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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

Kaynakça

  • Bautista-Rodriguez, C., Sanchez-de-Toledo, J., Clark, B.C., Herberg, J., Bajolle, F., Randanne, P.C.., ... Fraisse, A. (2021). Multisystem Inflammatory Syndrome in Children: An International Survey. Pediatrics, 147(2), e2020024554. doi: 10.1542/peds.2020-024554
  • Besli, G.E., Öcal Demir, S., Girit, S., Arman, T., Duyu, M. & Arslanoglu, S. (2021). Covid-19 in children: A single center experience from Istanbul, Turkey. Medical Journal of Bakirkoy, 17(1), 64-71.
  • Cao, Q., Chen, Y.C., Chen, C.L., & Chiu, C.H. (2020). SARSCoV-2 ınfection in children transmission dynamics and clinical characteristics. Journal of Formosal Medical Association, 119, 670– 673. doi: 10.1016/j.jfma.2020.02.009.
  • Cura Yayla, B.C., Ozsurekci, Y., Aykaç, K., Oygar, P.D., Laçinel Gürlevik, S., İlbay, S., ... Ceyhan, M., (2020). Characteristics and management of children with COVID-19 in Turkey. Balkan Medical Journal, 37, 341-347. doi: 10.4274/balkanmedj.galenos.2020.2020.7.52.
  • Ding, Y., Yan, H., & Guo, W. (2020). Clinical characteristics of children with COVID-19: A Meta-Analysis. Frontiers in Pediatric, 8, 431. doi:10.3389/fped.2020.00431
  • Dong, Y., Mo, X., Hu, Y., Qi, X., Jiang, F., Jiang, Z., & Tong, S. (2020). Epidemiology of COVID-19 among children in China. Pediatrics, 145(6), e20200702. doi: 10.1542/peds.2020-0702.
  • Duo, H., Dong, X., Zhang, J., Cao, Y.Y., Akdis, M., Huang, P.Q., ... Gao, Y.D. (2021). Clinical characteristics of 182 pediatric COVID-19 patients with different severities and allergic status. Allergy, 510- 532. doi: 10.1111/all.14452
  • Evliyaoğlu, O., Ayzıt Kılınç, A., Önal, P., Aygün, F. ve Çokuğraş, H. (2020). Çocuklarda COVID-19. Turk Pediatri Arsivi, 55(2), 85. doi: 10.14744/TurkPediatriArs.2020.07742
  • Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497–506. doi:0.1016/S0140-6736(20)30183-5
  • Kara, A.A., Kıymet, E., Böncüoğlu, E., Şahinkaya, Ş., Cem, E., Arıkan, K., ...Devrim, İ. (2021). Evaluation of children with COVID-19 in the first id month of the outbreak in Turkey; Initial Pediatric Data from a Tertiary Hospital. Journal of Dr. Behcet Uz Children’s Hospital, 11(2), 117-122. doi:10.5222/buchd.2021.80148
  • Korkmaz, M.F., Türe, E., Dorum, B.A. & Kılıç, Z.B. (2020). The epidemiological and clinical characteristics of 81 children with COVID-19 in a Pandemic Hospital in Turkey: An Observational Cohort Study. Journal of Korean Medical Science, 35, e236. doi:10.3346/jkms.2020.35.e236. 19.
