PharmEasy Blog

Do Heart Patients Have Increased Chances Of Getting COVID-19 Infection?

The COVID-19 pandemic has shaken up the world in ways unimaginable. Starting from destabilizing all established institutions (healthcare, economic) to pushing everyone into a perpetual state of uncertainty, this highly unpredictable pandemic has made its deadly presence felt everywhere. Although the viral strain is constantly evolving, one thing has stayed certain for the most part; the elderly and those with underlying conditions are at greatest risk. It is important for everyone to be aware and vigilant about our health in order to avoid any serious illness.

It is crystal clear by now that the Novel Coronavirus has the potential to trigger a dangerous respiratory infection. It has been seen that people who earlier never experienced respiratory trouble also felt severe respiratory distress during a COVID-19 infection. In the event of your lungs not working in their highest capacity, your heart activity too will be affected because like all other organs, the heart also depend on the lungs for a fresh supply of oxygen. And in the absence of enough oxygen, it will have a hard time pumping oxygenated blood throughout your body. This inevitably puts a lot of pressure on your heart and other vital organs. And if you are someone with pre-existing heart disease, then your heart is already at risk of a more severe COVID infection. So, what should you know and do to safeguard your heart?

Let’s find out in this article how COVID affects the heart. 

Actually people with heart disease when they get COVID are at increased risk of getting heart failure. COVID-19 infection has been linked to the development of HF via myocardial infarction, myocarditis, microthrombi, and stress cardiomyopathy. There are several potential mechanisms by which SARS-CoV-2 may lead to these conditions through direct viral or immune-mediated effects.

Dr. M.G. Kartheeka, MBBS, MD

Heart diseases and COVID  

Heart patients with COVID need to understand that a Coronavirus infection can affect anyone but having a pre-existing heart condition means that your infection can be severe. According to a professor of cardiovascular medicine at UTHealth, Houston, many viruses (including SARS CoV-2) can even bring about heart attacks. The exact reason is still a subject of research, however, it has been proposed that the COVID-19 virus causes inflammation in the body. When a severe inflammation happens during COVID infection it may lead to the formation of blood clots which can block your blood vessels. If these clots form in the small blood vessels of your heart or travel to your heart a heart attack may occur. It has been observed that the coronavirus can also affect the muscular structure of the heart making it weak. It stands to reason that people already diagnosed with heart disorders are likely to experience a worsening of the ailment if they do not get proper treatment when they contract COVID.

COVID complications related to the heart must never be neglected and one should seek medical attention right away if they experience any symptoms of COVID-19 or the warning signs associated with a heart attack or stroke. Immediate action can save lives. 

COVID treatment for heart patients

COVID treatment for a heart patient as well as a non-heart patient is almost the same. Your doctor will advise some tests to check for the risk of blood clots and may advise some medicines called blood thinners if needed. During your infection period, if at any point you feel severe chest pain, palpitation, shortness of breath or even episodes of fainting, it is imperative that you get yourself admitted to a hospital or nursing home at the earliest. The doctors there will determine what medications to put you on or carry out any procedure required to prevent the worsening of the condition.

There is no proven method of preventing COVID-19 induced myocarditis or arrhythmias (rapid or irregular heartbeat). The only way you can keep your heart safe and healthy is by following standard COVID safety protocols and seeking immediate treatment if you get an infection. 

How to stay safe  

The COVID-19 pandemic has shaken up the world in ways unimaginable. Starting from destabilizing all established institutions (healthcare, economic) to pushing everyone into a perpetual state of uncertainty, this highly unpredictable pandemic has made its deadly presence felt everywhere. Although the viral strain is constantly evolving, one thing has stayed certain for the most part; the elderly and those with underlying conditions are at greatest risk. It is important for everyone to be aware and vigilant about our health in order to avoid any serious illness.

It is crystal clear by now that the Novel Coronavirus has the potential to trigger a dangerous respiratory infection. It has been seen that people who earlier never experienced respiratory trouble also felt severe respiratory distress during a COVID-19 infection. In the event of your lungs not working in their highest capacity, your heart activity too will be affected because like all other organs, the heart also depends on the lungs for a fresh supply of oxygen. And in the absence of enough oxygen, it will have a hard time pumping oxygenated blood throughout your body. This inevitably puts a lot of pressure on your heart and other vital organs. And if you are someone with pre-existing heart disease, then your heart is already at risk of a more severe COVID infection. So, what should you know and do to safeguard your heart?

Let’s find out in this article how COVID affects the heart. 

Heart diseases and COVID 

Heart patients with COVID need to understand that a Coronavirus infection can affect anyone but having a pre-existing heart condition means that your infection can be severe. According to a professor of cardiovascular medicine at UTHealth, Houston, many viruses (including SARS CoV-2) can even bring about heart attacks. The exact reason is still a subject of research, however, it has been proposed that the COVID-19 virus causes inflammation in the body. When a severe inflammation happens during COVID infection it may lead to the formation of blood clots which can block your blood vessels. If these clots form in the small blood vessels of your heart or travel to your heart a heart attack may occur. It has been observed that the coronavirus can also affect the muscular structure of the heart making it weak. It stands to reason that people already diagnosed with heart disorders are likely to experience a worsening of the ailment if they do not get proper treatment when they contract COVID.

COVID complications related to the heart must never be neglected and one should seek medical attention right away if they experience any symptoms of COVID-19 or the warning signs associated with a heart attack or stroke. Immediate action can save lives. 

