Characteristics and Management of Children With COVID-19 in Turkey

Autor: Sare Ilbay, Musa Gürel Kukul, Kubra Aykac, Mehmet Ceyhan, Sibel Laçinel Gürlevik, Pembe Derin Oygar, Sevilay Karahan, Yasemin Ozsurekci, Ali Bülent Cengiz, Burcu Ceylan Cura Yayla
Rok vydání: 2020
Předmět:
Male
Pediatrics
Turkey
medicine.medical_treatment
lcsh:Medicine
030204 cardiovascular system & hematology
medicine.disease_cause
0302 clinical medicine
030212 general & internal medicine
Child
Coronavirus
Brief Report
Medical record
General Medicine
refugees
Treatment Outcome
Child
Preschool
Pyrazines
Female
medicine.symptom
Coronavirus Infections
Hydroxychloroquine
medicine.drug
medicine.medical_specialty
Adolescent
Pneumonia
Viral
favipiravir
Intensive Care Units
Pediatric
Antiviral Agents
Asymptomatic
Antimalarials
Betacoronavirus
03 medical and health sciences
Extracorporeal Membrane Oxygenation
children
Extracorporeal membrane oxygenation
medicine
Humans
Pandemics
Retrospective Studies
Mechanical ventilation
SARS-CoV-2
business.industry
lcsh:R
Infant
Newborn
Patient Acuity
COVID-19
Infant
Retrospective cohort study
Length of Stay
Amides
Respiration
Artificial
business
Zdroj: Balkan Medical Journal
Balkan Medical Journal, Vol 37, Iss 6, Pp 341-347 (2020)
ISSN: 2146-3131
2146-3123
DOI: 10.4274/balkanmedj.galenos.2020.2020.7.52
Popis: Aims Limited data about disease management strategies are available for pediatric patients with coronavirus disease-2019, particularly in Turkey. This study aimed to share the data on patients aged under 18 years in our country to be beneficial for understanding the disease course in children. Methods A retrospective review of the medical records of pediatric patients aged under 18 years who were confirmed as coronavirus disease-2019 between March 11, and June 23, 2020, and were admitted to our hospitals was conducted. Results A total of 220 pediatric patients with coronavirus disease-2019 were evaluated, of which 48.2% were boys, with a median age of 10 years, and 9.5% had underlying diseases. Patients were classified according to severity, with the percentages of asymptomatic, mild, moderate, and critical/severe cases determined to be 25.5%, 45%, 26.8%, and 2.7%, respectively. Extracorporeal membrane oxygenation was required in two patients (0.9%) and mechanical ventilation in three (1.4%). Targeted therapies were used in six patients (2.7%), with hydroxychloroquine being the most commonly used agent either alone (one patient) or in combination with favipiravir (five patients). Two patients (0.9%) died, and nine (4.1%) were still hospitalized during the study period. Conclusion Although the disease course of coronavirus disease-2019 seems to be mild in children, critical illness is significant, and the treatment strategy primarily should consist of supportive care according to our preliminary observations.
Databáze: OpenAIRE
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