‘Patterns’ of COVID-19 Coronavirus Infection in Pregnant Women in Physician Practice
Shaimerdenova G.
2024National Scientific Medical Center
Journal of Clinical Medicine of Kazakhstan
2024#21Issue 466 - 70 pp.
Objectives: Evaluation of the Effectiveness of Developed Algorithms for Managing Pregnant Women and Assessing Severity Using the WHO ABCDE Approach During COVID-19 Among Practicing Physicians Material and methods: To evaluate the effectiveness of the algorithm for managing pregnant women and assessing severity using the WHO ABCDE approach during COVID-19, we analyzed 102 medical records of pregnant patients with COVID-19 who received treatment in infectious disease hospitals and perinatal centers in the city of Shymkent from January to April 2022. Results: Diagnostic errors were made in 22.5% of the sample before the training on the developed algorithms. Following the training sessions, the error rate decreased by 7.8%. Physicians identified errors in the following diagnoses: influenza – 10.8% (11 cases), acute intestinal infections – 4.9% (5 cases), acute cerebrovascular accident, measles, and atypical pneumonia – 1.9% (2 cases each), and Kawasaki disease – 0.9% (1 case). After the training, the incidence of the diagnosis of Influenza decreased by 4.9% and Acute intestinal infections by 3%. Our findings revealed that the percentage of diagnostic errors (underdiagnosis) significantly dropped from 41.2±6.9% (n=51) to 11.6%±4.9 (p<0.01) (n=43), representing a reduction of more than 3.6 times. The analysis of diagnostic errors related to the underdiagnosis of COVID-19 and the implementation of the algorithm for the management and severity assessment based on the WHO ABCDE approach led to a more than 3.6-fold decrease in cases of delayed diagnosis. Conclusions: The analysis of diagnostic errors related to the underdiagnosis of COVID-19 and the implementation of the management and severity assessment algorithm based on the WHO ABCDE approach led to a more than 3.6-fold reduction in the number of delayed diagnoses.
COVID-19 , mistakes , pregnancy , SARS-Cov-2
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Department of Infectious Diseases and Dermatovenerology, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
Department of Infectious Diseases and Dermatovenerology
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