COVID treatment for heart patients

COVID treatment for a heart patient as well as a non-heart patient is almost the same. Your doctor will advise some tests to check for the risk of blood clots and may advise some medicines called blood thinners if needed. During your infection period, if at any point you feel severe chest pain, palpitation, shortness of breath or even episodes of fainting, it is imperative that you get yourself admitted to a hospital or nursing home at the earliest. The doctors there will determine what medications to put you on or carry out any procedure required to prevent the worsening of the condition.

There is no proven method of preventing COVID-19 induced arrhythmias (rapid or irregular heartbeat) or myocarditis. 

What is myocarditis? Myocarditis means an inflammation of the heart muscle (myocardium). The only way you can keep your heart safe and healthy is by following standard COVID safety protocols and seeking immediate treatment if you get an infection.  

The COVID-19 virus is constantly mutating and so danger still persists. The relation between heart diseases and COVID keeps getting more complicated as it does with other health conditions. The only way you can keep yourself as well as your loved ones safe is by following heart-healthy habits, getting vaccinated and following safety protocols.

Also Read: Take Care of Your Heart: Foods To Avoid If You Have Heart Palpitations

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Comorbidity & Its Effect On COVID-19 – All You Need To Know

Introduction

COVID-19, a novel coronavirus first reported in Wuhan, China, in 2019, has been affecting over 180 countries of the world. A respiratory syndrome that started with fever, cough, weakness and slowly affected the lungs and other parts of the body. 

The increased hospitalisation and the higher death risk is the main concern over COVID-19. 

As the knowledge over COVID-19 is still limited, various researches have been going on. Through these researches, one thing has been instigated that a person with comorbid conditions & COVID-19 may have an increased chance of developing a serious illness. 

Diabetes is among the most common comorbidities in COVID-19 patients. Based on clinical studies, it appears to be correlated with severe complications that include acute respiratory failure syndrome, pneumonia, multiple organ failure.

Dr. M.G. Kartheeka, MBBS, MD

What are the Comorbidities?

Comorbidities or Comorbid conditions are the total number of illnesses the person is suffering. It is an underlying health condition or a pre-existing chronic condition.  

These comorbidities can be high Blood Pressure, Diabetes, Liver or Kidney diseases, obesity, heart diseases, respiratory illnesses, autoimmune disorders, bleeding or clotting disorders, cancer, patients with organ transplant and many more. Those with untreated or uncontrolled underlying conditions are at a higher risk of developing serious symptoms and complications due to COVID.

Hypertension and pre-existing chronic lung disorders are found to be associated with unusually high death rates in covid patients, caution is advised to complete the vaccination and consultation at the earliest appearance of Covid symptoms of worsening.

Dr. Ashish Bajaj – M.B.B.S, M.D.

How is it related to COVID-19 and affects it?

A person with comorbidities may have weaker immunity and other issues depending on the condition he/she is suffering from. And when they have been affected by the COVID-19, the infectious cycle of the virus may progress rapidly and severely. 

In addition, it increases the risk of hospitalisation, ICU management and the support of a ventilator. 

Also, the person with comorbidities of COVID-19 often lands up with deteriorating outcomes. C0VID-19 risk factors like previous lung disease and other comorbidities should be monitored and treated promptly to avoid any serious complications in future. 

Comorbid conditions & COVID-19

Most of the research data show that patients who passed away after the treatment for the SARS CoV-2 virus had some underlying medical conditions.

Some of these underlying medical conditions, i.e. comorbidities of COVID-19, are:

According to a few broader research studies, high blood pressure, diabetes and heart diseases  are the most common comorbidities of COVID-19 that may have significant potential for causing serious COVID infection on exposure to the virus and slow down recovery time. The number of comorbid conditions present in a person also influence the severity of symptoms on getting a COVID infection, i.e. a person with multiple comorbidities is at a higher risk of getting serious COVID.

They are already experiencing a problem from their underlying diseases that already put their body under stress. When they contact COVID-19, their body cannot handle the viral load that leads to significant complications and increases the chances of hospitalisation. 

Also, these people may need additional care as compared to the others.

The comorbid conditions and COVID-19 may be difficult to manage especially if there is a delay in seeking medical care.

Top measures to protect yourself from the virus

If one is already suffering from any comorbid conditions, it is best to take preventive measures, to avoid the risk of getting COVID-19 in the first place. 

There are some measures to be adopted like:

Comorbidity and COVID-19 Vaccine – Is it safe?

It is investigated that individuals suffering from any comorbid conditions are more prone to COVID-19 risk factors. Therefore, they are more susceptible to getting a serious COVID infection. 

They must get vaccinated as soon as possible. 

As their body is already stressed and under load because of the underlying diseases, vaccination is one of the most important tools for protection against COVID-19. 

if one gets infected, then the vaccine is said to reduce the chances of getting a serious COVID infection. The individuals suffering from comorbidities & COVID-19 have been the uttermost priority for the government to get vaccinated and decrease deaths. 

Research has proven that the vaccine shows similar efficacy and safety in individuals with comorbidities also. 

It is considered safe to get vaccinated if you are suffering from any comorbidities. It should be the topmost priority to get vaccinated first to avoid any risks. You may consult your doctor before getting a vaccine as some patients like those on high dose immunosuppression and some other medicines may require a change in medications for a few days pre/post-vaccination. It is always safe to clear your doubts with your treating doctor as every individual may require a different approach.

