Epidemiology, clinical characteristics, and treatment outcomes of patients with COVID-19 at Thailand's university-based referral hospital

BMC Infect Dis. 2021 Apr 26;21(1):382. doi: 10.1186/s12879-021-06081-z.

Abstract

Background: The epidemiology and outcomes of COVID-19 patients in Thailand are scarce.

Methods: This retrospective cohort study included adult hospitalized patients who were diagnosed with COVID-19 at Siriraj Hospital during February 2020 to April 2020.

Results: The prevalence of COVID-19 was 7.5% (107 COVID-19 patients) among 1409 patients who underwent RT-PCR for SARS-CoV-2 detection at our hospital during the outbreak period. Patients with COVID-19 presented with symptoms in 94.4%. Among the 104 patients who were treated with antiviral medications, 78 (75%) received 2-drug regimen (lopinavir/ritonavir or darunavir/ritonavir plus chloroquine or hydroxychloroquine), and 26 (25%) received a 3-drug regimen with favipiravir added to the 2-drug regimen. Disease progression was observed in 18 patients (16.8%). All patients with COVID-19 were discharged alive.

Conclusions: The prevalence of COVID-19 was 7.5% among patients who underwent RT-PCR testing, and 10% among those having risk factors for COVID-19 acquisition. Combination antiviral therapies for COVID-19 patients were well-tolerated and produced a favorable outcome.

Keywords: COVID-19; Clinical characteristics; Epidemiology; Outcome; Thailand; Treatment.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Amides / therapeutic use
  • Antiviral Agents / therapeutic use
  • COVID-19 / epidemiology*
  • COVID-19 Drug Treatment
  • Chloroquine / therapeutic use
  • Darunavir / therapeutic use
  • Disease Progression
  • Drug Combinations
  • Female
  • Hospitals
  • Hospitals, University
  • Humans
  • Hydroxychloroquine / therapeutic use
  • Lopinavir / therapeutic use
  • Male
  • Middle Aged
  • Pyrazines / therapeutic use
  • Referral and Consultation
  • Retrospective Studies
  • Ritonavir / therapeutic use
  • Thailand / epidemiology
  • Treatment Outcome
  • Young Adult

Substances

  • Amides
  • Antiviral Agents
  • Drug Combinations
  • Pyrazines
  • lopinavir-ritonavir drug combination
  • Lopinavir
  • Hydroxychloroquine
  • Chloroquine
  • favipiravir
  • Ritonavir
  • Darunavir