcome. This is a retrospective study using data from hospital records. Among them 62% were male and 38% were female. Largest numbers of patients were under age group of 21-35 years, 46% of patients were from Faridpur district then 24% from Rajbari. Majority of patients were presented with neurological features (74%), 10% with pulmonary, 4% gastrointestinal, rest 12 % with combined neurological and pulmonary features. Maximum numbers (30%) of patients were attained treatment within 25 to 48 hours of onset of symptoms. Among them 78% of the patients recovered, 17% expired and 5% were referred. In this context, further prospective study is required to find out the epidemiological characteristics of Encephalitis in Faridpur region.Faridpur Med. Coll. J. Jan 2016;11(1): 20-22

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Experience of Pandemic Influenza A (H1N1) 2009 at Dhaka Medical College Hospital

Journal of Medicine ◽

10.3329/jom.v11i2.5452 ◽

1970 ◽

Vol 11 (2) ◽

pp. 119-123

Author(s):

Quazi Tarikul Islam ◽

Azizul Kahhar ◽

Syed Mohammad Arif ◽

HAM Nazmul Ahasan ◽

Md Mahmudur Rahman Siddiqui ◽

...

Keyword(s):

Pandemic Influenza ◽

Influenza A ◽

Medical College Hospital ◽

Suspected Case ◽

Rt Pcr ◽

College Hospital ◽

Medical College ◽

First Case ◽

Influenza A H1n1 ◽

Epidemiological Characteristics

Introduction: Bangladesh recorded the first case of 2009 pandemic influenza A (H1N1) virus infection on 18thJune 2009. This report describes the clinical and epidemiological characteristics of both the indoor and outdoorpatients reporting in Flu Ward and Flu Corner of Dhaka Medical College Hospital.Methods: This cross-sectional study was done on highly suspected 833 registered outdoor (flu corner) and 28indoor patients admitted in Flu ward of Dhaka Medical College Hospital during the study period of August 2009 toNovember 2009. A suspected case was defined as an influenza-like illness and either a history of travel to a countrywhere infection had been reported in the previous 7 days or an epidemiologic link to a person with confirmed orsuspected infection in the previous 7 days. A confirmed case was defined by a positive real-time reverse-transcriptasepolymerase chain reaction (RT-PCR) assay.Results: Most of the patients were in between 20 to 30 years age group. Indoor patients presented with mostly fever(92.85%), rhinorrhea (71.42%), shortness of breathe (89.28%) and cough (64.28%). Maximum duration of feverin indoor patients was 4 days. RT-PCR from throat swab sample for H1N1 tested positive in 9 (32.14%) indoorpatients. Out of the 833 outdoor patients 596(71.54%) patients had fever, 585(70.22%) had cough, 410(49.21%)had rhinorrhea and 314(37.69%) had sore throat. Only 2(7.14%) admitted patients died of flu.Conclusion: Despite widespread infection mortality rate is quite low. Prompt implementation and adherence tonational guidelines on 2009 pandemic influenza A (H1N1) should be encouraged.Keywords: Pandemic influenza A (H1N1); Dhaka Medical College Hospital; Bangladesh.DOI: 10.3329/jom.v11i2.5452J MEDICINE 2010; 11 : 119-123

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Demographic and Clinical profile of 190 COVID-19 Patients in a Tertiary Care Private Hospital of Dhaka, Bangladesh: An Observational Study

Journal of Medicine ◽

10.3329/jom.v21i2.50210 ◽

2020 ◽

Vol 21 (2) ◽

pp. 82-88

Author(s):

Homayara Tahseen Hossain ◽

Tasmina Chowdhury ◽

Maksudul Islam Majumder ◽

Arfa Rahman Ava ◽

Quazi Audry Arafat Rahman ◽

...

Keyword(s):

Tertiary Care ◽

Term Treatment ◽

Medical College Hospital ◽

Clinical Profile ◽

P Value ◽

Short Term Treatment ◽

College Hospital ◽

Case Record ◽

Medical College ◽

Significant Difference

From late December’19 till the end of August 2020, in this nine months period, world has lost more than eight hundred thousands people due to COVID-19 pandemic. Clinical data on COVID-19 in Bangladesh is less. The objective of our study was to evaluate demographic and clinical profile with in a defined period among COVID-19 Bangladeshi Patients in a Tertiary Care Private Medical College Hospital of Dhaka. We conducted a retrospective descriptive study on epidemiological & clinical profile along with short term treatment outcomes of 190 COVID-19 patients from COVID dedicated unit of Popular Medical College Hospital (PMCH) during the period of 18th June to 22nd August 2020 (2 months) with a pre-determined case record form (CRF).Among this 190 patients, mean age was found to be 53 years. Highest percentage of patients (44%) belonged to 41-60 years of age. Regarding gender distribution, two-third patients were male (65%) & one-third patients were female (35%). The predominant symptoms of our enrolled patients were fever (88%),cough (81%) , dyspnoea (58%) & fatigue( 50%). Around half of the patients had been suffering from Hypertension (54%) and Diabetes (47%). Almost half of our patients belonged to moderate severity (48%).The duration of Hospital stay was from 1-36 days, mean was 7 days. There was significant difference for severe and non-severe cases (p value 0.01). J MEDICINE JUL 2020; 21 (2) : 82-88

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Profile Of Clinically Suspected Encephalitis Patients Admitted To Faridpur Medical College Hospital, Bangladesh

Faridpur Medical College Journal ◽

10.3329/fmcj.v5i2.6818 ◽

1970 ◽

Vol 5 (2) ◽

pp. 38-40

Author(s):

SA Fattah ◽

SK Sarker ◽

MY Ali ◽

MT Alam ◽

SY Ali

Keyword(s):

Nipah Virus ◽

Medical College Hospital ◽

Age Group ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

Male Female Ratio ◽

Neurological Features ◽

Using Data ◽

Epidemiological Characteristics

Encephalitis is a relatively common clinical diagnosis of admitted patients in Faridpur Medical College Hospital. This is significant because there was an outbreak of Nipah Virus (Ni-V) encephalitis in Faridpur district in 2004 with 34 cases including 26 deaths. Recent death of an intern doctor of FMCH from Ni-V encephalitis further emphasizes the gravity of situation. In this study a total number of 100 cases of clinically suspected encephalitis patients were studied for different clinical parameters. This is a retrospective study using data from hospital records. Majority of patients presented with neurological features (85%), 6% with pulmonary, 7% with combined neurological and pulmonary, and 2% with other features. 5-18 years age group comprises the highest number 44%, followed by >18 years age group 34%. Male-female ratio was 33:17. July to November was the period of maximum number of admission, the highest being in August. Patient from all upazillas of Faridpur were admitted, the highest being from Sadar Upazilla. 48% of the patients recovered, 19% expired and 7% were referred. In this context, further prospective study is urgently required to find out the epidemiological characteristics of Nipah virus encephalitis in Faridpur region. DOI: 10.3329/fmcj.v5i2.6818Faridpur Med. Coll. J. 2010;5(2):38-40

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Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

Journal of Surgical Sciences ◽

10.3329/jss.v22i2.44075 ◽

2020 ◽

Vol 22 (2) ◽

pp. 110-117

Author(s):

Md Mahmudul Islam ◽

Khondkar AK Azad ◽

Md Aminul Islam ◽

Rivu Raj Chakraborty

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Chest Trauma ◽

Road Traffic ◽

Tube Thoracostomy ◽

Rib Fracture ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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