Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, Pakistan

OBJECTIVES: To determine the prevalence of oral manifestations among PCR-confirmed COVID-19-positive patients and their potential correlations with age, gender, and systemic manifestations. METHODS: This cross-sectional study was conducted at Khyber Medical University among 117 randomly selected P...

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Main Authors: Sana Hussain, Maryam Rauf, Saima Aleem, Khalid Rehman, Muhammad Amer Khan, Saad Liaqat, Nawshad Muhammad, Muhammad adnan Khan
Format: Article
Language:English
Published: Khyber Medical University 2023-12-01
Series:Khyber Medical University Journal
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Online Access:https://www.kmuj.kmu.edu.pk/article/view/23396
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author Sana Hussain
Maryam Rauf
Saima Aleem
Khalid Rehman
Muhammad Amer Khan
Saad Liaqat
Nawshad Muhammad
Muhammad adnan Khan
author_facet Sana Hussain
Maryam Rauf
Saima Aleem
Khalid Rehman
Muhammad Amer Khan
Saad Liaqat
Nawshad Muhammad
Muhammad adnan Khan
author_sort Sana Hussain
collection DOAJ
description OBJECTIVES: To determine the prevalence of oral manifestations among PCR-confirmed COVID-19-positive patients and their potential correlations with age, gender, and systemic manifestations. METHODS: This cross-sectional study was conducted at Khyber Medical University among 117 randomly selected PCR-confirmed COVID-19-positive patients from October 1, 2020, to January 30, 2021. All the patient records were taken from the Public Health Reference Lab, Peshawar, Pakistan. Telephonic interviews were conducted for data collection using a structured questionnaire. SPSS version 24.0 was used for data analysis. Regression analysis was done to determine the association between dependent variables (oral manifestations) and independent data like age, gender, and systemic features. RESULTS: Among 117 participants, 56% experienced oral manifestations associated with COVID-19. Taste alterations were experienced by 49.6% (n = 58), xerostomia 34.2% (n = 40), inflammation of the oral cavity 14.5% (n = 17), oral ulcers 10.3% (n = 12), angular cheilitis 6% (n = 7), white lesions 0.9% (n = 1), and bleeding gums 0.9% (n = 1). The average duration for symptoms to last was 10 days. General clinical manifestation of COVID-19 include fever, cough, sore throat, nasal congestion, body aches, diarrhea, difficulty breathing, etc. Oral manifestations had a significant association with gender (p<0.02), loss of smell (OR 0.034, 95%CI 0.008-0.153, p <0.001) and use of medication (OR 0.051, 95% CI 0.011-0.231, p<0.001). CONCLUSIONS: Oral manifestations were observed in 56% of PCR-confirmed COVID-19-positive patients, with taste alterations being the most common at 49.6%. Significant associations were identified with gender, loss of smell and medication use.
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publishDate 2023-12-01
publisher Khyber Medical University
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spelling doaj-art-857f493616af4e1cb5c1e1b2c64a12f92025-08-20T01:47:21ZengKhyber Medical UniversityKhyber Medical University Journal2305-26432305-26512023-12-011542354010.35845/kmuj.2023.233962168Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, PakistanSana Hussain0Maryam Rauf1Saima Aleem2Khalid Rehman3Muhammad Amer Khan4Saad Liaqat5Nawshad Muhammad6Muhammad adnan Khan7Institute of Public Health & Social Sciences, Khyber Medical University, Peshawar, PakistanInstitute of Basic Medical Sciences, Khyber Medical University, Peshawar, PakistanInstitute of Public Health & Social Sciences, Khyber Medical University, Peshawar, PakistanInstitute of Public Health & Social Sciences, Khyber Medical University, Peshawar, PakistanInstitute of Basic Medical Sciences, Khyber Medical University, Peshawar, PakistanInstitute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan.Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, PakistanInstitute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan.OBJECTIVES: To determine the prevalence of oral manifestations among PCR-confirmed COVID-19-positive patients and their potential correlations with age, gender, and systemic manifestations. METHODS: This cross-sectional study was conducted at Khyber Medical University among 117 randomly selected PCR-confirmed COVID-19-positive patients from October 1, 2020, to January 30, 2021. All the patient records were taken from the Public Health Reference Lab, Peshawar, Pakistan. Telephonic interviews were conducted for data collection using a structured questionnaire. SPSS version 24.0 was used for data analysis. Regression analysis was done to determine the association between dependent variables (oral manifestations) and independent data like age, gender, and systemic features. RESULTS: Among 117 participants, 56% experienced oral manifestations associated with COVID-19. Taste alterations were experienced by 49.6% (n = 58), xerostomia 34.2% (n = 40), inflammation of the oral cavity 14.5% (n = 17), oral ulcers 10.3% (n = 12), angular cheilitis 6% (n = 7), white lesions 0.9% (n = 1), and bleeding gums 0.9% (n = 1). The average duration for symptoms to last was 10 days. General clinical manifestation of COVID-19 include fever, cough, sore throat, nasal congestion, body aches, diarrhea, difficulty breathing, etc. Oral manifestations had a significant association with gender (p<0.02), loss of smell (OR 0.034, 95%CI 0.008-0.153, p <0.001) and use of medication (OR 0.051, 95% CI 0.011-0.231, p<0.001). CONCLUSIONS: Oral manifestations were observed in 56% of PCR-confirmed COVID-19-positive patients, with taste alterations being the most common at 49.6%. Significant associations were identified with gender, loss of smell and medication use.https://www.kmuj.kmu.edu.pk/article/view/23396dysgeusiacovid-19oral manifestationstaste disordersxerostomiaoral ulceranosmia fever fatigue cough
spellingShingle Sana Hussain
Maryam Rauf
Saima Aleem
Khalid Rehman
Muhammad Amer Khan
Saad Liaqat
Nawshad Muhammad
Muhammad adnan Khan
Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, Pakistan
Khyber Medical University Journal
dysgeusia
covid-19
oral manifestations
taste disorders
xerostomia
oral ulcer
anosmia
fever
fatigue
cough
title Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, Pakistan
title_full Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, Pakistan
title_fullStr Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, Pakistan
title_full_unstemmed Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, Pakistan
title_short Clinical characteristics and oral manifestations of COVID-19: A cross-sectional study from Peshawar, Pakistan
title_sort clinical characteristics and oral manifestations of covid 19 a cross sectional study from peshawar pakistan
topic dysgeusia
covid-19
oral manifestations
taste disorders
xerostomia
oral ulcer
anosmia
fever
fatigue
cough
url https://www.kmuj.kmu.edu.pk/article/view/23396
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