Remember diarrhea can be an early or only sign. Shedding through stool can continue 14 days after negative nasal swab. While there is no known case of transmission through feces, precautions should be taken. One thought is that when flushing the toilet there can be aerosolization of the virus up to 3 feet. So... close the lid, disinfect area around, wash hands thoroughly, wear mask if sharing bathroom with COVID+ persons. And of course when you use in public places. Also found in mouth-gargling with Listerine Coolmint 2 times for 20 seconds -studies showed this killed the virus better than anything- plus wearing a mask, you will have nice smelling breath. CWO
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Last edited by SCI-Nurse; 24 Nov 2020, 6:12 PM.The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums. -
New journal article is a meta-analysis of several other studies on the outcome of COVID-19 infection in persons with SCI:
COVID-19 and Spinal Cord Injury: Clinical Presentation, Clinical Course, and Clinical Outcomes: A Rapid Systematic Review
by Bob Hoogenes, Matthew Queree, Andrea Townson, Rhonda Willms, and Janice J. Eng
Journal of Neurotrauma, 27 Jan 2021
Abstract
Persons living with spinal cord injury (SCI) are potentially at risk for severe COVID-19 disease given that they often have decreased lung capacity and may lack the ability to effectively evacuate their lungs. Known risk factors for negative outcomes after COVID-19, such as obesity, diabetes, and cardiovascular disease, disproportionally affect people with SCI and raise concerns for the mortality risk among persons with SCI. A rapid systematic review of English, Spanish, Portuguese, and Chinese literature on COVID-19 and SCI was performed using the keywords “spinal cord injury” and “COVID-19.” We included studies that provided information on clinical presentation, characteristics, course, and outcomes of COVID-19 disease in SCI. We excluded studies on patients who did not have an SCI before severe acute respiratory syndrome coronavirus-2 infection or did not report clinical information. We included 10 studies in total: nine studies with a total of 171 patients and a survey study of 783 healthcare professionals. Fever (74%), cough (52%), and dyspnea (33%) were the most frequently reported symptoms, and 63% showed abnormalities on X-ray imaging. In the included case series and reports (N = 31), only 1 patient required mechanical ventilation, but 3 patients died (10%). The mortality rate in a large registry study (N = 140) was 19%. Clinical presentation of COVID-19 in SCI patients was similar to the general population, and though adverse events and intensive care unit admission were low, the mortality rate was high (10–19%). No prognostic factors for severe disease or mortality could be identified.
Read the full article here: https://www.liebertpub.com/doi/full/.../neu.2020.7461
(KLD)Last edited by SCI-Nurse; 11 Feb 2021, 3:40 AM.The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.Comment
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COVID-19 Vaccine & Paralysis Community Survey
Please take part in our survey about the COVID-19 vaccine. We want to hear from you about your plans regarding the vaccine, if it’s available to you now, and more. The data collected from this survey will be used to advocate for the community around the COVID-19 vaccine.
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Kim Beer, Director, Public Policy
https://redcap.vanderbilt.edu/survey...eid=3303013fdc"Some people say that, the longer you go the better it gets the more you get used to it, I'm actually finding the opposite is true."
-Christopher Reeve on his ParalysisComment
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