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

Abstract

Since December 2019, 2019 outbreak of coronavirus (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 (18/12). Of the patients, 80.7% had family contact and 11.5% had comorbidity. The most common symptom was fever (84.6%), and cough was the second frequency (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 (36.6%). Increased D-dimer levels were observed in 9 patients (30%), decreased leukocyte was in 7 patients (23.3%) and increased lactate dehydrogenaz level was in 8 patients (26.6%). Chest computed tomography was taken 14 patients who had an abnormal X-rays, and ground-glass opacities were seen in 6 patients (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 (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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