Health Condition 1: B972- Coronavirus as the cause of diseases classified elsewhere
Conditions
Interventions
None listed
Sponsors
World health Organization India Office
Eligibility
Inclusion criteria
Inclusion criteria: All consecutive confirmed and probable (probable only for pulmonary or disseminated disease) mucormycosis cases diagnosed during the study period will be enrolled (both COVID-19 related and unrelated). Additionally, for each COVID-19 associated mucormycosis (CAM), we will include two age- (± 5 years) and sex-matched cases of COVID-19 cases without mucormycosis as controls. A diagnosis of mucormycosis will be made in subjects with a compatible clinical and radiological presentation and the demonstration of fungi in the tissue (or sterile body fluids) by either direct microscopy (broad ribbon-like aseptate hyphae) or isolation of Mucorales. Patients will be classified as â??provenâ?? mucormycosis, defined by the presence of aseptate hyphae in the biopsied sample from deep tissue or isolation of Mucorales from sterile sites. â??Probableâ?? pulmonary or disseminated mucormycosis will be defined based on the host risk factors (both classical and putative), radiological findings, and demonstration of the fungi by either culture or cytology from any site. A diagnosis of COVID-19 will be made in subjects positive for SARS-CoV-2 RNA in respiratory specimens by reverse transcription-polymerase chain reaction (RT-PCR) or a positive rapid antigen test. CAM will be defined as the occurrence of proven or probable mucormycosis (up to 3 months) in COVID-19 subjects.
Exclusion criteria
Exclusion criteria: Patients with endemic mycoses (histoplasmosis, sporotrichosis, penicilliosis), yeast infections, and allergic fungal diseases like allergic bronchopulmonary aspergillosis will not be included.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To describe the patient and agents (fungi) characteristics for mucormycosis among COVID-and non-COVID associated cases in India. â?¢ To evaluate the risk factors for infection with Mucorales in patients confirmed with COVID-19 in the studied population. â?¢ To study the treatment practices and the outcomes of the patients with mucormycosis. Timepoint: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To describe the types of mucormycosis (site of infection) in those infected with the disease To assess the prevalence of mucormycosis among the COVID-19 cases in the second wave of the pandemic in India. To evaluate the predictors of mortality in COVID-19 associated mucormycosis (CAM). Timepoint: 6 months | — |
Countries
India
Contacts
Public ContactDr Arunaloke Chakrabarti
Post Graduate Institute of Medical Education and Research
Outcome results
None listed