@article{Devkota_Bajracharya_Manandhar_Kafle_Jha_Kafle_Sijapati_2022, title={Treatment of COVID-19 Patients during Second Wave in a Tertiary Care Center of Nepal}, volume={44}, url={https://www.jiomnepal.com.np/index.php/jiomnepal/article/view/222}, abstractNote={<p><strong>Introduction</strong> <br>The second wave of the COVID-19 pandemic was confirmed in Nepal in April 2021. It was caused by genetic variants of SARS-CoV2. The objective of the study was to find out severity of patients, their treatment and approximate drug cost for the treatment of COVID-19 in the second wave.</p> <p><strong>Methods</strong> <br>In this retrospective, cross-sectional study, data of all patients who tested positive and were admitted in KIST Medical College and Teaching Hospital between April 2021 – July 2021 was collected for the study. A total of 215 patients were included.</p> <p><strong>Result</strong> <br>Among the cases admitted, 190 (88.4%) patients were symptomatic. ICU/HDU admission was done in 113 (52.5%) cases, among which 33 (29.2%) patients received ventilator support. The patients treated in isolation unit were 102 (47.4%). Among the patients admitted, 23 (10.7%) were vaccinated. Severe cases were 80 (37%), moderate cases were 71 (33%) and mild cases were 49 (23%). Antibiotics were used in 190 (88.4%) cases. More than one antibiotics were used in 141 (65.6%) cases. Antifungals were used in 39 (18.1%) cases. Other drugs like corticosteroids were used in 185 (86%), proton-pump inhibitors in 179 (84.3%), antihistaminics in 169 (78.4%) and anticoagulants in 165 (76.7%), Vitamin C in 153 (71.2%), Vitamin D in 152 (70.7%) and zinc in 140 (65.1%) cases. The number of patients discharged after recovery was 151 (70.2%) and 41 (19.5%) patients died. The average drug cost was NPR. 3,246 in mild, 27,645 in moderate and 76,420 in severe cases.</p> <p><strong>Conclusion</strong> <br>Majority of patients were treated in ICU/HDU. Most commonly used drugs were antibiotics, corticosteroids and anticoagulants. Mortality was high in the second wave.</p>}, number={2}, journal={Journal of Institute of Medicine Nepal}, author={Devkota, Pragya and Bajracharya, Omi and Manandhar, Tejendra and Kafle, Sajala and Jha, Nisha and Kafle, Kumud K and Sijapati, Milesh J}, year={2022}, month={Aug.}, pages={63–68} }