Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India
ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile...
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2024 |
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In: Mycology - Taylor & Francis Group, 2016, 15(2024), 1, Seite 70-84 |
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volume:15 ; year:2024 ; number:1 ; pages:70-84 |
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| DOI / URN: |
10.1080/21501203.2023.2271928 |
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DOAJ100893724 |
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| 520 | |a ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. | ||
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10.1080/21501203.2023.2271928 doi (DE-627)DOAJ100893724 (DE-599)DOAJ1ca70c2bc1ac4c3a8329c7c11d74f4b5 DE-627 ger DE-627 rakwb eng QH301-705.5 QR1-502 Rizwan Suliankatchi Abdulkader verfasserin aut Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. Mucormycosis India cohort hospitalisation COVID-19 survival Biology (General) Microbiology Manickam Ponnaiah verfasserin aut Tarun Bhatnagar verfasserin aut Devika S verfasserin aut Amanda G.A Rozario verfasserin aut Gayathri K verfasserin aut Malu Mohan verfasserin aut Michaelraj E verfasserin aut Divya Saravanakumar verfasserin aut Aditya Moorthy verfasserin aut Amit Kumar Tyagi verfasserin aut Bhagirathsinh D Parmar verfasserin aut K Devaraja verfasserin aut Gaurav Medikeri verfasserin aut Jutika Ojah verfasserin aut Kajal Srivastava verfasserin aut Karthikeyan K verfasserin aut Nandini Das verfasserin aut Niharika B verfasserin aut Parul Sharma verfasserin aut Pradipta Kumar Parida verfasserin aut Prasanna Kumar Saravanam verfasserin aut Praveen Kulkarni verfasserin aut Priya S verfasserin aut Pushpa Patil S verfasserin aut Rahul Kumar Bagla verfasserin aut Ramesh D verfasserin aut Renuka S Melkundi verfasserin aut Satish S Satpute verfasserin aut Seetharaman Narayanan verfasserin aut Shubhashri Jahagirdar verfasserin aut Simmi Dube verfasserin aut Sunil Kumar Panigrahi verfasserin aut Surendra Babu D verfasserin aut Vaibhav Saini verfasserin aut Rita Singh Saxena verfasserin aut Abhinav Srivastava verfasserin aut Achyut Chandra Baishya verfasserin aut Ajai Garg verfasserin aut Amit Kumar Mishra verfasserin aut Anjan Jyoti Talukdar verfasserin aut Ankita Kankaria verfasserin aut Arathi Karat verfasserin aut Arul Sundaresh Kumar verfasserin aut Ashi Chug verfasserin aut Ashok Vankundre verfasserin aut Balakrishnan Ramaswamy verfasserin aut Bharathi MB verfasserin aut Bhargav R Jadav verfasserin aut Muthuswamy Dhiwakar verfasserin aut Girija Ghate verfasserin aut Hardik V Shah verfasserin aut Ipsita Saha verfasserin aut Kavya Sivapuram verfasserin aut Krupal J Joshi verfasserin aut Mahendra Singh verfasserin aut Mukesh Chand Bairwa verfasserin aut Divya K verfasserin aut Karthikeyan K verfasserin aut Muthurajesh E verfasserin aut Navneh Samagh verfasserin aut Nethra Dinakaran verfasserin aut Nikhil Gupta verfasserin aut Nitin Gupta verfasserin aut Nitin M Nagarkar verfasserin aut Nitin Solanki verfasserin aut Prasan Kumar Panda verfasserin aut Prithvi Bachalli verfasserin aut Raghunath Shanbag verfasserin aut Rajashri Patil verfasserin aut Rajesh