Conclusion

COVID-19 itself is a significant health concern among all age groups and all genders. People suffering from medical conditions like heart problems, diabetes, high blood pressure and other comorbidities are at a higher risk of falling severely ill if infected by COVID-19.

Patients with comorbidities should take all necessary precautions to avoid getting infected as they may have a poor prognosis. It may slow down the speed of recovery and increase your chances of getting hospital admission, ICU, long-term ventilator usage and death. 

It is essential to take proper precautionary measures and care the most to avoid contracting the virus. Follow the medical guidelines strictly and consult your doctor in case of any new symptoms or health problem arises. 

It is also crucial to always keep a tab on a diet, lifestyle to avoid further complications. Getting a full course of vaccination is very important for a person with comorbidities as said prevention is always better than cure.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

COVID-19 Treatment Protocol For Children: All You Need to Know!

Introduction

The Union Ministry of Health and Family Welfare updated its COVID-19 treatment protocol for children in April. While India was battling its deadly second wave, health experts warned the administration and the people of an impending third wave, which is likely to affect children. Also, speculations about Multisystem Inflammatory Syndrome in Children (MIS-C) occurring as a post-COVID-19 complication in this age group prompted health experts to prepare guidelines to reduce the effects of COVID-19 in children.  

Pediatric COVID-19 treatment guidelines in India have been grouped under three categories:

Symptomatic care for COVID-19 in the outpatient setting is similar to that for other upper respiratory or gastrointestinal clinical syndromes. For sick cases with saturation less than 92 hospitalisation is necessary.

Dr. M.G. Kartheeka, MBBS, MD

Treatment protocol for children with mild COVID-19 disease 

The majority of children infected with COVID-19 were found to be asymptomatic or have mild symptoms. The symptoms of COVID-19 in children are similar to those in adults, including fever, cough, breathlessness, fatigue, shortness of breath, sore throat, diarrhoea and loss of taste and smell. Asymptomatic COVID-19 cases can only be detected using screening when a family member has been diagnosed with the infection. Most of these children do not show any symptoms and therefore, do not require treatment. 

However, they must be monitored for any symptom development, especially if they have any comorbidities like congenital heart conditions, asthma, chronic lung diseases, etc. Children with mild COVID-19 disease usually present with a running nose, cough, sore throat and sometimes, an upset stomach. They do not have breathing difficulties and these cases can be easily managed with home isolation and symptomatic treatment.

According to the latest COVID-19 Treatment Protocol For Children, the treatment given at home must include:

The parents or the caregiver must ensure appropriate isolation facilities at home and must constantly monitor the child. Stay in touch with the child’s doctor and update them regularly about the child’s condition.

While children appear to be largely spared the direct mortality impacts of COVID-19, the indirect effects stemming from strained health systems, disruptions to life-saving health services, long term mental impact can result in devastating impacts on children.

Dr. Ashish Bajaj, M.B.B.S., M.D

Treatment protocol for children with moderate COVID-19 disease 

A child is a moderate case of COVID-19 if they show one or more symptoms of COVID-19 along with rapid respiration, but their oxygen saturation remains over 90%. Rapid respiration varies for different age groups:

In many moderate COVID-19 cases in children, pneumonia may be present, but symptoms may not be evident. A routine RT-PCR test is done to confirm COVID-19 moderate cases. However, if a child has comorbidities, additional tests may be necessary. As per the latest COVID-19 Treatment for children, the treatment for moderate COVID-19 infection must be provided in a dedicated COVID-19 facility or hospital.

Treatment of a child with moderate COVID-19 includes:

Also Read:  Post Covid-19 Complication In Kids

In the ongoing fight against COVID-19, vaccination stands as the most effective preventive measure to significantly lower the likelihood of hospitalization, severe illness, or fatalities. If, by any chance, your child does contract the virus, seeking prompt medical attention becomes paramount, as it can ensure appropriate treatment for their recovery and symptom reduction.

Dr. Arpit Verma, MBBS, MD (Pharmacology)

Treatment protocol for children with severe COVID-19 disease  

Severe COVID-19 cases in children are characterised by:

If these symptoms are not managed immediately, the child can go into Acute Respiratory Distress Syndrome (ARDS), shock, acute thrombosis or multiorgan failure. A child with severe COVID-19 must be admitted to a tertiary hospital, preferably in the ICU. To provide treatment to a child with severe COVID-19, some investigations including CBC, RFT, LFT, CRP, ECG, ABG, CXR, LDH, Ferritin and ECHO, among others.

Treatment for severe COVID-19, as per Pediatric COVID-19 treatment guidelines India, includes:

Conclusion

Though the number of COVID-19 cases among children has been relatively low, the lack of vaccines for this age group increases their risk of developing the infection. COVID-19 Treatment for children with mild disease can be managed at home, with a doctor monitoring them. Moderate to severe cases of the disease requires immediate medical attention and a hospital setting where adequate treatment can be provided.

Self-medication is not advised as it can lead to more complications. Parents and caregivers need to be attentive to the various symptoms that can appear in the child post-COVID-19 recovery. Children must follow all precautionary measures such as wearing masks, practising hand hygiene and social distancing to protect themselves from COVID-19. Parents must ensure children are safe and protected at all times.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

New COVID-19 RT-PCR Test Kit ‘ViraGen’ By Cipla In Partnership With Ubio Biotech Available Now

Introduction

With Cipla’s continuous efforts in ensuring treatments to detect and challenge this COVID-19 pandemic, the new COVID-19 RT-PCR test kit ‘ViraGen’ by Cipla has been launched and is now available in the market. The drug major partnered with Ubio Biotechnology Systems for the development of this New ViraGen test kit. As per Cipla’s regulatory filing, this launch of the ViraGen COVID-19 test will aid in addressing the ongoing testing and diagnosis issues in COVID-19 due to capacity while moving forward with the company’s expansion in the diagnostic field.  

