Evaluation of Children Followed up for Covid 19 in a Tertiary Hospital

Authors : Esra AKYÜZ ÖZKAN, Emine Hafize ERDENİZ

Pages : 125-131

View : 38 | Download : 9

Publication Date : 2021-04-03

Article Type : Research Paper

Abstract :Since December 2019, 2019 outbreak of coronavirus insert ignore into journalissuearticles values(Covid-19); spread all over the world as well as in Turkey.In this study, we aimed to investigate the clinical and laboratory effects of covid 19 disease on children. The epidemiological, laboratory, radiological, and treatment features of the 30 pediatric patients with covid-19 evaluated retrospectively. The median age of the patients was 10 years, boys and girls ratio was 1.5 insert ignore into journalissuearticles values(18/12);. Of the patients, 80.7% had family contact and 11.5% had comorbidity. The most common symptom was fever insert ignore into journalissuearticles values(84.6%);, and cough was the second frequency insert ignore into journalissuearticles values(57.7%);. All patients except 1 patient had a mild course, 5 were asymptomatic. One patient needed intensive care who had underlying chronic disease. Neutropenia was the most common laboratory anomaly insert ignore into journalissuearticles values(36.6%);. Increased D-dimer levels were observed in 9 patients insert ignore into journalissuearticles values(30%);, decreased leukocyte was in 7 patients insert ignore into journalissuearticles values(23.3%); and increased lactate dehydrogenaz level was in 8 patients insert ignore into journalissuearticles values(26.6%);. Chest computed tomography was taken 14 patients who had an abnormal X-rays, and ground-glass opacities were seen in 6 patients insert ignore into journalissuearticles values(20%);. Hydroxychlorachine and azithromycin treatment was given to the necessary patients. In conclusion, pediatric covid 19 is mostly transmitted by family contact and has a mild course if there is no underlying disease. The most common symptoms are fever and cough. Ground glass densities on lung tomography are similar to adult. The mean PCR negative time in the treated symptomatic group was 8.8 +5.34 day, while in the untreated asymptomatic group it was 12 + 5.19 day and there was no statistically significant difference insert ignore into journalissuearticles values(p=0.154);. The correlation between PCR negative time and clinical, laboratory, and radiological findings was examined and no correlation was found.
Keywords : children, covid 19, clinical symptoms, epidemiogical features

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