Efficacy of the Indian healthcare regimes to tackle the septic shocks associated with Covid 19 infections
Author(s): Mahak Choudhary, Sanket Bakshi, Sonali Choudhary
Abstract
Background: The uninhibited spread of a novel coronavirus termed as severe acute respiratory disease coronavirus 2 (SARS-CoV-2) by the International Committee on Taxonomy of Viruses (ICTV), has led to the emergence of the coronavirus disease 2019 pandemic worldwide, more popularly known as the COVID19 pandemic. There have been over 86 million global confirmed cases till date, and the disease is known to have a 2.2% case fatality rate, having claimed over 1.87 million lives. Initially having being regarded as a purely respiratory disease with symptoms of viral pneumonia such as fever, fatigue, dry cough, and lymphopenia, Covid19 is now also known to wreak havoc on organs such as the kidney, heart, liver and on organ systems such as the blood and the immune system and lead to development of sepsis induced multiorgan dysfunction syndrome. Many older patients with existing comorbidities such as cardiovascular disease, liver disease, kidney disease or malignant tumours, have been recorded to have a more severe infection and have reportedly been at a higher mortality risk. Hence there is a need to be more attentive of the potential multi-organ injuries and to determine the factors that contribute to their progression in order to prevent the worsening prognosis that has come to be associated with COVID-19. Although the eventual progress towards multi-organ failure in severe Covid cases is established, the factors that contribute towards this menacing prognosis are rather an enigma. Results concluded from this study will surely help in determining the efficiency of the healthcare fraternity to tackle the Covid associated shock. Objectives: Elaborating the linkage allying Covid 19 infections and septic shocks, to assess the efficacy of sepsis management, provided in the Indian healthcare system, to evaluate the approved protocol of management in emergent septic shocks of Covid patients. Methodology: A validated questionnaire will be circulated amongst the doctors, medical executives and house residents posted in the Covid wards of various Government as well as private institutions. The data collected from the said questionnaires would be analyses using various statistical tests to have an accurate conclusion, depicted through graphical figures then. Results: The study would play a key role to set the protocol for treatment of sepsis associated covid cases under scrutiny, benefiting the further advances in the treatment modalities. Conclusion: The prognosis of sepsis in severe Covid 19 cases, mostly has a fatal end. This study would help to put emphasis on the treatment guidelines and modalities approved in the Indian healthcare system, to tackle this pathology.