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ÇOCUK HASTALARDA KORONAVIRÜS HASTALIĞININ (COVID-19) ERKEN DÖNEM ETKİLERİNİN İNCELENMESİ

Yıl 2020, Cilt 5, Sayı 2, 79 - 98, 31.10.2020

Öz

Amaç: Koronavirus hastalığı 2019 (COVID-19) salgını, ilk kez 2019 yılı Aralık ayında ortaya çıkmıştır. Bu virüs şimdiye kadar yüz binlerce insanı etkilemiş, on binlercesinde ölüme neden olmuştur. Yapılan çalışmaların çoğunun yetişkinlerle ilgili olduğu bilinmektedir. Çocuklarda semptomların niteliği ve hastalığın genel sürecine ilişkin verilerin yeterli olmadığı görülmüştür. Yöntem: İnceleme için 1 Ocak-27 Mart 2020 tarihleri arasında PubMed, Science Direct üzerinden açık erişime sunulan ve çocuklarda “SARS-CoV-2”, “koronavirüs”, “COVID-19”, “çocuk” anahtar terimleri yardımıyla sistematik bir literatür taraması yapılmıştır. Bulgular: Araştırmada 45 bilimsel makale, COVID-19 önleme planı ve kılavuz olduğu tespit edilmiştir. İnceleme sonuçları çocuklarda tespit edilen COVID-19 vakalarının tüm vakaların %1-5'ini oluşturduğunu, hasta çocukların yetişkinlerden daha hafif bir hastalık süreci geçirdiğini ve ölümlerin nadir olduğunu göstermiştir. Çocukların yetişkinlere benzer şekilde yüksek ateş ve solunum rahatsızlıkları ile hastaneye başvurduğu belirlenmiştir. Çocuklarda tedavi için oksijen, inhalasyon ve beslenme desteği ile hemodinamik parametrelerinin stabilize edilebildiği bu sayede vücudun sıvı-elektrolit ve asit-baz dengesinin korunarak iltihabi reaksiyonların düzeltilebileceği görülmüştür. Sonuç: COVID-19 ile enfekte çocukların erişkin hastalara oranla neden daha hafif bir hastalık süreci geçirdiklerini açıklayabilmek için daha ileri çalışmalar yapılmasına ihtiyaç olduğu düşünülmektedir.

