Türkiye'de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri

Yıl 2021, Cilt: 3 Sayı: 3, 141 - 146, 15.12.2021

Derya Kılınç , Seda Çağlar

https://doi.org/10.48071/sbuhemsirelik.996112

Öz

Giriş: Dünyada pandemiye yol açan COVID-19 hastalığının klinik özelliklerinin anlaşılması, hastalığın kontrol altına alınması açısından önemlidir.

Amaç: Çalışma çocuk acil servisine başvuran COVID-19 tanılı hastaların klinik özelliklerinin belirlenmesi amacıyla yapıldı.

Yöntem: Retrospektif tipteki araştırmanın evrenini 11 Mart 2020 - 1 Temmuz 2020 tarihleri arasında, İstanbul’daki bir hastanenin çocuk acil servisine COVID-19 şüphesi ile başvuran hastalar (N = 183), örneklemini ise Polymerase Chain Reaction test sonucu pozitif çıkan 1 ay-18 yaş arasındaki tüm çocuklar (n = 30) oluşturdu. Verilerin analizinde, tanımlayıcı istatistiksel yöntemler kullanıldı.

Bulgular: Araştırmanın yapıldığı çocuk acil servisine COVID-19 şüphesi ile 183 hastanın başvurduğu, bu hastaların %16,39'unun (n = 30) Polymerase Chain Reaction testi sonucunun pozitif olduğu belirlendi. Polymerase Chain Reaction test sonucu pozitif olan çocukların %50'sinin erkek, %50’sinin kız, yaş ortalamalarının 7,2 ± 5,41 yıl (Minimum-Maksimum: 53 gün-17 yaş) olduğu, %96,7’sinin ailesinde de pozitif vaka bulunduğu belirlendi. Çocukların klinik belirtileri ateş (%53,3), öksürük (%36,7), halsizlik (%30), baş ağrısı (%13,3), tat duyusu kaybı (%10) idi. Klinik belirtiler asemptomatik (%16,7), hafif (%70) ve orta (%13,3) şiddette idi.

Sonuç: Çocuklarda COVID-19 tanısı alma sıklığının düşük olduğu, hastalığın hafif bulgular ile seyrettiği, en sık görülen bulguların ateş ve öksürük olduğu belirlendi.

Anahtar Kelimeler

COVID-19, virüs, çocuk, koronavirüs, SARS-CoV-2

Clinical Characteristics of Children Diagnosed with COVID-19 in a Pediatric Emergency Department in Turkey

Öz

Introduction: Understanding the clinical features of the COVID-19 disease, which causes a pandemic in the world, is important in terms of controlling the disease.

Aim: The study was carried out to determine the clinical characteristics of patients with a diagnosis of COVID-19 those who applied to the pediatric emergency ward.

Method: The content of the retrospective design type research was formed by patients (N =183) who applied to the pediatric emergency ward of a hospital in Istanbul with the suspicion of COVID-19 between 11 March 2020 and 1 July 2020; the sampling consisted from children aged 1 month-18 years with a positive Polymerase Chain Reaction test result (n=30). Descriptive statistical methods were used in the analysis

of the data.

Results: It was determined that 183 patients were admitted to the pediatric emergency service with the suspicion of COVID-19, and the Polymerase Chain Reaction test results of 16.39% (n=30) were positive. Fifty percent of the children with positive Polymerase Chain Reaction test results were male and their mean age was 7.2±5.41 years (Minimum-Maximum: 53 days-17 years). It was found that 96.7% of the children had a positive case in their family. Children's symptoms were fever (53.3%), cough (36.7%), weakness (30%), and headache (13.3%), loss of sense of taste (10%). Clinical symptoms were asymptomatic (16.7%), mild (70%), moderate (13.3%).

Conclusion: It was deduced that the diagnosis frequency of COVID-19 in children was low; that the disease progressed with mild symptoms, and that the most common findings were fever and cough.

Anahtar Kelimeler

Coronavirus, COVID-19, virus, pediatric, SARS-CoV-2

Kaynakça

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