Kumar A verfasserin aut Rakesh Narayan Patil verfasserin aut Ramanikanth Thookkanaickenpalayam Vijayaraghavan verfasserin aut Ramesh Hanumantappa verfasserin aut Rathinavel A verfasserin aut Saleel Kumar Mandal verfasserin aut Sanjay Pandharinath Kishve verfasserin aut Sara Varghese Thomas verfasserin aut Saurav Sarkar verfasserin aut Shalini Thakur verfasserin aut Siddaram Patil verfasserin aut Somu Lakshmanan verfasserin aut Srinivas D Rao verfasserin aut Sumathi V verfasserin aut Tulasi Nayak verfasserin aut Umesh R Dixit verfasserin aut Unnikrishnan B verfasserin aut Varsha Backiavathy verfasserin aut Vijendra Shenoy verfasserin aut Vinay Kumar Hallur verfasserin aut Aparna Bhatnagar verfasserin aut Manoj V Murhekar verfasserin aut In Mycology Taylor & Francis Group, 2016 15(2024), 1, Seite 70-84 (DE-627)626457645 (DE-600)2553667-9 21501211 nnns volume:15 year:2024 number:1 pages:70-84 https://doi.org/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/article/1ca70c2bc1ac4c3a8329c7c11d74f4b5 kostenfrei https://www.tandfonline.com/doi/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/toc/2150-1203 Journal toc kostenfrei https://doaj.org/toc/2150-1211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 1 70-84 |
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10.1080/21501203.2023.2271928 doi (DE-627)DOAJ100893724 (DE-599)DOAJ1ca70c2bc1ac4c3a8329c7c11d74f4b5 DE-627 ger DE-627 rakwb eng QH301-705.5 QR1-502 Rizwan Suliankatchi Abdulkader verfasserin aut Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. Mucormycosis India cohort hospitalisation COVID-19 survival Biology (General) Microbiology Manickam Ponnaiah verfasserin aut Tarun Bhatnagar verfasserin aut Devika S verfasserin aut Amanda G.A Rozario verfasserin aut Gayathri K verfasserin aut Malu Mohan verfasserin aut Michaelraj E verfasserin aut Divya Saravanakumar verfasserin aut Aditya Moorthy verfasserin aut Amit Kumar Tyagi verfasserin aut Bhagirathsinh D Parmar verfasserin aut K Devaraja verfasserin aut Gaurav Medikeri verfasserin aut Jutika Ojah verfasserin aut Kajal Srivastava verfasserin aut Karthikeyan K verfasserin aut Nandini Das verfasserin aut Niharika B verfasserin aut Parul Sharma verfasserin aut Pradipta Kumar Parida verfasserin aut Prasanna Kumar Saravanam verfasserin aut Praveen Kulkarni verfasserin aut Priya S verfasserin aut Pushpa Patil S verfasserin aut Rahul Kumar Bagla verfasserin aut Ramesh D verfasserin aut Renuka S Melkundi verfasserin aut Satish S Satpute verfasserin aut Seetharaman Narayanan verfasserin aut Shubhashri Jahagirdar verfasserin aut Simmi Dube verfasserin aut Sunil Kumar Panigrahi verfasserin aut Surendra Babu D verfasserin aut Vaibhav Saini verfasserin aut Rita Singh Saxena verfasserin aut Abhinav Srivastava verfasserin aut Achyut Chandra Baishya verfasserin aut Ajai Garg verfasserin aut Amit Kumar Mishra verfasserin aut Anjan Jyoti Talukdar verfasserin aut Ankita Kankaria verfasserin aut Arathi Karat verfasserin aut Arul Sundaresh Kumar verfasserin aut Ashi Chug verfasserin aut Ashok Vankundre verfasserin aut Balakrishnan Ramaswamy verfasserin aut Bharathi MB verfasserin aut Bhargav R Jadav verfasserin aut Muthuswamy Dhiwakar verfasserin aut Girija Ghate verfasserin aut Hardik V Shah verfasserin aut Ipsita Saha verfasserin