Kaynakça

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  • Cai, JH., Wang, XS., Ge, YL., Xia, AM., Chang, HL., Tian, H., … Zeng, JS. (2020). First case of 2019 novel coronavirus infection in children in Shanghai. Zhonghua Er Ke Za Zhi, 58(0), E002. doi: 10.3760/cma.j.issn.0578-1310.2020.0002
  • Cai, J., Xu, J., Lin, D., Yang, Z., Xu, L., Qu, Z., … Zeng, M. (2020). A case series of children with 2019 novel coronavirus infection: clinical and epidemiological features. Clin Infect Dis. doi: 10.1093/cid/ciaa198
  • Cai, SJ., Wu, LL., Chen, DF., Li, YX., Liu, YJ., Fan, YQ., … Li, SY. (2020). Analysis of bronchoscope-guided tracheal intubation in 12 cases with COVID-19 under the personal protective equipment with positive pressure protective hood. Zhonghua Jie He He Hu Xi Za Zhi, 43(0), E033. doi: 10.3760/cma.j.cn112147-20200222-00153
  • Cao, Q., Chen, Y-C., Chen, C-L., & Chiu, C-H. (2020). SARS-CoV-2 infection in children: transmission dynamics and clinical characteristics. J Formos Med Assoc, 119(3), 670–673. https://doi.org/https://doi.org/10.1016/j.jfma.2020.02.009
  • Caselli, D., & Aricò, M. (2020). 2019-nCoV: polite with children! Pediatr Rep, 12(1), 8495. doi: 10.4081/pr.2020.8495
  • Chan, JF-W., Yuan, S., Kok, K-H., To, KK-W., Chu, H., Yang, J., … Yuen, K-Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet, 395(10223), 514–523. doi: 10.1016/S0140-6736(20)30154-9
  • Chen, F., Liu, ZS., Zhang, FR., Xiong, RH., Chen, Y., Cheng, XF., … Ren, J. (2020). First case of severe childhood novel coronavirus pneumonia in China. Zhonghua Er Ke Za Zhi, 58(0), E005. doi: 10.3760/cma.j.issn.0578-1310.2020.0005.
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  • Dashraath, P., Jeslyn, WJL., Karen, LMX., Min, LL., Sarah, L., Biswas, A., … Lin, SL. (2020). Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. doi: 10.1016/j.ajog.2020.03.021
  • Davis, ME., & Gack, MU. (2015). Ubiquitination in the antiviral immune response. Virology, 479–480, 52–65. doi: 10.1016/j.virol.2015.02.033
  • Feng, K., Yun, YX., Wang, XF., Yang, GD., Zheng, YJ., Lin, CM., & Wang, LF. (2020). Analysis of CT features of 15 children with 2019 novel coronavirus infection. Zhonghua Er Ke Za Zhi, 58(0), E007. doi: 10.3760/cma.j.issn.0578-1310.2020.0007
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  • Kelvin, AA., & Halperin, S. (2020). COVID-19 in children: the link in the transmission chain. Lancet Infect Dis, 1–2. doi: 10.1016/S1473-3099(20)30236-X
  • Lambert, L., & Culley, FJ. (2017). Innate immunity to respiratory infection in early life. Front Immunol, 8(1570), 1–9. doi: 10.3389/fimmu.2017.01570
  • Le, HT., Nguyen, LV, Tran, DM., Do, HT., Tran, HT., Le, YT., & Phan, PH. (2020). The first infant case of COVID-19 acquired from a secondary transmission in Vietnam. Lancet Child Adolesc Health, 1–2. doi: 10.1016/S2352-4642(20)30091-2
  • Lee, P-I., Hu, Y-L., Chen, P-Y., Huang, Y-C., & Hsueh, P-R. (2020). Are children less susceptible to COVID-19? J Microbiol Immunol Infect. doi: 10.1016/j.jmii.2020.02.011
  • Li, F., Feng, ZC., & Shi, Y. (2020). Proposal for prevention and control of the 2019 novel coronavirus disease in newborn infants. Arch Dis Child Fetal Neonatal Ed, 0, F1. doi: 10.1136/archdischild-2020-318996
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  • Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., … Yang, C. (2020). Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun, 1–4. doi: 10.1016/j.bbi.2020.03.007
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REVIEW OF EARLY STAGE EFFECTS OF CORONAVIRUS DISEASE 2019 (COVID-19) IN PEDIATRIC PATIENTS

Yıl 2020, Cilt 5, Sayı 2, 79 - 98, 31.10.2020

Öz

Objective: The outbreak of coronavirus disease 2019 (COVID-19) first appeared in December 2019. This virus has affected hundreds of thousands of people so far, causing deaths in tens of thousands. It is known that most of the studies are related to adults. Data on the nature of symptoms and the general process of the disease in children were not sufficient. Methods: A systematic literature review was carried out to identify papers on COVID-19, which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), using PubMed, ScienceDirect databases between 1 January-27 March 2020. The review was searched for relevant terms related to "SARS-CoV-2", "coronavirus", "COVID-19", "child". Results: In the study, 45 scientific articles, COVID-19 prevention plan and guideline were determined. The results of the investigation showed that COVID-19 cases detected in children constitute 1-5% of all cases, child patients had a mild disease process than adults and deaths were rare. It was determined that children admitted to the hospital with high fever and respiratory diseases similar to adults. It has been observed that hemodynamic parameters can be stabilized with oxygen, inhalation and nutritional support for treatment in children, thereby protecting the fluid-electrolyte and acid-base balance of the body and thereby correcting inflammatory reactions. Conclusion: Further studies are needed to explain why children infected with COVID-19 have a milder disease process than adult patients.

