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Clinical characteristics of diarrhea in 90 cases with COVID-19: A descriptive study.

Authors
  • Xiao, Yaru1
  • Huang, Sufang2
  • Yan, Li1
  • Wang, Hui1
  • Wang, Fang1
  • Zhou, Ting1
  • Deng, Juan1
  • He, Mei1
  • 1 Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan, China. , (China)
  • 2 Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan, China. Electronic address: [email protected] , (China)
Type
Published Article
Journal
International emergency nursing
Publication Date
Sep 01, 2020
Volume
52
Pages
100912–100912
Identifiers
DOI: 10.1016/j.ienj.2020.100912
PMID: 32827932
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The novel coronavirus disease (COVID-19) has spread worldwide. Herein, we aimed to clarify the epidemiological and clinical characteristics of patients presenting with diarrhea. A descriptive design was adopted from Jan 10 to Feb 17, 2020. All the cases included were diagnosed with COVID-19 under the interim guidance of the WHO. 912 patients with COVID-19 were admitted to hospital, in which, 90 cases (9.87%) presented with diarrhea. Among the 90 cases, 8 cases (9%) presented with diarrhea as the initial symptom, and 24%, 17%, and 24% of the patients complained of nausea, vomiting, and poor appetite, respectively. The most common fecal characteristics on admission were watery stool (64%) and mushy stool (28%). For the defecation frequency, 37% of the cases defecated over three times a day. The median time from illness onset to diarrhea was 3.0 days (IQR 0.0-5.0) and the median duration of diarrhea was 5.0 days (IQR 2.0-9.3). Clinicians are required to promptly identify the patients with initial diarrhea symptoms and pay adequate attention to the nutrient requirements of the patients with diarrhea during hospitalization. Standardized management is also recommended for the discharge of the patients to avoid potential fecal-oral transmission. Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

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