Clinical Characteristics and Transmission Routes of COVID-19 in the Early Period of the Pandemic in a Non-Covid Ward of Chest Diseases Hospital

Objective: In the early stages of outbreak, Covid patients were followed-up in isolated Wards, and examinations other pulmonary diseases continued Non-Covid wards. Differential diagnosis between COVID-19 infections caused by pathogens is not adequately recognized. For this reason, it even more difficult to identify who are infected with SARS-CoV2 or pathogens. present study, clinical characteristics transmission routes Covid-19 cases Wards within approximately 2 months’ time after onset pandemic analyzed speculatively. Method: periods pandemic, quarantine wards created for Chest Diseases Hospital, but there also changes new hospitalizations. The Ward examined retrospectively observationally 10.03.2020 30.04.2020. Results: During period, a total 35 detected as patient, companion healthcare employees. median age was 50 years (min-max 25-85). There 17 (48.6%) severe, 18 severe (51.4%), 10 (28.6%) died. A 25 (71,4%) verified SARS-CoV-2 Nucleic Acid Test, (28,6%) diagnosed clinically radiologically possible cases. Being 65 old over, having comorbid diseases, especially COPD, presence dyspnea symptom involvement on chest radiography found be significantly associated survival (p0.027, 0.009, 0.038, 0.000 0.033, respectively). Lymphopenia, increase neutrophil count, CRP NLR value statistically related (p 0.005, 0.001, 0.014 0.000, We 4 super spreaders, one whom companion, 3 patients. Conclusion: Potential “super spreaders” can source infection before conditions applied comprehensive protection implemented. quarantine, use personal protective equipment, application social distancing, implementation preventive measures, such disinfection, crucial controlling nosocomial