aut Kavya Sivapuram verfasserin aut Krupal J Joshi verfasserin aut Mahendra Singh verfasserin aut Mukesh Chand Bairwa verfasserin aut Divya K verfasserin aut Karthikeyan K verfasserin aut Muthurajesh E verfasserin aut Navneh Samagh verfasserin aut Nethra Dinakaran verfasserin aut Nikhil Gupta verfasserin aut Nitin Gupta verfasserin aut Nitin M Nagarkar verfasserin aut Nitin Solanki verfasserin aut Prasan Kumar Panda verfasserin aut Prithvi Bachalli verfasserin aut Raghunath Shanbag verfasserin aut Rajashri Patil verfasserin aut Rajesh Kumar A verfasserin aut Rakesh Narayan Patil verfasserin aut Ramanikanth Thookkanaickenpalayam Vijayaraghavan verfasserin aut Ramesh Hanumantappa verfasserin aut Rathinavel A verfasserin aut Saleel Kumar Mandal verfasserin aut Sanjay Pandharinath Kishve verfasserin aut Sara Varghese Thomas verfasserin aut Saurav Sarkar verfasserin aut Shalini Thakur verfasserin aut Siddaram Patil verfasserin aut Somu Lakshmanan verfasserin aut Srinivas D Rao verfasserin aut Sumathi V verfasserin aut Tulasi Nayak verfasserin aut Umesh R Dixit verfasserin aut Unnikrishnan B verfasserin aut Varsha Backiavathy verfasserin aut Vijendra Shenoy verfasserin aut Vinay Kumar Hallur verfasserin aut Aparna Bhatnagar verfasserin aut Manoj V Murhekar verfasserin aut In Mycology Taylor & Francis Group, 2016 15(2024), 1, Seite 70-84 (DE-627)626457645 (DE-600)2553667-9 21501211 nnns volume:15 year:2024 number:1 pages:70-84 https://doi.org/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/article/1ca70c2bc1ac4c3a8329c7c11d74f4b5 kostenfrei https://www.tandfonline.com/doi/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/toc/2150-1203 Journal toc kostenfrei https://doaj.org/toc/2150-1211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 1 70-84 |
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10.1080/21501203.2023.2271928 doi (DE-627)DOAJ100893724 (DE-599)DOAJ1ca70c2bc1ac4c3a8329c7c11d74f4b5 DE-627 ger DE-627 rakwb eng QH301-705.5 QR1-502 Rizwan Suliankatchi Abdulkader verfasserin aut Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. Mucormycosis India cohort hospitalisation COVID-19 survival Biology (General) Microbiology Manickam Ponnaiah verfasserin aut Tarun Bhatnagar verfasserin aut Devika S verfasserin aut Amanda G.A Rozario verfasserin aut Gayathri K verfasserin aut Malu Mohan verfasserin aut Michaelraj E verfasserin aut Divya Saravanakumar verfasserin aut Aditya Moorthy verfasserin aut Amit Kumar Tyagi verfasserin aut Bhagirathsinh D Parmar verfasserin aut K Devaraja verfasserin aut Gaurav Medikeri verfasserin aut Jutika Ojah verfasserin aut Kajal Srivastava verfasserin aut Karthikeyan K verfasserin aut Nandini Das verfasserin aut Niharika B verfasserin aut Parul Sharma verfasserin aut Pradipta Kumar Parida verfasserin aut Prasanna Kumar Saravanam verfasserin aut Praveen Kulkarni verfasserin aut Priya S verfasserin aut Pushpa Patil S verfasserin aut Rahul Kumar Bagla verfasserin aut Ramesh D verfasserin aut Renuka S Melkundi verfasserin aut Satish S Satpute verfasserin aut Seetharaman Narayanan verfasserin aut Shubhashri Jahagirdar verfasserin aut Simmi Dube verfasserin aut Sunil Kumar Panigrahi verfasserin aut Surendra Babu D verfasserin aut Vaibhav Saini verfasserin aut Rita Singh Saxena verfasserin aut