  • Lee, P.I., Hu, Y.L., Chen, P.Y., Huang, Y.C., & Hsueh, P.R. (2020). Are children less susceptible to COVID-19? Journal of Microbiology, Immunology, and Infection, 53(3), 371-372. doi: 10.1016/j. jmii.2020.02.011.
  • Lu, X., Zhang, L., Du, H., Yuan, Y., Qu, J., Zhang, W., ... Wong, G.W.K.(2020). SARS-CoV-2 Infection in children. The New England Journal of Medicine, 382, 1663–1665. doi: 10.1056/NEJMc2005073
  • Panahi, L., Amiri, M. & Pouy. S. (2020). Clinical characteristics of COVID-19 infection in newborns and pediatrics: A Systematic Review. Archives of Academic Emergency Medicine, 8(1), e50.
  • Parri, N., Lenge, M., & Buonsenso, D. (2020). Children with Covid-19 in pediatric emergency departments in Italy. New England Journal of Medicine, 383(2), 187-190.
  • Qiu, H., Wu, J., Hong, L., Luo, Y., Song, Q., & Chen, D. (2020). Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: An observational cohort study. The Lancet Infectious Diseases, 20(6), 689-696. doi: 10.1016/S1473-3099(20)30198-5
  • Sağlık Bakanlığı. (2021). COVID-19 bilgilendirme platformu. Erişim adresi (22.03.2021): https://covid19.saglik.gov.tr/TR-66935/genelkoronavirus-tablosu.html
  • Sarı Yanartas, M., & Hancerli Torun, S. (2020). COVID-19 and child. Sağlık Bilimlerinde İleri Araştırmalar Dergisi, 3(1), 40-48. doi: 10.26650/JARHS2020-S1-0005.
  • Wang, C., Horby, P.W., Hayden, F.G., & Gao, G.F. (2020). A novel coronavirus outbreak of global health concern. The Lancet, 395(10223), 470–473. doi: 10.1016 / S0140-6736 (20) 30185-9
  • Wei, M., Yuan, J., Liu, Y., Fu, T., Yu, X., & Zhang, Z.J. (2020). Novel coronavirus infection in hospitalized infants under 1 year of age in China. JAMA, 323(13), 1313–1314. doi: 10.1001/jama.2020.2131
  • Wu, P., Hao, X., Lau, E.H.Y., Wong, J.Y., Leung, K., Wu, J.T., ... Leung G.M. (2020). Real-time tentative assessment of the epidemiological characteristics of novel coronavirus infections in Wuhan, China, as at 22 January 2020. Eurosurveillance, 25(3). doi: 10.2807/1560-7917. ES.2020.25.3.2000044.
  • Xia, W., Shao, J., Guo, Y., Peng, X., Li, Z. & Hu, D. (2020). Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatric Pulmonology, 55(5), 1169–1174. doi: 10.1002/ppul.24718
  • Yanping, Z. (2020). The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China 2020. 41(2), 145-151. doi: 10.3760/cma.j.issn.0254-6450.2020.02.003.
  • Yasuhara, J., Kuno, T., Takagi, H., & Sumitomo, N. (2020). Clinical characteristics of COVID-19 in children: A systematic review. Pediatric Pulmonology, 2565-2575. doi: 10.1002/ppul.24991
  • Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., ... Tan, W. (2020). A novel coronavirus from patients with pneumonia in China, 2019. The New England Journal of Medicine, 382(8), 727-733. doi: 10.1056/ NEJMoa2001017.

