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2020 ; 6
(2
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Epidemiological features and medical care-seeking process of patients with
COVID-19 in Wuhan, China
#MMPMID32363205
Hua J
; Chen R
; Zhao L
; Wu X
; Guo Q
; He C
; Li T
; Ren X
; Liu Z
; Li Q
; Wang F
ERJ Open Res
2020[Apr]; 6
(2
): ä PMID32363205
show ga
BACKGROUND: We aimed to investigate the epidemiological and clinical features,
and medical care-seeking process of patients with the 2019 coronavirus disease
(COVID-19) in Wuhan, China, to provide useful information to contain COVID-19 in
other places with similar outbreaks of the virus. METHODS: We collected
epidemiological and clinical information of patients with COVID-19 admitted to a
makeshift Fangcang hospital between 7 and 26 February, 2020. The waiting time of
each step during the medical care-seeking process was also analysed. RESULTS: Of
the 205 patients with COVID-19 infection, 31% had presumed transmission from a
family member. 10% of patients had hospital-related transmission. It took as long
as a median of 6?days from the first medical visit to receive the COVID-19
nucleic acid test and 10?days from the first medical visit to hospital admission,
indicating early recognition of COVID-19 was not achieved at the early stage of
the outbreak, although these delays were shortened later. After clinical recovery
from COVID-19, which took a mean of 21?days from illness onset, there was still a
substantial proportion of patients who had persistent SARS-CoV-2 infection.
CONCLUSIONS: The diagnostic evaluation process of suspected patients needs to be
accelerated at the epicentre of the outbreak and early isolation of infected
patients in a healthcare setting rather than at home is urgently required to stop
the spread of the virus. Clinical recovery is not an appropriate criterion to
release isolated patients and as long as 4?weeks' isolation for patients with
COVID-19 is not enough to prevent the spread of the virus.