Incidence of covid-19 infection in haemato-oncology unit in a non-covid hospital

2020 
Aims & Objectives: The entire world is facing a severecrisis, regarding a new type of Coronavirus Patients with oncological or hematological diseases have considered at high risk for severe COVID-19 Here in this observational study we present our data from a tertiary care cancerhospital Patients/Materials & Methods: This study was conducted in atertiary Non-Covid cancer center betwee April 2020 to September 2020, was following the Lombardy experience we felt the incidence of COVID infection can be minimized among the vulnerable group Data was collected prospectively Every patient admission in haematology-oncology and bone marrow transplantation unit were strictly followed using the Lombardy guidelines Every patient and one attendant under went COVIDRT PCR before admission and patient will had an additional plain CT chest Before there sult they were segregated in a specialized isolation area with strict adherence Results: During the study period a total of 374 [day care 214 and in patient 160] patients were admitted which included Acute leukemia, Lymphoma and Myeloma for day care chemotherapy, Aplastic anemia for Immunosuppressive therapy and Bone marrow transplantation (autologous and allogenic) Males were 191 and females were 183;median age was 43yrs Six >2 in day care and 4 in patient] patients out of 374 had COVID infection >0 9% day care and 2 5% In patient] [1 6% over all], [4-AML;1 testicular lymphoma and 1 primary CNS lymphoma] Out of 6 patients 4 had moderate disease as perWHOdefinition requiring high flow oxygen support, remidisvir, steroids and anticoagulation One patient with AML had life threatening infection and died The remaining patients recovered with no morbidity and continued further treatment Discussion & Conclusion: Our study indicates following strict adherence to social distancing and proper handling of cases, reduces the incidence of COVID infection and improves the final outcome of patients in continued Oncological care
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