In Moscow, a 79-year-old patient with pneumonia died as a complication of coronavirus infection. The woman was hospitalized on March 13. The Moscow operations headquarters for monitoring and monitoring the situation with coronavirus reported that her condition was aggravated by a number of chronic diseases. On Thursday, the government of the Russian Federation reminded that 15–20% of patients, especially older people with concomitant diseases, are complicated by pneumonia, and Rospotrebnadzor posted information about infection prevention for people over 60 on the eve.
The operational headquarters for monitoring and monitoring the situation with coronavirus in Moscow reported the first death in Russia of a patient with confirmed coronavirus infection. A 79-year-old woman died on Thursday, hospitalized in a private clinic on March 13, and treated on March 14 at the Infectious Diseases Hospital No. 2. “In connection with increased respiratory failure, the patient received complex intensive care,” the report says. “The death occurred as a result of pneumonia against a background of very severe comorbidity: type 2 diabetes, hypertension, condition after stenting of coronary arteries, coronary heart disease, atherosclerosis coronary vessels, aorta, chronic pulmonary hypertension, urolithiasis, cerebrovascular disease. ”
The Moscow authorities called the cause of death a detached blood clot. “The cause of death was massive bilateral pulmonary thromboembolism. Despite the fact that the patient was hospitalized with the beginning signs of pneumonia and during her life a positive result of the analysis for coronavirus infection was confirmed, the cause of death was not pneumonia, but a detached thrombus. There were no changes in the lungs at the time of death. Severe concomitant chronic diseases were confirmed, including diabetes mellitus, cerebrovascular disease, coronary heart disease, ”said Oleg Zairatyants, chief pathologist at Moscow.
People from the close circle of the patient are under medical supervision, none of them have severe symptoms of the disease, stressed at headquarters.
According to the city authorities, at least two patients out of the total number of patients are in a state of moderate severity. The head physician of the Kommunark hospital complex, Denis Protsenko, said on the eve that on March 17, doctors at his medical facility “transferred the first patient with a severe COVID from the intensive care unit”. “The patient was admitted with a clinic of acute respiratory failure. High-flux oxygen did not lead to improved oxygenation, but maintaining a spontaneously breathing patient in the abdomen for seven days allowed along with etiotropic therapy (Lopinavir / Ritonavir – used in the treatment of HIV-infected people. “B”) to achieve improvement and continue treatment in a general ward, ”said Mr. Protsenko.
It should be noted that now people with suspected coronavirus are hospitalized in three hospitals: infectious hospitals No. 1 and No. 2 (the total bed capacity of which is about 2 thousand units, some of which are reserved for people with suspected coronavirus infection), as well as a hospital complex in Kommunarka (about 600 beds). In addition, on March 12, the city authorities started the construction of a hospital from “prefabricated structures” 30 km from the Moscow Ring Road in New Moscow near the village of Golokhvastovo. The complex has an area of about 70 thousand square meters. m will occupy an area of 43 hectares. The hospital has a capacity of 500 beds, of which half are resuscitative. “Usually, in hospitals, the number of resuscitation beds does not exceed 10-15%,” Anastasia Rakova, vice-mayor of Moscow, explained earlier.
In Rospotrebnadzor reported that in Russia, according to the morning of March 19, there were 147 cases of coronavirus infection: 144 from Russian citizens, two from Chinese citizens, one from an Italian citizen. Since January 2020, 62 541 people have been under medical supervision as a whole, as of March 18, 22 178 people were under control. On the eve of the department disseminated information on the prevention of coronavirus infection for those over 60 years old, recalling that this category is at particular risk: “It is in the elderly that complications are possible due to the load on the immune system, including dangerous ones such as viral pneumonia. These complications can lead to the most sad outcomes. ”
Experts recommend that older people visit public places less often, use public transport less often, reduce visits to shops and shopping centers, MFCs, banks, limit contact with loved ones who have returned from abroad.
“Wash your hands with soap often, hygiene is very important for your health,” the department notes. “Wash them after returning from the street, from public places, after contact with packaging from shops, before cooking. Do not touch your face, mouth, nose, and eyes with dirty hands – this can cause the virus to enter your body. Stock up on disposable paper handkerchiefs. When coughing and sneezing, cover your mouth and nose with them and discard the tissue immediately after use. ” It is also recommended to use wet wipes for disinfection: “Wipe them with bags, phones, books and other objects that were with you in public places and in transport.”
The government of the Russian Federation on Thursday distributed the message that “in the case of a new coronavirus infection, the disease in most cases proceeds in a mild form”: “Mortality is significantly lower than with SARS / SARS caused by other coronaviruses (9.6%) and Middle Eastern Respiratory Syndrome (36%). The incubation period lasts up to 14 days. ” “A sick person can transmit the infection before the onset of symptoms,” the report said. “Elderly people are at risk — their disease can occur with serious complications … In 15–20% of patients, especially in older people with concomitant diseases, the course of the disease is complicated pneumonia, and in some cases intensive care is required. ”
According to the government, more than 55 thousand infectious beds have been deployed in Russia, of which more than 12 thousand are resuscitation beds and 396 are observatories. Prepared 7.5 thousand infectious boxes. Medical organizations have more than 40 thousand mechanical ventilation devices (IVLs), 124 extracorporeal membrane oxygenation devices (ECMO, a technique that saturates blood with oxygen, is used to treat patients with severe coronavirus). The Government of the Russian Federation allocated funds for the additional purchase of over 500 devices, including 17 ECMO devices.
According to Vice Mayor Rakova, Moscow is “fully provided” with the necessary medical equipment, including about 5 thousand mechanical ventilation devices (IVL). According to her, an additional 265 devices are “reserved” for patients with coronavirus infection. At the same time, Moscow has 16 more ECMO devices. Ms. Rakova promised that by the end of April the authorities will acquire 23 more ECMO devices.
The head physician of the City Clinical Hospital No. 40 in Kommunark Denis Protsenko told the publication Bbcthat in his clinic there are 72 ventilation devices and another 29 “anesthesia machines that can be used in a similar way.” At the same time, Mr. Protsenko assured that as of March 18, there were “no patients” in the hospital network of Moscow with coronavirus on a ventilator. In social networks on the morning of March 19, he reported that 411 patients were under treatment and under observation in Kommunarka, of whom 94 were diagnosed with pneumonia, confirmed coronavirus in 62, were discharged from March 1, 127, and 21 over the past day.