Abhinav Srivastava verfasserin aut Achyut Chandra Baishya verfasserin aut Ajai Garg verfasserin aut Amit Kumar Mishra verfasserin aut Anjan Jyoti Talukdar verfasserin aut Ankita Kankaria verfasserin aut Arathi Karat verfasserin aut Arul Sundaresh Kumar verfasserin aut Ashi Chug verfasserin aut Ashok Vankundre verfasserin aut Balakrishnan Ramaswamy verfasserin aut Bharathi MB verfasserin aut Bhargav R Jadav verfasserin aut Muthuswamy Dhiwakar verfasserin aut Girija Ghate verfasserin aut Hardik V Shah verfasserin aut Ipsita Saha verfasserin aut Kavya Sivapuram verfasserin aut Krupal J Joshi verfasserin aut Mahendra Singh verfasserin aut Mukesh Chand Bairwa verfasserin aut Divya K verfasserin aut Karthikeyan K verfasserin aut Muthurajesh E verfasserin aut Navneh Samagh verfasserin aut Nethra Dinakaran verfasserin aut Nikhil Gupta verfasserin aut Nitin Gupta verfasserin aut Nitin M Nagarkar verfasserin aut Nitin Solanki verfasserin aut Prasan Kumar Panda verfasserin aut Prithvi Bachalli verfasserin aut Raghunath Shanbag verfasserin aut Rajashri Patil verfasserin aut Rajesh Kumar A verfasserin aut Rakesh Narayan Patil verfasserin aut Ramanikanth Thookkanaickenpalayam Vijayaraghavan verfasserin aut Ramesh Hanumantappa verfasserin aut Rathinavel A verfasserin aut Saleel Kumar Mandal verfasserin aut Sanjay Pandharinath Kishve verfasserin aut Sara Varghese Thomas verfasserin aut Saurav Sarkar verfasserin aut Shalini Thakur verfasserin aut Siddaram Patil verfasserin aut Somu Lakshmanan verfasserin aut Srinivas D Rao verfasserin aut Sumathi V verfasserin aut Tulasi Nayak verfasserin aut Umesh R Dixit verfasserin aut Unnikrishnan B verfasserin aut Varsha Backiavathy verfasserin aut Vijendra Shenoy verfasserin aut Vinay Kumar Hallur verfasserin aut Aparna Bhatnagar verfasserin aut Manoj V Murhekar verfasserin aut In Mycology Taylor & Francis Group, 2016 15(2024), 1, Seite 70-84 (DE-627)626457645 (DE-600)2553667-9 21501211 nnns volume:15 year:2024 number:1 pages:70-84 https://doi.org/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/article/1ca70c2bc1ac4c3a8329c7c11d74f4b5 kostenfrei https://www.tandfonline.com/doi/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/toc/2150-1203 Journal toc kostenfrei https://doaj.org/toc/2150-1211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 1 70-84 |
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10.1080/21501203.2023.2271928 doi (DE-627)DOAJ100893724 (DE-599)DOAJ1ca70c2bc1ac4c3a8329c7c11d74f4b5 DE-627 ger DE-627 rakwb eng QH301-705.5 QR1-502 Rizwan Suliankatchi Abdulkader verfasserin aut Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. Mucormycosis India cohort hospitalisation COVID-19 survival Biology (General) Microbiology Manickam Ponnaiah verfasserin aut Tarun Bhatnagar verfasserin aut Devika S verfasserin aut Amanda G.A Rozario verfasserin aut Gayathri K verfasserin aut Malu Mohan verfasserin aut Michaelraj E verfasserin aut Divya Saravanakumar verfasserin aut Aditya Moorthy verfasserin aut Amit Kumar Tyagi verfasserin aut Bhagirathsinh D Parmar verfasserin aut K Devaraja verfasserin aut Gaurav Medikeri verfasserin aut Jutika Ojah verfasserin aut Kajal Srivastava verfasserin aut Karthikeyan K verfasserin aut Nandini Das verfasserin aut Niharika B verfasserin aut Parul Sharma