In another rare instance, Medeor Hospital, Manesar at Gurugram – a dedicated covid-19 hospital  successfully treats a 27 year-old Covid positive male diagnosed with latent pulmonary tuberculosis. The patient was discharged after 10 day COVID treatment ongoing ATT (Anti Tubercular Treatment) with a regular follow-up on telemedicine. The patient who was totally asymptomatic a week before, tested positive for corona virus infection and complained of symptoms like fever, breathlessness, blood in sputum (haemoptysis) and chest pain. His CT chest and other tests were found to be normal except for the sputum that revealed tubercular bacilli indicating active tuberculosis in the lungs.

Sharing his opinion about this case, Dr. Sanjay Gupta, Senior Consultant and HOD, Internal Medicine, Medeor Hospital Manesar says, “Clinically COVID-19 and Tuberculosis may show overlapping symptoms such as cough, fever and difficulty breathing with haemoptysis (Bloody Sputum). Both the diseases primarily attack lungs and both biological agents transmit mainly via close contacts. However, the incubation period from exposure to disease in tuberculosis is longer, with often a slow onset. Hence patients of Covid-19 if detected with a bloody sputum, must be investigated for pulmonary tuberculosis.”

He further added, “In this case, we started the treatment of the patient as per the WHO guidelines on Tuberculosis with on-going Covid-19 management. Limited literature is available explaining the progress of latent pulmonary tuberculosis to an active disease in presence of the Covid-19 infection; but our medical team was able to successfully tackle with the situation and provide necessary treatment. This case has insights on how Covid-19 infection may aggravate a latent or an occult tubercular infection, but more studies and cases are needed to understand the role played by SARS-CoV-2 in the progression of tubercular infection.”

TB pathogeh may vause severe COVID-19 pneumonia:

The WHO has issued an information note urging the continuity of essential services for people with tuberculosis during the pandemic. It is socioeconomic development and poverty that drive tuberculosis rates globally, thus fighting tuberculosis in the context of COVID-19 demands that we address social determinants as well as clinical care. Therefore, for COVID 19 patients with suggestive symptoms (like haemoptysis) clinical workup and testing for possibility of latent tuberculosis can benefit in fighting both the diseases.

The COVID-19 pandemic is likely to be the defining global health crisis of our generation. It is likely to have catastrophic effects on tuberculosis, another global pandemic. Tuberculosis has long been the world’s leading infectious killer, until on April 1^st, 2020 when COVID-19 overtook tuberculosis as the infectious disease killing the most people per day. It is no coincidence that the areas of the world predicted to be most affected by the social and economic consequences of COVID-19 are also the areas with the highest tuberculosis burden.

Risk factors associated with COVID-19 is always a concern for patients as well as doctors because the medical resources and timely attention can be given for those at highest risk of severe COVID-19 complications. Infection with Mycobacterium tuberculosis (MTB), the pathogen that causes TB and latently infects ~25% of the global population, may be a risk factor for SARS-CoV-2 infection and severe COVID-19 pneumonia.

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New Delhi, May 15, 2020: Medeor Hospital, a chain of super speciality hospitals located at Delhi NCR, is proud to serve patients suffering from the perilous virus- Covid-19. Located at Manesar, the hospital will work as an independent clinical unit for the treatment of COVID-19 positive patients. The hospital will also treat patients with mild and moderate symptoms of corona virus.

Proper arrangements for testing and retesting, with round-the-clock surveillance have been made to ensure that a COVID-free patient is shifted back to society to lead a normal life as soon as possible. The preparation phase was on-going for the past few weeks and Medeor Hospital, Manesar is now ready to accept the first COVID patients for treatment. The hospital will follow all standard protocols and guidelines laid down by the ICMR (Indian Council of Medical Research) to be clinically assigned as dedicated COVID Hospital (DCH) by using the entire hospital.

Dr. Shamsheer Vayalil, Chairman of UAE based healthcare giant, VPS Healthcare Group’s farsightedness and the first to stress upon the need for a unified effort of the healthcare fraternity and his crucial efforts in bringing together the private sector hospitals to fight against COVID-19 has now seen the light of the day. Pre-requisites for a COVID-19 hospital set-up needs unique infrastructure such as ICU, ventilators, and beds with oxygen, along with a team of intensivists and other specialists in order to prevent aerosol-based transmission.

Special training for doctors, nurses and support staff like donning and doffing, use and disposal of personal protective equipment, inventory management, infection control practice, COVID-19 treatment protocols and psychosocial resilience, etc. have been conducted by a team of expert professionals. Also, the whole hospital is reorganized to provide unidirectional flow for staff, patients, supplies and biomedical wastes. Medeor hospital Limited, a multi super-speciality hospital, is located in Model Township at Manesar which is a gateway to Gurgaon-Delhi NCR. The hospital is built in a 2-hectare campus . It is a tertiary care hospital with a state of the art institute of emergency medicine & trauma centre .

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Gurgaon, May 14, 2020: Medeor Hospital, Manesar, Gurgaon was awarded certification from National Accreditation Board for Hospitals and Healthcare providers (NABH), a constituent Board of Quality Council of India for the Emergency Department.  The mission of the emergency department at Medeor hospital is to achieve superior quality integrated emergency healthcare delivery system using state-of-the-art technological advances in medicine, medical expertise and research for the community.

Key indicators of a successful emergency department include high-quality care, superior patient, staff and physician satisfaction scores, and excellent patient outcome in time-sensitive illness such as trauma, myocardial infection, stroke and sepsis. The team at Medeor hospital’s emergency department, Manesar strongly believes that emergency services is a true safety net for the community we serve, especially in times of crisis and disaster. The certification and standards set by NABH are going to ensure that the hospital provides safe, effective and timely care for all patients who are acutely ill or injured.

On this occasion, Dr. Tamorish Kole, Chairman, Medeor Institute of Emergency Medicine said “When the whole world is responding to an unprecedented outbreak of COVID-19, the importance of emergency and critical care is once again the focus area of health systems. With a robust frontline response, we can be better prepared in future.” Dr. Girdhar Gyani, Director General, Association of Healthcare Providers (India), while congratulating Medeor said, “I am happy to learn that Medeor Hospital, Manesar has been certified by NABH for its Emergency Department. I compliment the leadership of Dr. Tamorish Kole who is expert par excellence in emergency medicine. The certificate is all the more important in these testing times of fighting COVID-19 pandemic.”

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