Kaynakça

  • Adhikari, SP., Meng, S, Wu, Y-J., Mao, Y-P., Ye, R-X., Wang, Q-Z., … Zhou, H. (2020). Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty, 9, 29. doi: 10.1186/s40249-020-00646-x
  • Aricò, DC., & Maurizio. (2020). 2019-nCoV: Polite with children! Pediatric Reports. 2020;12(1). doi: 10.4081/pr.2020.8495
  • Baskar, PV, Collins, GD., Dorsey-Cooper, BA., Pyle, RS., Nagel, JE., Dwyer, D., … Adler, WH. (1998). Serum antibodies to HIV-1 are produced post-measles virus infection: evidence for cross-reactivity with HLA. Clin Exp Immunol, 111(2), 251–256. doi: 10.1046/j.1365-2249.1998.00488.x
  • Britton, PN., & Marais, BJ. (2020). Questions raised by COVID-19 case descriptions. J Paediatr Child Health, 1. doi: 10.1111/jpc.14872
  • Brodin, P. (2020). Why is COVID-19 so mild in children? Acta Paediatr. doi: 10.1111/apa.15271
  • Cai, H. (2020). Sex difference and smoking predisposition in patients with COVID-19. The Lancet Respiratory Medicine. doi: 10.1016/S2213-2600(20)30117-X
  • Cai, JH., Wang, XS., Ge, YL., Xia, AM., Chang, HL., Tian, H., … Zeng, JS. (2020). First case of 2019 novel coronavirus infection in children in Shanghai. Zhonghua Er Ke Za Zhi, 58(0), E002. doi: 10.3760/cma.j.issn.0578-1310.2020.0002
  • Cai, J., Xu, J., Lin, D., Yang, Z., Xu, L., Qu, Z., … Zeng, M. (2020). A case series of children with 2019 novel coronavirus infection: clinical and epidemiological features. Clin Infect Dis. doi: 10.1093/cid/ciaa198
  • Cai, SJ., Wu, LL., Chen, DF., Li, YX., Liu, YJ., Fan, YQ., … Li, SY. (2020). Analysis of bronchoscope-guided tracheal intubation in 12 cases with COVID-19 under the personal protective equipment with positive pressure protective hood. Zhonghua Jie He He Hu Xi Za Zhi, 43(0), E033. doi: 10.3760/cma.j.cn112147-20200222-00153
  • Cao, Q., Chen, Y-C., Chen, C-L., & Chiu, C-H. (2020). SARS-CoV-2 infection in children: transmission dynamics and clinical characteristics. J Formos Med Assoc, 119(3), 670–673. https://doi.org/https://doi.org/10.1016/j.jfma.2020.02.009
  • Caselli, D., & Aricò, M. (2020). 2019-nCoV: polite with children! Pediatr Rep, 12(1), 8495. doi: 10.4081/pr.2020.8495
  • Chan, JF-W., Yuan, S., Kok, K-H., To, KK-W., Chu, H., Yang, J., … Yuen, K-Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet, 395(10223), 514–523. doi: 10.1016/S0140-6736(20)30154-9
  • Chen, F., Liu, ZS., Zhang, FR., Xiong, RH., Chen, Y., Cheng, XF., … Ren, J. (2020). First case of severe childhood novel coronavirus pneumonia in China. Zhonghua Er Ke Za Zhi, 58(0), E005. doi: 10.3760/cma.j.issn.0578-1310.2020.0005.
  • Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., … Zhang, Y. (2020). Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet, 395(10226), 809–815. doi: 10.1016/S0140-6736(20)30360-3
  • Dashraath, P., Jeslyn, WJL., Karen, LMX., Min, LL., Sarah, L., Biswas, A., … Lin, SL. (2020). Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. doi: 10.1016/j.ajog.2020.03.021
  • Davis, ME., & Gack, MU. (2015). Ubiquitination in the antiviral immune response. Virology, 479–480, 52–65. doi: 10.1016/j.virol.2015.02.033
  • Feng, K., Yun, YX., Wang, XF., Yang, GD., Zheng, YJ., Lin, CM., & Wang, LF. (2020). Analysis of CT features of 15 children with 2019 novel coronavirus infection. Zhonghua Er Ke Za Zhi, 58(0), E007. doi: 10.3760/cma.j.issn.0578-1310.2020.0007
  • Guan, W., Ni, Z., Hu, Y., Liang, W., Ou, C., He, J., … Zhong, N. (2020). Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med, 1–13. doi: 10.1056/NEJMoa2002032
  • Hong, H., Wang, Y., Chung, H-T., & Chen, C-J. (2020). Clinical characteristics of novel coronavirus disease 2019 (COVID-19) in newborns, infants and children. Pediatr Neonatol, 1–2. doi: 10.1016/j.pedneo.2020.03.001
  • Kam, K-Q., Yung, CF., Cui, L., Lin Tzer Pin, R., Mak, TM., Maiwald, M., … Thoon, KC. (2020). A well infant with coronavirus disease 2019 (COVID-19) with high viral load. Clin Infect Dis, 1–3. doi: 10.1093/cid/ciaa201.
  • Kelvin, AA., & Halperin, S. (2020). COVID-19 in children: the link in the transmission chain. Lancet Infect Dis, 1–2. doi: 10.1016/S1473-3099(20)30236-X
  • Lambert, L., & Culley, FJ. (2017). Innate immunity to respiratory infection in early life. Front Immunol, 8(1570), 1–9. doi: 10.3389/fimmu.2017.01570
  • Le, HT., Nguyen, LV, Tran, DM., Do, HT., Tran, HT., Le, YT., & Phan, PH. (2020). The first infant case of COVID-19 acquired from a secondary transmission in Vietnam. Lancet Child Adolesc Health, 1–2. doi: 10.1016/S2352-4642(20)30091-2
  • Lee, P-I., Hu, Y-L., Chen, P-Y., Huang, Y-C., & Hsueh, P-R. (2020). Are children less susceptible to COVID-19? J Microbiol Immunol Infect. doi: 10.1016/j.jmii.2020.02.011
  • Li, F., Feng, ZC., & Shi, Y. (2020). Proposal for prevention and control of the 2019 novel coronavirus disease in newborn infants. Arch Dis Child Fetal Neonatal Ed, 0, F1. doi: 10.1136/archdischild-2020-318996
  • Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., … Feng, Z. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med, 382(13), 1119–1207. doi: 10.1056/NEJMoa2001316.
  • Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., … Yang, C. (2020). Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun, 1–4. doi: 10.1016/j.bbi.2020.03.007
  • Liu, H., Liu, F., Li, J., Zhang, T., Wang, D., & Lan, W. (2020). Clinical and CT imaging features of the COVID-19 pneumonia: focus on pregnant women and children. J Infect. doi: 10.1016/j.jinf.2020.03.007
  • Liu, L., Oza, S., Hogan, D., Perin, J., Rudan, I., Lawn, JE., … Black, RE. (2015). Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet, 385(9966), 430–440. doi: 10.1016/S0140-6736(14)61698-6
  • Liu, W., Zhang, Q., Chen, J., Xiang, R., Song, H., Shu, S., … Liu, Y. (2020). Detection of covid-19 in children in early January 2020 in Wuhan, China. N Engl J Med, 1–3. doi: 10.1056/NEJMc2003717
  • Lou, XX., Shi, CX., Zhou, CC., & Tian, YS. (2020). Three children who recovered from novel coronavirus 2019 pneumonia. J Paediatr Child Health, 1–2. doi: 10.1111/jpc.14871
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Ayrıntılar

