Published: 2020-08-20

COVID-19 patients and surgical recommendations in low-resource settings

Bappy Basak, M. Tasdik Hasan, Rifat Alam, Raiiq Ridwan, Imran Kais, Shailendra Kurmi, M. Nur Hossain Bhuiyan, S. M. Quamrul Akther


COVID-19 infection has made a great impact on the health and economy of many countries. Low middle-income countries are yet to experience the worst of it. There are lots of issues, such as, appropriate resource management that will come alongside the infection that can make the condition even worse. For how long this virus will stay with us is yet to be known. In the situation, whole surgical management cannot be postponed for a longer period that can damage the patient’s health. There are lots of queries that will also come up with the viral infection, for example, how should we use our limited test kits, when should we use PPE and which one, how should we select surgical cases, how to ensure proper post-operative care, and another vital question how can we protect health workers from getting infected while giving the service. We have made a bunch of recommendations for such countries to ensure proper preparation against this pandemic. These considerations can ensure the highest care for the patients with surgical conditions and also guarantee maximum protection of the health care teams from admission to operation, operation to ward, and ward to discharge.


Surgical indication, surgical management, COVID-19 patients, Bangladesh, LMICs

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