Evaluation of Suspected COVID-19 Patients in a Pediatric Emergency Department.
| Autor: | Akça H; Department of Pediatric Emergency Medicine, Faculty of Medicine, Ankara Yildirim Beyazit University, Ankara, Turkey.; Department of Pediatric Emergency Medicine, Ankara City Hospital, Ankara, Turkey., Kurt F; Department of Pediatric Emergency Medicine, Ankara City Hospital, Ankara, Turkey., Akça Çağlar A; Department of Pediatric Emergency Medicine, Ankara City Hospital, Ankara, Turkey., Güngör AA; Department of Pediatrics, Ankara City Hospital, Ankara, Turkey., Kuruç AI; Department of Pediatrics, Ankara City Hospital, Ankara, Turkey., Gacal EB; Department of Pediatrics, Ankara City Hospital, Ankara, Turkey., Gişi S; Department of Pediatrics, Ankara City Hospital, Ankara, Turkey., Kanık-Yüksek S; Department of Pediatric Infectious Diseases, Ankara City Hospital, Ankara, Turkey., Yakut Hİ; Department of Pediatrics, Ankara City Hospital, Ankara, Turkey., Dibek Mısırlıoğlu E; Department of Pediatric Emergency Medicine, Ankara City Hospital, Ankara, Turkey., Şenel E; Department of Pediatric Surgery, Ankara City Hospital, Ankara, Turkey.; Department of Pediatric Surgery, Faculty of Medicine, Ankara Yildirim Beyazit University, Ankara, Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of pediatric intensive care [J Pediatr Intensive Care] 2021 Sep 07; Vol. 11 (1), pp. 48-53. Date of Electronic Publication: 2021 Sep 07 (Print Publication: 2022). |
| DOI: | 10.1055/s-0041-1735493 |
| Abstrakt: | Coronavirus disease 2019 (COVID-19) is now a global pandemic. The aim of this study was to investigate the prevalence of COVID-19 in pediatric patients and to compare the characteristics of positive and negative patients. This study conducted from March to May 2020 in a tertiary children's hospital. Patients were included if they were under 18 years old and a SARS-CoV-2 polymerase chain reaction test had been performed. Of the 1,812 patients included in the study, 365 (20.1%) were positive for COVID-19. The median age was 102 months in the positive group, 70 months in the negative group ( p < 0.001). The sex distribution was almost equal. Nearly all positive patients had been in close contact with a COVID-19 infected family household member ( p < 0.001). The most common symptoms were fever (54.4%) and cough (38.6%). The asymptomatic patient rate was higher in the positive group ( p < 0.001). Lymphopenia (<1500/mm 3 ) was found in 29.9% of the positive children ( p = 0.005). When the groups were compared, white blood cell, neutrophil, lymphocyte, and platelet counts; neutrophil-to-lymphocyte ratio; and C-reactive protein level were lower in the positive group. Chest radiography was performed in 95.3% of the positive patients, and the results of 29.7% of them were interpreted as pathological ( p < 0.001). Most of the pediatric patients had a history of contact with COVID-19 positive individuals, and therefore, the diagnosis is generally suspected from a history of household exposure to COVID-19. Lymphopenia can help predict positivity. Awareness, reinforcing infection control measures, and performing health management within families are important steps to manage these patients. Competing Interests: Conflict of Interest None declared. (Thieme. All rights reserved.) |
| Databáze: | MEDLINE |
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