Background: Mucormycosis is an opportunistic fungal infection with a high fatality rate and is the third most common fungal infection that is invasive in nature, next to candidiasis and aspergillosis. It is attributed to the poor socio-economic status and triggered by the local trauma due to unhygienic setup or poor health care. The pathway of pathogenesis is not clearly understood in immunocompetent patients and therefore becomes a matter of great concern.Aim& Objective: To explore the pathway of mucormycosis in a case of post SARS-CoV-2 infection Settings and Design: Tertiary Care hospital of Jabalpur DistrictMethods and Material: Interview with the case and care taker and case file review.Results: We could conclude this as a case of rhino- orbital mucormycosis attributed to uncontrolled blood sugar during treatment of SARS-CoV-2 infection, three delays that have occurred during the disease progression like ignorance from health service provider, late diagnosis, non compliance to the advice given by health facility, poor oral and nasal hygiene and no use of distilled water in humidifier. Conclusions: The early diagnosis, prompt Treatment , surgical intervention , proper blood sugar monitoring and rational use of steroids are important steps of successful outcome of the disease.
Background: In the scenario of the COVID-19 pandemic, it is important to assess the quality of care that is being provided to COVID-19 positive patients as the health-care quality plays a crucial role in winning over any health crisis. Objective: This study aims to assess satisfaction among COVID-19 positive patients in a tertiary care hospital. Methodology: A retrospective cross-sectional study was done on COVID-19 positive patients admitted in a tertiary hospital of central India. Sample size was calculated by using the following formula: n = Z 2 pq/d 2, which came out to be 113. Simple random sampling was done to select the patients. A quantitative structured interview schedule was used to collect data. Results: Majority of the respondents were satisfied with the available amenities, clinical care, and behavior of health-care providers except services regarding linen, toilet, and doctors' explanation of illness and treatment. Overall impression of the visit was excellent to good according to 84% of the respondents. On inquiring the likelihood of recommending this hospital to others, 91.3% of the respondents gave a positive reply. Conclusion: Improvement is needed in linen and toilet facilities. Patients should be counseled via telephones regarding their illness and treatment if this is not possible face to face as the treating physicians are in personal protective equipment kits and it is quite difficult to interact while wearing these kits. Patient satisfaction surveys should be institutionalized periodically.
Background: Health-care providers played a crucial role in responding to the public health emergency due to COVID-19 pandemic. Therefore, our study aimed to assess depression, anxiety, and stress (DAS) levels among the health-care providers in a COVID-19 dedicated health-care facility. Methodology: From the month of August to December 2020, a cross-sectional study was conducted on health-care providers who were involved in providing health-care services to COVID-19 patients in a tertiary care institute of Jabalpur by purposive convenient sampling through online Google Forms. The study tool used was validated depression, anxiety, and stress scale-21 having a good internal consistency having Cronbach's alpha value 0.85. Results: From 112 health-care providers, higher level of anxiety was found (29.46%) followed by depression (17.85%) and stress (16.07%). Mild, moderate, severe, and extremely severe anxiety were found in 18.75%, 7.14%, 1.78%, and 1.78%, respectively. Mild and moderate depression were found in 9.82% and 8.03%. Mild, moderate, and severe stress were found in 8.92%, 6.25%, and 0.89% of health-care providers, respectively. A significant association of depression, stress, and anxiety with designation of the participants was found (P < 0.001). Conclusion: To combat DAS, it is necessary to cascade awareness and knowledge should be disseminated. Regular screening of health-care providers, counseling, and stress management programs should be conducted.
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