verfasserin aut Pradipta Kumar Parida verfasserin aut Prasanna Kumar Saravanam verfasserin aut Praveen Kulkarni verfasserin aut Priya S verfasserin aut Pushpa Patil S verfasserin aut Rahul Kumar Bagla verfasserin aut Ramesh D verfasserin aut Renuka S Melkundi verfasserin aut Satish S Satpute verfasserin aut Seetharaman Narayanan verfasserin aut Shubhashri Jahagirdar verfasserin aut Simmi Dube verfasserin aut Sunil Kumar Panigrahi verfasserin aut Surendra Babu D verfasserin aut Vaibhav Saini verfasserin aut Rita Singh Saxena verfasserin aut Abhinav Srivastava verfasserin aut Achyut Chandra Baishya verfasserin aut Ajai Garg verfasserin aut Amit Kumar Mishra verfasserin aut Anjan Jyoti Talukdar verfasserin aut Ankita Kankaria verfasserin aut Arathi Karat verfasserin aut Arul Sundaresh Kumar verfasserin aut Ashi Chug verfasserin aut Ashok Vankundre verfasserin aut Balakrishnan Ramaswamy verfasserin aut Bharathi MB verfasserin aut Bhargav R Jadav verfasserin aut Muthuswamy Dhiwakar verfasserin aut Girija Ghate verfasserin aut Hardik V Shah verfasserin aut Ipsita Saha verfasserin aut Kavya Sivapuram verfasserin aut Krupal J Joshi verfasserin aut Mahendra Singh verfasserin aut Mukesh Chand Bairwa verfasserin aut Divya K verfasserin aut Karthikeyan K verfasserin aut Muthurajesh E verfasserin aut Navneh Samagh verfasserin aut Nethra Dinakaran verfasserin aut Nikhil Gupta verfasserin aut Nitin Gupta verfasserin aut Nitin M Nagarkar verfasserin aut Nitin Solanki verfasserin aut Prasan Kumar Panda verfasserin aut Prithvi Bachalli verfasserin aut Raghunath Shanbag verfasserin aut Rajashri Patil verfasserin aut Rajesh Kumar A verfasserin aut Rakesh Narayan Patil verfasserin aut Ramanikanth Thookkanaickenpalayam Vijayaraghavan verfasserin aut Ramesh Hanumantappa verfasserin aut Rathinavel A verfasserin aut Saleel Kumar Mandal verfasserin aut Sanjay Pandharinath Kishve verfasserin aut Sara Varghese Thomas verfasserin aut Saurav Sarkar verfasserin aut Shalini Thakur verfasserin aut Siddaram Patil verfasserin aut Somu Lakshmanan verfasserin aut Srinivas D Rao verfasserin aut Sumathi V verfasserin aut Tulasi Nayak verfasserin aut Umesh R Dixit verfasserin aut Unnikrishnan B verfasserin aut Varsha Backiavathy verfasserin aut Vijendra Shenoy verfasserin aut Vinay Kumar Hallur verfasserin aut Aparna Bhatnagar verfasserin aut Manoj V Murhekar verfasserin aut In Mycology Taylor & Francis Group, 2016 15(2024), 1, Seite 70-84 (DE-627)626457645 (DE-600)2553667-9 21501211 nnns volume:15 year:2024 number:1 pages:70-84 https://doi.org/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/article/1ca70c2bc1ac4c3a8329c7c11d74f4b5 kostenfrei https://www.tandfonline.com/doi/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/toc/2150-1203 Journal toc kostenfrei https://doaj.org/toc/2150-1211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 1 70-84 |