Birincil Dil İngilizce
Konular Sosyal Bilimler, Disiplinler Arası
Bölüm Derleme
Yazarlar

Abdullah SARMAN (Sorumlu Yazar)
BINGOL UNIVERSITY, HEALTH SERVICES VOCATIONAL SCHOOL, DEPARTMENT OF MEDICAL SERVICES AND TECHNIQUES, FIRST AND EMERGENCY AID
0000-0002-5081-4593
Türkiye


Suat TUNCAY
BINGOL UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSING, DEPARTMENT OF PEDIATRIC NURSING
0000-0001-5493-6507
Türkiye


Emine SARMAN
SULEYMAN DEMIREL UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF HISTOLOGY AND EMBRYOLOGY
0000-0002-4671-9315
Türkiye

Yayımlanma Tarihi 31 Ekim 2020
Yayınlandığı Sayı Yıl 2020, Cilt 5, Sayı 2

Kaynak Göster

APA Sarman, A. , Tuncay, S. & Sarman, E. (2020). REVIEW OF EARLY STAGE EFFECTS OF CORONAVIRUS DISEASE 2019 (COVID-19) IN PEDIATRIC PATIENTS . Hastane Öncesi Dergisi , 5 (2) , 79-98 . Retrieved from https://dergipark.org.tr/tr/pub/hod/issue/54345/732208