Post COVID-19 Syndrome. Incidence, Causes and Management
Farah Hisham1, Salma Rafaat Abdel Aziz2, Rana Ab El Rahman3, Radwa El Borolossy4 and Nagwa Ali Sabri4*
1Inpatient Clinical Pharmacist, El Demerdash hospital, Cairo, Egypt
2Inpatient Clinical Pharmacist, Dar El Shefa hospital, Cairo, Egypt
3Inpatient Clinical Pharmacist, Mansyet El Bakry hospital, Cairo, Egypt
4Department of Clinical Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt
*Corresponding Author: Nagwa Ali Sabri, Department of Clinical Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt.
August 28, 2021; Published: September 18, 2021
Background: The highly infectious and pathogenic novel coronavirus has emerged causing a global pandemic. Covid-19 causes complications that affect a lot of system in the body and may be without known pathophysiology as delirium, musculoskeletal, neurological, gastrointestinal and hematological complications.
Methods: A literature search was performed to obtain data regarding incidence, causes, clinical presentation, and how to manage post covid-19 syndrome.
Results: Patients need to be rehabilitated to prevent these chronic symptoms. It was reported that 7.5% of individuals has impaired consciousness as a post covid-19 complication. On the other hand, cardiac consequences, musculoskeletal events, and hepatic impairment as a result of prolonged ICU admission may occur. Further complications like thrombotic events, psychological events, neuropathy, and GIT problems as diarrhea are likely to occur. Different anticoagulation therapies betrixaban, rivaroxaban, LMW heparin are used for thrombotic events prophylaxis/management. For pulmonary, cardiac, psychological, and musculoskeletal rehabilitation management different protocols are used.
Conclusion: We can conclude that post covid-19 follow-up is necessary for cured patients, as 45% of the discharged patients may require healthcare and social assistance, and 4% may require rehabilitation.
Keywords: Post Covid-19 Syndrome; Delirium; GI; Hepatic; Musculoskeletal; Neuropathy
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