This New COVID-19 RT-PCR test will be very fruitful to boost up the COVID-19 diagnosis. ViraGen Cipla test kit has concluded the lagging demand of diagnostic kit and hence the management of COVID-19. ViraGen COVID-19 test kit is Cipla’s third effort towards COVID-19 testing.

How does the ViraGen COVID-19 Test work? 

ViraGen COVID-19 test is Cipla’s latest offering towards COVID-19 management and care. ViraGen Cipla test kit has received approval from the Indian Council of Medical Research (ICMR) as a diagnostic kit for COVID-19. ViraGen Cipla test kit is a real-time detection kit. It is based upon the multiplex Polymerase Chain Reaction (PCR) technology.  

ViraGen assists in the diagnosis and detection of the SARS-CoV-2 N gene and the ORF lab gene. It provides specificity of 98.8% and a sensitivity of 98.6% when compared with the ICMR standard tests. ViraGen Cipla test kit performs qualitative detection. ViraGen COVID-19 test kit detects the nucleic acid from SARS-CoV-2, both in the lower and the upper respiratory specimens from individuals who have symptoms of COVID-19.

ViraGen and COVID-19 in India 

With the COVID-19 infection being widespread, there is always a need for diagnostic kits which can detect the virus at the initial stages and help in controlling further expansion. There has been antigen testing and RT-PCR testing being extensively used to track down and break the chain of coronavirus infection. Cipla has already partnered for antigen and antibody detection kits. This New COVID-19 RT-PCR test kit is now easily accessible from the market. The ViraGen COVID test kit is one step forward towards this motive by Cipla. Cipla has also taken various other efforts towards the ongoing COVID-19 pandemic in the past.

Why the ViraGen COVID-19 test? 

At present, the real-time PCR test is the uttermost reliable, accurate and preferred method for the detection of COVID-19 in symptoms. ViraGen COVID-19 test being the real-time detection kit provides the highest accuracy and diagnosis if there is the existence of coronavirus in your system. The test involves sampling on a nasal swab or a throat swab that is sent to a laboratory to be analysed for further diagnosis. The RT-PCR test continues to be the ”gold standard” for diagnosing COVID-19.

India, being one of the most populated countries, turned into a COVID-19 warplace. The need for diagnosis of COVID-19 before one individual infects another individual is crucial. The New ViraGen test kit was the need of the hour. This New COVID-19 RT-PCR test kit will help manage the volume. A densely populated country like India will benefit from the ViraGen Cipla test kit. Cipla has used its market distributors to make sure that ViraGen is available in the market from May 25, 2021.

Conclusion

In case one shows symptoms of COVID-19 infection like high fever, dry cough, loss of smell or taste, sore throat or breathing issue, it would be smart to choose the New ViraGen test kit to have accurate results. Even if one may have been in contact with any individual who has tested positive, they should undergo COVID-19 testing.

In case you are diagnosed positive of COVID-19, isolate yourself to protect the ones you love and stop the infection chain. Keep a thermometer and oximeter handy and maintain track of your temperature and oxygen levels. Contact your healthcare provider immediately and take the medications as per their suggestion. Also, do not stop taking the precautionary measures of covering your face and mouth and regular sanitisation of hands to control the spread of the virus.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Airborne Vs. Droplet Infections: Measures To Minimise Indoor Transmission Of COVID-19

Introduction

With a sharp rise in Covid-19 infections and deaths globally, the mode of transmission and precautions to minimise the spread of the disease need serious consideration. Earlier, the primary route of transmission of the virus was considered to be through larger respiratory droplets and direct contact with the infected people or surfaces. However, the recent surge in the cases is severe and researchers are speculating the chances of another mode of transmission, which involves inhalation of the airborne particles.

Preventive and control measures are necessary to stop the spread of infection. The current knowledge about the transmission points towards the airborne transmission of the virus through an aerosol generated from an infected person. When the patient exhales or sneezes or coughs, the virus in the aerosol may stay in the air for a long time. Here, we discuss the various modes of transmission of COVID-19 and the proper steps to minimise them, especially the indoor transmission of the virus.

Modes of transmission of the COVID-19 virus

While the COVID-19 infection affects your respiratory system causing severe illness and sometimes even death, some people might be asymptomatic after getting infected. The possible modes of transmission as reported by the World Health Organization (WHO) are as follows:

The virus spreads through the air in the form of aerosolised infected particles, generated by an infected individual or during medical procedures and affects individuals coming in contact with these particles. Here, the particles are smaller than 5 μm in diameter, can remain in the air for long periods and transmitted to others over distances greater than 1m.   

Appropriate measures include sufficient and effective ventilation, possibly enhanced by particle filtration and air disinfection, avoiding air recirculation and avoiding overcrowding.

Dr. M.G. Kartheeka, MBBS, MD

When a person gets infected with the SARS CoV-2 virus, it makes its presence in the saliva and other respiratory secretions or droplets expelled out through coughing, sneezing, talking or singing. Suppose a healthy person comes in contact with the infected person; the virus from the respiratory droplet may reach the nose, mouth or eyes of the healthy person in the vicinity, thereby spreading the infection. Droplet transmission occurs when a person is in close contact, within 1 meter of the infected person.  