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10.1080/21501203.2023.2271928 doi (DE-627)DOAJ100893724 (DE-599)DOAJ1ca70c2bc1ac4c3a8329c7c11d74f4b5 DE-627 ger DE-627 rakwb eng QH301-705.5 QR1-502 Rizwan Suliankatchi Abdulkader verfasserin aut Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. Mucormycosis India cohort hospitalisation COVID-19 survival Biology (General) Microbiology Manickam Ponnaiah verfasserin aut Tarun Bhatnagar verfasserin aut Devika S verfasserin aut Amanda G.A Rozario verfasserin aut Gayathri K verfasserin aut Malu Mohan verfasserin aut Michaelraj E verfasserin aut Divya Saravanakumar verfasserin aut Aditya Moorthy verfasserin aut Amit Kumar Tyagi verfasserin aut Bhagirathsinh D Parmar verfasserin aut K Devaraja verfasserin aut Gaurav Medikeri verfasserin aut Jutika Ojah verfasserin aut Kajal Srivastava verfasserin aut Karthikeyan K verfasserin aut Nandini Das verfasserin aut Niharika B verfasserin aut Parul Sharma verfasserin aut Pradipta Kumar Parida verfasserin aut Prasanna Kumar Saravanam verfasserin aut Praveen Kulkarni verfasserin aut Priya S verfasserin aut Pushpa Patil S verfasserin aut Rahul Kumar Bagla verfasserin aut Ramesh D verfasserin aut Renuka S Melkundi verfasserin aut Satish S Satpute verfasserin aut Seetharaman Narayanan verfasserin aut Shubhashri Jahagirdar verfasserin aut Simmi Dube verfasserin aut Sunil Kumar Panigrahi verfasserin aut Surendra Babu D verfasserin aut Vaibhav Saini verfasserin aut Rita Singh Saxena verfasserin aut Abhinav Srivastava verfasserin aut Achyut Chandra Baishya verfasserin aut Ajai Garg verfasserin aut Amit Kumar Mishra verfasserin aut Anjan Jyoti Talukdar verfasserin aut Ankita Kankaria verfasserin aut Arathi Karat verfasserin aut Arul Sundaresh Kumar verfasserin aut Ashi Chug verfasserin aut Ashok Vankundre verfasserin aut Balakrishnan Ramaswamy verfasserin aut Bharathi MB verfasserin aut Bhargav R Jadav verfasserin aut Muthuswamy Dhiwakar verfasserin aut Girija Ghate verfasserin aut Hardik V Shah verfasserin aut Ipsita Saha verfasserin aut Kavya Sivapuram verfasserin aut Krupal J Joshi verfasserin aut Mahendra Singh verfasserin aut Mukesh Chand Bairwa verfasserin aut Divya K verfasserin aut Karthikeyan K verfasserin aut Muthurajesh E verfasserin aut Navneh Samagh verfasserin aut Nethra Dinakaran verfasserin aut Nikhil Gupta verfasserin aut Nitin Gupta verfasserin aut Nitin M Nagarkar verfasserin aut Nitin Solanki verfasserin aut Prasan Kumar Panda verfasserin aut Prithvi Bachalli verfasserin aut Raghunath Shanbag verfasserin aut Rajashri Patil verfasserin aut Rajesh Kumar A verfasserin aut Rakesh Narayan Patil verfasserin aut Ramanikanth Thookkanaickenpalayam Vijayaraghavan verfasserin aut Ramesh Hanumantappa verfasserin aut Rathinavel A verfasserin aut Saleel Kumar Mandal verfasserin aut Sanjay Pandharinath Kishve verfasserin aut Sara Varghese Thomas verfasserin aut Saurav Sarkar verfasserin aut Shalini Thakur verfasserin aut Siddaram Patil verfasserin aut Somu Lakshmanan verfasserin aut Srinivas D Rao verfasserin aut Sumathi V verfasserin aut Tulasi Nayak verfasserin aut Umesh R Dixit verfasserin aut Unnikrishnan B verfasserin aut Varsha Backiavathy verfasserin aut Vijendra Shenoy verfasserin aut Vinay Kumar Hallur verfasserin aut Aparna Bhatnagar verfasserin aut Manoj V Murhekar verfasserin aut In Mycology Taylor & Francis Group, 2016 15(2024), 1, Seite 70-84 (DE-627)626457645 (DE-600)2553667-9 21501211 nnns volume:15 year:2024 number:1 pages:70-84 https://doi.org/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/article/1ca70c2bc1ac4c3a8329c7c11d74f4b5 kostenfrei https://www.tandfonline.com/doi/10.1080/21501203.2023.2271928 kostenfrei https://doaj.org/toc/2150-1203 Journal toc kostenfrei https://doaj.org/toc/2150-1211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 1 70-84 |
