Structure of infectious patients in the infectious department, which works as triage in a medical institution, during the COVID-19 epidemic

摘要

Background. The situation in the countries of the world and Ukraine concerning the coronavirus disease COVID-19 remains very tense. Medical facilities that are dedicated to treating patients with new coronavirus disease work with a heavy workload. Infectious diseases departments in some medical institutions work as diagnostic ones. The purpose of the study: in order to improve the work of diagnostic departments, to investigate the structure of patients who were admitted to these units and underwent examination and treatment. Materials and ­methods. The data of the casebook of patients of the infectious department of the Kyiv City Clinical Hospital 4 during the epidemic of coronavirus infection COVID-19 for the period from March to July 2020 were studied. Results. Among the hospitalized patients, working and non-working, retirees predominated. After setting the task of the infectious diseases department to work as a triage one in the medical institution, mainly patients with suspected COVID-19, community-based pneumonia (22.5 %) and confirmed cases of COVID-19 were admitted to this unit. Among the hospitalized individuals, a percentage of those with pneumonia were higher among retirees (66.7 %), health workers (59.3 %), non-working (53.6 %), working (55.7 %), and with severe pneumonia — among church workers (40 %), pregnant women (25 %), servicemen of law enforcement agencies (20 %), students of educational institutions (18.2 %). Proportion of severe pneumonia was higher in people aged 71–100 and 21–40 years. Patients with other pathologies were also admitted to this department that required additional workload on the laboratory, ultrasound and X-ray department to verify the diagnosis (tuberculosis, community-acquired pneumonia, acute cerebrovascular accident, human immunodeficiency virus infection, bacterial endocarditis, sarcoidosis, etc.) and detect complications (pulmonary embolism, myocarditis, etc.).