The respiratory secretions or droplets may fall on the surfaces and contaminate them. If a healthy person touches this surface and then touches his/her mouth or nose, there are chances of infection. Although few reports suggest this type of transmission in hospitals or healthcare facilities treating COVID-19 patients, there is a possibility of a high viral load on the table surfaces, doorknobs, stethoscopes, etc.    

Although there are reports of the SARS CoV-2 virus in stool, urine, blood and plasma samples, there is no substantial evidence to support the fecal-oral, urine, blood or mother-fetus transmission.

Transmission of the COVID-19 virus can occur by direct contact with infected people and indirect contact with surfaces in the immediate environment or with objects used on the infected person (e.g., stethoscope or thermometer), endotracheal intubation, bronchoscopy, open suctioning, administration of nebulized treatment, etc. are commonly implicated in the causation of airborne transmission.

Dr. Ashish Bajaj – M.B.B.S, M.D.

Key differences between airborne and droplet transmission

An infected person can generate aerosolised droplets nuclei that measure less than 5 µm in size in the air, during talking or exhaling. If healthy people come in contact with the aerosolised particles with a high viral load, they may get infected by inhaling the nuclei directly into the lungs. Furthermore, the aerosolised nuclei may remain suspended for an extended time in the air owing to their small size. However, in droplet transmission, the droplets generated are typically between 5-10  µm in size and can affect an individual only in a close radius of the infected person. 

Indoor transmission of COVID-19

Several reports show indoor transmission of Covid-19 through the aerosolised droplets of sub-micron size present in the air.  

The environmental conditions affect the viability and infectivity of the virus. Indoor transmission occurs in closed places such as daycare centres, universities, schools, offices or hospitals, where people spend longer durations in close contact with each other. On the other hand, the outdoor risks of transmission include viral load in the particulate air and wastewater system. In the outdoors, the virus may remain viable for hours and days on the surface. Although both environments pose a risk for transmission of COVID-19, indoor transmissions are considered more risky than outdoor due to the chances of crowding in a limited space and poor ventilation.

The indoor transmission of Covid-19 is reported in some research studies. Here are a few findings:

  1. One such study shows an indoor spread of the infection in a 2.5 hour long Skagit Valley Chorale choir practice held in Washington state, where 53 of 61 members were infected.
  2. Another study shows the indoor transmission of the virus in a bus that had recirculation of air. Out of the 67 passengers who rode a bus for a worshipping event in an eastern Chinese province, 24 were infected.  

Research further shows that certain factors may increase the indoor spread of the COVID-19 infection:

  1. Poor ventilation.
  2. Faulty air filtration units in hospitals, buildings or restaurants.
  3. Facing towards airflow from the air-conditioner.
  4. Crowding and not maintaining proper distance.
  5. Infected surfaces at the workplace.

Measures to minimise indoor transmission of Covid-19

To reduce the transmission of COVID-19, the following actions are suggested:

Conclusion

Follow hygiene practices such as healthy and safe disposal of PPE kits and waste management.  If indoor environmental control recommendations are followed strictly, coronavirus transmission rates can be drastically minimised. In addition to the air control and ventilation measures, people must follow some essential hygiene etiquettes.

Maintenance of proper physical distance and personal hygiene and use of masks is a must. When coughing or sneezing, one must cover the mouth and nose with tissue paper, which should be properly disposed of after use. In absence of tissue paper or handkerchief, one should cough or sneeze into one’s elbow, not hands.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

1

Mucormycosis: The Deadly Fungal Infection In COVID-19 Patients

Introduction

In India, patients who have recovered from COVID-19 are increasingly being detected with Mucormycosis or black fungus. This is a rare fungal infection caused by a group of fungi called mucormycetes, commonly found in the environment. Though this condition is rare and attacks individuals with compromised immune systems, not treating it in time can be potentially life-threatening. This is why recovering COVID-19 patients have been falling prey to this fungal infection. COVID-19 patients with uncontrolled diabetes and weaker immune systems are particularly at a higher risk of developing this condition.

Common Mucormycosis Symptoms 

Mucormycosis occurs when a person inhales the fungal spores in the air. These spores can be found both outdoors and indoors, especially in hospital settings. Mucormycosis is not a contagious disease and does not spread from an infected person or animal.

The common signs and symptoms of mucormycosis depend on the part of the body where the fungus is growing. The symptoms of mucormycosis that affect the sinus and the brain are:

The symptoms of mucormycosis that affect the lungs include:

Other symptoms of mucormycosis that affect the skin and the patient’s gastrointestinal system include:

As mentioned earlier, mucormycosis is a rare fungal infection in humans. However, one may be at a high risk of contracting this disease in the following conditions:

Also Read: 14 Simple Home Remedies For Fungal Infections

Treatment  for Mucormycosis

The treatment for mucormycosis needs to be quick and aggressive to reduce the effects of the disease. Prompt action reduces the amount of tissue damage and helps reverse the existing damage. The usual course of treatment includes medical and/or surgical treatments and this depends on the severity of the infection and the patient’s overall health condition.

The treatment for mucormycosis may include:

Due to the complicated nature of mucormycosis, its treatment usually requires a team of specialists, surgeons and microbiologists. It is recommended that patients do not try self-medicating for the disease at home.

Also Read: 18 Simple Home Remedies For Fungal Infections!

How to prevent it? 

Mucormycosis has a predilection for patients with comorbidities, making a few groups more vulnerable than others. 