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English |
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In Mycology 15(2024), 1, Seite 70-84 volume:15 year:2024 number:1 pages:70-84 |
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In Mycology 15(2024), 1, Seite 70-84 volume:15 year:2024 number:1 pages:70-84 |
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Article |
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findex.gbv.de |
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Mucormycosis India cohort hospitalisation COVID-19 survival Biology (General) Microbiology |
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true |
| container_title |
Mycology |
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Rizwan Suliankatchi Abdulkader @@aut@@ Manickam Ponnaiah @@aut@@ Tarun Bhatnagar @@aut@@ Devika S @@aut@@ Amanda G.A Rozario @@aut@@ Gayathri K @@aut@@ Malu Mohan @@aut@@ Michaelraj E @@aut@@ Divya Saravanakumar @@aut@@ Aditya Moorthy @@aut@@ Amit Kumar Tyagi @@aut@@ Bhagirathsinh D Parmar @@aut@@ K Devaraja @@aut@@ Gaurav Medikeri @@aut@@ Jutika Ojah @@aut@@ Kajal Srivastava @@aut@@ Karthikeyan K @@aut@@ Nandini Das @@aut@@ Niharika B @@aut@@ Parul Sharma @@aut@@ Pradipta Kumar Parida @@aut@@ Prasanna Kumar Saravanam @@aut@@ Praveen Kulkarni @@aut@@ Priya S @@aut@@ Pushpa Patil S @@aut@@ Rahul Kumar Bagla @@aut@@ Ramesh D @@aut@@ Renuka S Melkundi @@aut@@ Satish S Satpute @@aut@@ Seetharaman Narayanan @@aut@@ Shubhashri Jahagirdar @@aut@@ Simmi Dube @@aut@@ Sunil Kumar Panigrahi @@aut@@ Surendra Babu D @@aut@@ Vaibhav Saini @@aut@@ Rita Singh Saxena @@aut@@ Abhinav Srivastava @@aut@@ Achyut Chandra Baishya @@aut@@ Ajai Garg @@aut@@ Amit Kumar Mishra @@aut@@ Anjan Jyoti Talukdar @@aut@@ Ankita Kankaria @@aut@@ Arathi Karat @@aut@@ Arul Sundaresh Kumar @@aut@@ Ashi Chug @@aut@@ Ashok Vankundre @@aut@@ Balakrishnan Ramaswamy @@aut@@ Bharathi MB @@aut@@ Bhargav R Jadav @@aut@@ Muthuswamy Dhiwakar @@aut@@ Girija Ghate @@aut@@ Hardik V Shah @@aut@@ Ipsita Saha @@aut@@ Kavya Sivapuram @@aut@@ Krupal J Joshi @@aut@@ Mahendra Singh @@aut@@ Mukesh Chand Bairwa @@aut@@ Divya K @@aut@@ Muthurajesh E @@aut@@ Navneh Samagh @@aut@@ Nethra Dinakaran @@aut@@ Nikhil Gupta @@aut@@ Nitin Gupta @@aut@@ Nitin M Nagarkar @@aut@@ Nitin Solanki @@aut@@ Prasan Kumar Panda @@aut@@ Prithvi Bachalli @@aut@@ Raghunath Shanbag @@aut@@ Rajashri Patil @@aut@@ Rajesh Kumar A @@aut@@ Rakesh Narayan Patil @@aut@@ Ramanikanth Thookkanaickenpalayam Vijayaraghavan @@aut@@ Ramesh Hanumantappa @@aut@@ Rathinavel A @@aut@@ Saleel Kumar Mandal @@aut@@ Sanjay Pandharinath Kishve @@aut@@ Sara Varghese Thomas @@aut@@ Saurav Sarkar @@aut@@ Shalini Thakur @@aut@@ Siddaram Patil @@aut@@ Somu Lakshmanan @@aut@@ Srinivas D Rao @@aut@@ Sumathi V @@aut@@ Tulasi Nayak @@aut@@ Umesh R Dixit @@aut@@ Unnikrishnan B @@aut@@ Varsha Backiavathy @@aut@@ Vijendra Shenoy @@aut@@ Vinay Kumar Hallur @@aut@@ Aparna Bhatnagar @@aut@@ Manoj V Murhekar @@aut@@ |
| publishDateDaySort_date |
2024-01-01T00:00:00Z |
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626457645 |
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DOAJ100893724 |
