COVID-19 Infection in Well-Appearing 30- to 90-Day-Old Infants with Fever without a Source

Autor: Ali Güngör, İlknur Bodur, Aytaç Göktuğ, Muhammed Mustafa Güneylioğlu, Betül Öztürk, Raziye Merve Yaradılmış, Rumeysa Yalçınkaya, Can Demir Karacan, Nilden Tuygun
Rok vydání: 2022
Předmět:
Zdroj: Journal of tropical pediatrics. 68(4)
ISSN: 1465-3664
Popis: Fever without a source (FWS) is common clinical status in the young infants. The aim of this study was to evaluate the clinical and laboratory findings of coronavirus disease (COVID-19) infection in well-appearing infants with FWS. Well-appearing febrile infants between 30 and 90 days who were evaluated as FWS in the pediatric emergency department and tested for COVID-19 were divided into two groups: COVID-19 (+) and (−). The clinical and laboratory findings of the patients were compared. The study included 95 febrile infants with FWS, and the mean age was 59.62 ± 16.82 days. The nasopharyngeal COVID-19 polymerase chain reaction test results of 29/95 (30.5%) patients were positive, while 66/95 (69.5%) were negative. The complaints of irritability and nasal congestion were found to be significantly more common in COVID-19-positive patients (p = 0.04 and p = 0.041, respectively). The hospitalization rate (p = 0.009), length of hospital stay (p = 0.026), initiation of antibiotic treatment (p COVID-19 infection may present as an FWS. During the pandemic period, testing for COVID-19 among infants who were evaluated as FWS may reduce unnecessary hospitalizations and antibiotic treatments, and shorten hospital stays and duration of antibiotics.
Databáze: OpenAIRE