Here are a few ways by which you can prevent mucormycosis in the post-COVID-19 scenario in a patient:

Also Read: What Causes Fingernails to Split Down the Middle: A Comprehensive Examination of the Causes

Conclusion 

As stated above, mucormycosis is a very rare disease. It rarely affects a healthy individual. Hence, it is important to consult your doctor if you suspect a mucormycosis infection. If you or anyone you know is recovering or has recently recovered from COVID-19, closely follow the signs and symptoms of mucormycosis.

The key to effective treatment of mucormycosis is prompt detection, accurate diagnosis and immediate and aggressive treatment. Patients suffering from COVID-19 or those just recovering must practise impeccable personal hygiene to prevent mucormycosis.

Disclaimer: The information included at this site is for educational purposes only and is not intended as a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

14
0

Has Your Child Tested Positive For COVID? Here’s What To Do

The second wave of coronavirus in India is much stronger than the first one, leading to widespread concern. The extent of the spread of COVID is no longer limited to a certain age group, affecting children and adults alike. While there are cases throughout the country, cities such as Mumbai alone have seen a 65% increase in COVID-19 positive reports in paediatric cases since the beginning of March.

This may sound like an alarm bell, but as per the data and research, most cases with children are mild when compared to others. They generally have better prognosis, milder symptoms and are asymptomatic. The major COVID-19 symptoms seen in children are: 

As a parent, it is natural to seek answers regarding the steps you need to take if your child has tested COVID positive. It is necessary to understand that the impact of the disease is low in most cases of COVID in children and it is crucial not to panic. While doing your best to stay calm, follow medical guidelines, safety protocols and your doctor’s advice for a smooth recovery. 

if your child gets COVID-19 they should stay quarantined at home for 10 days after positive testing or onset of symptoms, and must demonstrate improving symptoms without fever for 24 hours.

Dr. M.G. Kartheeka, MBBS, MD

When Should You Take Your Child to the Doctor?

If your child needs to be tested, it is recommended that you observe and keep a close watch on the developing symptoms of COVID-19. The immediate step to be taken is to ensure safety protocols, such as wearing a mask, sanitising and physical distancing, are followed within the family. Consult your child’s doctor for further assistance.

Children with mild symptoms can stay at home throughout their recovery without the need for hospitalisation, if suggested by a pediatrician. However, if your child is experiencing serious symptoms that persist for more than 7 days, medical attention is necessary. The symptoms may include:

What If Your Child Tests Positive for COVID-19?

The spread of coronavirus is mainly from person to person. Parents need not fear, as based on current evidence, children do not appear to be at a higher risk. 

Parents can help prevent the spread of germs and educate their children about how to stop the spread of COVID-19 infection. Besides encouraging your child to follow safety protocols and hygienic methods, do the following: 

Make sure you consult your doctor in any type of medical emergency. It is advised not to self-medicate your child. A proper diagnosis of the symptoms by a paediatrician is required for any prescription or medication.

What is the COVID-19 Incubation Period for Children?

The incubation period is defined as a period between the contraction of the virus and the onset of symptoms. In the case of the coronavirus,

On average, symptoms showed around 5 days post-exposure to the virus. While caring for your children, keep in mind that the contagious stage is around 1-2 days before the symptoms occur. Hence, regardless of the stage, it is advised that you follow safety protocols strictly throughout the period of disease and recovery. 

Will There be a COVID-19 Vaccine for Children?

Vaccines go under several clinical trials so that their safety and effectiveness is ensured; hence their availability depends on these trials. For now, the best way to protect and recover from COVID-19 is by following public safety and health guidelines. 

Educate Your Kids Now, for a Safer Tomorrow

As a parent, explain the importance of hygienic practices and safety protocols and their role in disease prevention. It is natural to have queries, but the key is to refrain from panicking and educating your children instead. If a child tests positive for the virus, ensure that you put safety and hygiene, along with mental health.

The question of mental health arises as children can commonly have misconceptions or queries about the disease. As parents, do your best to have an age-appropriate conversation where you explain the situation in a manner that induces a sense of calm and answers their questions as well. Lead by example, tell them about safety and hygiene and teach them the appropriate measures to be taken during outbreaks and related health issues. 

Do consult a paediatrician at the earliest even for the mild and asymptomatic cases. Monitor your child’s health and behaviour and watch out for signs and symptoms requiring medical attention. 

To relieve stress, family time with safety protocols is recommended. Focus on the things to be grateful for while spending quality time. Along with these, ensure that your kids constantly wash their hands, sanitise, maintain respiratory hygiene, adhere to proper disposal of materials, etc. 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Things You Must Know About COVID-19 Treatment

Every sneeze, cough or fever does not mean you have COVID-19. With the current scenario of rising COVID-19 cases, it is natural to feel worried about its symptoms and how it is treated. Many COVID-19 cases can be treated at home but a few require hospitalisation and further treatment. Let’s understand more about coronavirus treatment in this article!

While a majority of people develop mild to moderate symptoms including fever, tiredness, fatigue, dry cough, loss of taste and smell due to COVID-19, the less common symptoms include headache, sore throat, diarrhoea, conjunctivitis and skin rash. The more severe cases show difficulty in breathing, loss of speech and pain in the chest. 

The most reliable test for the diagnosis of this disease is an RT PCR test that gives the accurate amount of virus detected in a sample. In advanced cases of the disease, a CT scan may be needed to diagnose the lung condition. The treatment of COVID-19 depends upon the symptoms and their degree in each patient.