| language_de |
englisch |
| fullrecord |
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In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. 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Rizwan Suliankatchi Abdulkader Manickam Ponnaiah Tarun Bhatnagar Devika S Amanda G.A Rozario Gayathri K Malu Mohan Michaelraj E Divya Saravanakumar Aditya Moorthy Amit Kumar Tyagi Bhagirathsinh D Parmar K Devaraja Gaurav Medikeri Jutika Ojah Kajal Srivastava Karthikeyan K Nandini Das Niharika B Parul Sharma Pradipta Kumar Parida Prasanna Kumar Saravanam Praveen Kulkarni Priya S Pushpa Patil S Rahul Kumar Bagla Ramesh D Renuka S Melkundi Satish S Satpute Seetharaman Narayanan Shubhashri Jahagirdar Simmi Dube Sunil Kumar Panigrahi Surendra Babu D Vaibhav Saini Rita Singh Saxena Abhinav Srivastava Achyut Chandra Baishya Ajai Garg Amit Kumar Mishra Anjan Jyoti Talukdar Ankita Kankaria Arathi Karat Arul Sundaresh Kumar Ashi Chug Ashok Vankundre Balakrishnan Ramaswamy Bharathi MB Bhargav R Jadav Muthuswamy Dhiwakar Girija Ghate Hardik V Shah Ipsita Saha Kavya Sivapuram Krupal J Joshi Mahendra Singh Mukesh Chand Bairwa Divya K Muthurajesh E Navneh Samagh Nethra Dinakaran Nikhil Gupta Nitin Gupta Nitin M Nagarkar Nitin Solanki Prasan Kumar Panda Prithvi Bachalli Raghunath Shanbag Rajashri Patil Rajesh Kumar A Rakesh Narayan Patil Ramanikanth Thookkanaickenpalayam Vijayaraghavan Ramesh Hanumantappa Rathinavel A Saleel Kumar Mandal Sanjay Pandharinath Kishve Sara Varghese Thomas Saurav Sarkar Shalini Thakur Siddaram Patil Somu Lakshmanan Srinivas D Rao Sumathi V Tulasi Nayak Umesh R Dixit Unnikrishnan B Varsha Backiavathy Vijendra Shenoy Vinay Kumar Hallur Aparna Bhatnagar Manoj V Murhekar |
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Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India |
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ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. |
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ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. |
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ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease’s clinical progression and help frame standard treatment guidelines. |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ100893724</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240414131927.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240414s2024 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1080/21501203.2023.2271928</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ100893724</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ1ca70c2bc1ac4c3a8329c7c11d74f4b5</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">QH301-705.5</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">QR1-502</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Rizwan Suliankatchi Abdulkader</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Baseline findings of a multicentric ambispective cohort study (2021–2022) among hospitalised mucormycosis patients in India</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2024</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">ABSTRACTIn India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. 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