Home treatment for COVID-19

If you experience any of the COVID-19 symptoms, it is best to get yourself tested. If the result comes back as positive, then consult with your doctor immediately. Most asymptomatic and mild cases are advised of COVID home treatment and quarantine. However, you must always do so after consulting your doctor regarding their suggestion or advice.

Here are some ways how you can take care of yourself during home treatment for COVID-19:

The first and most important thing to do before you begin home treatment for COVID is to isolate yourself from others in the house. This helps to protect them from the infection. Quarantine in a well-ventilated room with an attached bathroom, so you don’t have to come in contact with other people in your house. Always wear an N-95 mask when coming in contact with a caregiver or family member.

It is absolutely essential to keep yourself well-hydrated during your recovery period. Make sure you drink enough water throughout the day and avoid caffeinated drinks and alcohol.

COVID patients isolating and recovering at home must follow all safety and hygiene measures like washing their hands with soap and water for at least 40 seconds or use an alcohol-based hand sanitiser frequently. The surfaces in the room that are touched often must be cleaned regularly with 1% hypochlorite solution.

While you are recovering from COVID-19 at home, you must constantly monitor your vitals that includes daily temperature check, O2 levels using a pulse oximeter three to four times a day, heart rate, breathing rate and an overall symptom update. It is best to make a chart with all these parameters for each day as it makes it easier for you and your doctor to determine the progress of your treatment.

An essential part of COVID home treatment is staying in constant touch with your treating physician. The vitals that you monitor throughout the day must be conveyed to your treating physician so that they are aware of the progress in your treatment.

If you are under medications for your existing comorbidities, continue taking them and let your doctor know about them right at the beginning of treatment. This helps them prescribe appropriate medications and make clinical decisions based on the existing medications and medical conditions.

The best way to treat symptoms like sore throat and dry cough at home is warm water gargle and steam inhalation two to three times a day.

The goal of COVID-19 home treatment is symptomatic relief while the body recovers from the disease. Most often, patients are prescribed medication for fever and other symptoms. A proper diet, lots of water and ample rest help to relieve fatigue.

Hospital Treatment for COVID

Patients need to monitor their health and seek medical attention in the following cases:

These conditions may require one to seek hospital treatment for COVID-19. If you are wondering whether there is any cure for coronavirus, you must know that there is no cure yet and hospital treatment for the condition provides supportive care. 

Patients are assessed for their symptoms, vitals, need for oxygen, the amount of gas required, frequency of change of the cylinder and the need for oxygen concentrators.

Mind Over Matter

With the pandemic well raging for over a year now, it has created immense fatigue among the healthcare and frontline workers and a sense of panic and fear among the people. This panic crosses all limits when one tests positive for the virus or any of their family members. Studies show that having a positive mindset and good mental health leads to faster recovery from COVID-19 both at home as well as in a hospital setting.

Panic and fear trigger stress in our bodies, which automatically reduces our immunity and ability to fight infections. Practising meditation, breathing techniques or continuing light exercises helps to boost your immunity and hasten your recovery. The best way to keep a positive attitude is by engaging yourself in an alternative activity like a hobby, reading books, watching your favourite shows on TV, etc. It may be a good idea to steer clear of negative news or change the channel as soon as you see it. 

Developing self-coping strategies is a great way to recover for COVID-19 in the shortest time and healthiest way possible.

Conclusion

If you have recovered from COVID-19, kudos to you! You’ve been brave and strong! Though you now have antibodies against the virus, do not let your guard down yet as there are chances of reinfection. Practice all COVID-19 preventive measures like double masking, social distancing and frequent hand hygiene at all times.

6 to 8 weeks post-recovery, get yourself vaccinated to strengthen your immunity against the virus and protect those around you as well. Spread positivity and do not panic in these critical times as it goes a long way in helping people cope with the stress of the disease.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Recent COVID-19 Questions You May Not Know The Answers To


Even though COVID has changed the world and almost everyone has been forced to confront its impact, we really and truly understand the actual danger when we or our loved ones have been exposed to the virus and there is a risk that we might get infected. 

That is when a series of questions pop up in our minds- all related to the threat posed by the coronavirus and how we can keep our family and friends safe. Even though we read COVID-related news almost every day, there might still be a few things you don’t know about it. But if you have been exposed, you should definitely familiarize yourself with a few facts to ensure that you don’t infect others near you.

Q1: What is the difference between asymptomatic and presymptomatic COVID?


Ans: You may often come across these terms in discussions regarding how communicable COVID is. Asymptomatic means without symptoms. So an asymptomatic COVID patient does not exhibit any of the known COVID signs such as dry coughing, sore throat, extreme exhaustion, or fever.

Presymptomatic COVID refers to the stage between exposure to the virus and the onset of the symptoms. Basically, this is the incubation period of the virus. The presymptomatic stage lasts for about 5-6 days from the time you were exposed to the virus.

Q2: Can asymptomatic patients pass on COVID to those near them?


Ans: Extensive contact-tracing surveys have found that asymptomatic COVID patients are less likely to be contagious than symptomatic patients. But that does NOT rule out the fact that asymptomatic persons CAN be contagious. Here’s why-

20% of all COVID patients are asymptomatic in the traditional sense, which means they do not show the usual signs of COVID. But doctors now believe that there might be ‘hidden symptoms’. There will be some change in their physical abilities during the course of the infection. For example, they might feel unusually fatigued. So, no one is truly ‘asymptomatic’. Every one in whose bodies the coronavirus is present is contagious.

Q3: Is the pre-symptomatic phase contagious?


Ans: Presymptomatic people are extremely contagious. Studies have found that the most viral shedding takes place during the incubation period right before the symptoms show up. In fact, droplets from the respiratory system of presymptomatic patients have more viruses per millimeter than a person with a full-fledged COVID infection. 

Q4: How soon after exposure will the symptoms of COVID show up?


Ans: Generally, symptomatic patients will notice the signs of COVID within 5-6 days of exposure to coronavirus. There are usually no symptoms during the incubation period of COVID. But in rare cases, the incubation may take about 14 days, and only after these 2 weeks will the person see any symptoms.  

Q5: Can COVID be transmitted through a common washroom?


Ans: Yes, COVID can spread through washrooms. If you think you’ve been exposed to COVID or if you have the infection, allot a washroom for your own use. No one else should use it. 

Scientists have found traces of COVID in the urine and feces of infected people. You might say, ”I always flush after using the commode.” But flushing sends a huge volume of invisible water spray into the air and this spray contains molecules of urine and feces. If someone uses the washroom right after you, they will be exposed to coronavirus. 

Q6: What should I do if I’ve been exposed to someone with COVID?


Ans: If you came within 6 feet of someone who has been diagnosed with COVID, or someone in whose family there’s a COVID patient, then you need to go into self-isolation as soon as possible.

Q7: How long should I stay in isolation if I think I’ve been exposed?


Ans: Stay in isolation until you are sure that you don’t have the infection. That means isolation for the presymptomatic or incubation period of the virus. If you do have COVID, the symptoms are likely to show up in 5-6 days after exposure. If they don’t, it could mean-

If you know for sure that you came in contact with a COVID positive person, you should consider getting tested if there are no symptoms after the incubation period. If there is no definitive proof that you were exposed and it is just a hunch, you can resume your earlier lifestyle after a week. But wear a mask when you are near your family members for 14 days just to be safe. 

Q8: How long will I be contagious if I am infected with COVID?


Ans: According to scientists, the median recovery time for people with COVID is generally 2 weeks. People with severe COVID infection might need between 3-6 weeks to recover. You are contagious during this time. So, you need to stay in quarantine for the entire recovery period. 

Educating ourselves regarding COVID and never going easy on hygiene is the best way to keep ourselves and all our loved ones safe. 

Uncommon COVID-19 Symptoms You Need To Know Now!

COVID-19 shows no signs of going away. Even as the world tries, it’s best to come up with an effective vaccine, thousands continue to get infected every day and the death toll has reached horrifying heights. 

In India, the pandemic has already affected nearly 5 million people. And as we all know by now, the best way to protect ourselves from the disease is to be familiar with the symptoms, seek treatment at the right time, and maintain personal hygiene and social distancing.

But what if you don’t recognize the symptoms? It is possible because new strains of the coronavirus are triggering signs that you would never associate with COVID-19. In this article, we will look at some of these uncommon COVID-19 symptoms. 

Traditional symptoms of coronavirus

Since the pandemic began way back in early 2020, healthcare professional across the world raised awareness regarding the most prominent symptoms that the virus triggers which include-

  1. High fever
  2. Body ache, headache, and muscle ache
  3. Constant dry coughing
  4. Sore or painful throat
  5. Low levels of oxygen in the blood
  6. Difficulty in breathing
SUBHEADING-02

Accordingly, when people noticed these symptoms in themselves or people they know, they would get tested. 

But now, it has been discovered that coronavirus is giving rise to a new set of symptoms. And you need to be familiar with them, otherwise, you won’t even know that you have contracted COVID-19.

The most surprising new symptom- COVID-Toe

Doctors have known for long that the virus is evolving and new types or strains are emerging. With time, new data have emerged that point to the changing nature of the coronavirus. 

The most surprising new symptoms that doctors have observed are chilblain-like toes or fingers in COVID-19 patients. 

Chilblains usually affect your toes and feet when they are exposed to very cold air. The blood vessels get inflamed and the toes and fingers become swollen, red, and very itchy.  

But now COVID-19 is also triggering chilblains and doctors are calling it COVID-toes. COVID-toes (can also affect fingers) are not just red and inflamed but may also be accompanied by pustules, blisters, and significant pain.

So far, medical experts have noticed that COVID-toes show up once the infection has progressed and are more common in children than adults. 

In fact, many cases of COVID-19 have been diagnosed because the doctors saw chilblains in the patients and recommended a COVID test.

Also Read: Does Urinating After Sexual Intercourse Prevent Pregnancy: Dispelling Sexual Health Myths 

Other new symptoms of COVID-19

New cases of COVID-19 have shed light on many unexpected symptoms of this disease. Doctors still do not know why COVID-19 might trigger them. But recently, some patients with coronavirus have shown these signs-

  1. Hair loss
  2. Hiccups
  3. Sudden weight loss
  4. Various skin-related issues
  5. Conjunctivitis-like symptoms such as eye discharge, soreness, inflammation, itchy eyes and redness in the eyes

It’s time to be on alert

It is very difficult to predict what new symptoms COVID-19 will present. The disease is unpredictable and doctors still have a lot to learn. That is why we all need to be cautious. If you are feeling even slightly unwell, or witness any new symptoms, speak with a medical expert. It could be something harmless or it could be COVID-19. 

Until a vaccine is invented, stay home as much as possible. And when you go out, observe the COVID-19 protocol. That is the only way to keep yourself and everyone safe.