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

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

Derya Kılınç Seda Çağlar

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

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

  • Bautista-Rodriguez, C., Sanchez-de-Toledo, J., Clark, B.C., Herberg, J., Bajolle, F., Randanne, P.C.., ... Fraisse, A. (2021). Multisystem Inflammatory Syndrome in Children: An International Survey. Pediatrics, 147(2), e2020024554. doi: 10.1542/peds.2020-024554
  • Besli, G.E., Öcal Demir, S., Girit, S., Arman, T., Duyu, M. & Arslanoglu, S. (2021). Covid-19 in children: A single center experience from Istanbul, Turkey. Medical Journal of Bakirkoy, 17(1), 64-71.
  • Cao, Q., Chen, Y.C., Chen, C.L., & Chiu, C.H. (2020). SARSCoV-2 ınfection in children transmission dynamics and clinical characteristics. Journal of Formosal Medical Association, 119, 670– 673. doi: 10.1016/j.jfma.2020.02.009.
  • Cura Yayla, B.C., Ozsurekci, Y., Aykaç, K., Oygar, P.D., Laçinel Gürlevik, S., İlbay, S., ... Ceyhan, M., (2020). Characteristics and management of children with COVID-19 in Turkey. Balkan Medical Journal, 37, 341-347. doi: 10.4274/balkanmedj.galenos.2020.2020.7.52.
  • Ding, Y., Yan, H., & Guo, W. (2020). Clinical characteristics of children with COVID-19: A Meta-Analysis. Frontiers in Pediatric, 8, 431. doi:10.3389/fped.2020.00431
  • Dong, Y., Mo, X., Hu, Y., Qi, X., Jiang, F., Jiang, Z., & Tong, S. (2020). Epidemiology of COVID-19 among children in China. Pediatrics, 145(6), e20200702. doi: 10.1542/peds.2020-0702.
  • Duo, H., Dong, X., Zhang, J., Cao, Y.Y., Akdis, M., Huang, P.Q., ... Gao, Y.D. (2021). Clinical characteristics of 182 pediatric COVID-19 patients with different severities and allergic status. Allergy, 510- 532. doi: 10.1111/all.14452
  • Evliyaoğlu, O., Ayzıt Kılınç, A., Önal, P., Aygün, F. ve Çokuğraş, H. (2020). Çocuklarda COVID-19. Turk Pediatri Arsivi, 55(2), 85. doi: 10.14744/TurkPediatriArs.2020.07742
  • Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497–506. doi:0.1016/S0140-6736(20)30183-5
  • Kara, A.A., Kıymet, E., Böncüoğlu, E., Şahinkaya, Ş., Cem, E., Arıkan, K., ...Devrim, İ. (2021). Evaluation of children with COVID-19 in the first id month of the outbreak in Turkey; Initial Pediatric Data from a Tertiary Hospital. Journal of Dr. Behcet Uz Children’s Hospital, 11(2), 117-122. doi:10.5222/buchd.2021.80148
  • Korkmaz, M.F., Türe, E., Dorum, B.A. & Kılıç, Z.B. (2020). The epidemiological and clinical characteristics of 81 children with COVID-19 in a Pandemic Hospital in Turkey: An Observational Cohort Study. Journal of Korean Medical Science, 35, e236. doi:10.3346/jkms.2020.35.e236. 19.
  • Lee, P.I., Hu, Y.L., Chen, P.Y., Huang, Y.C., & Hsueh, P.R. (2020). Are children less susceptible to COVID-19? Journal of Microbiology, Immunology, and Infection, 53(3), 371-372. doi: 10.1016/j. jmii.2020.02.011.
  • Lu, X., Zhang, L., Du, H., Yuan, Y., Qu, J., Zhang, W., ... Wong, G.W.K.(2020). SARS-CoV-2 Infection in children. The New England Journal of Medicine, 382, 1663–1665. doi: 10.1056/NEJMc2005073
  • Panahi, L., Amiri, M. & Pouy. S. (2020). Clinical characteristics of COVID-19 infection in newborns and pediatrics: A Systematic Review. Archives of Academic Emergency Medicine, 8(1), e50.
  • Parri, N., Lenge, M., & Buonsenso, D. (2020). Children with Covid-19 in pediatric emergency departments in Italy. New England Journal of Medicine, 383(2), 187-190.
  • Qiu, H., Wu, J., Hong, L., Luo, Y., Song, Q., & Chen, D. (2020). Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: An observational cohort study. The Lancet Infectious Diseases, 20(6), 689-696. doi: 10.1016/S1473-3099(20)30198-5
  • Sağlık Bakanlığı. (2021). COVID-19 bilgilendirme platformu. Erişim adresi (22.03.2021): https://covid19.saglik.gov.tr/TR-66935/genelkoronavirus-tablosu.html
  • Sarı Yanartas, M., & Hancerli Torun, S. (2020). COVID-19 and child. Sağlık Bilimlerinde İleri Araştırmalar Dergisi, 3(1), 40-48. doi: 10.26650/JARHS2020-S1-0005.
  • Wang, C., Horby, P.W., Hayden, F.G., & Gao, G.F. (2020). A novel coronavirus outbreak of global health concern. The Lancet, 395(10223), 470–473. doi: 10.1016 / S0140-6736 (20) 30185-9
  • Wei, M., Yuan, J., Liu, Y., Fu, T., Yu, X., & Zhang, Z.J. (2020). Novel coronavirus infection in hospitalized infants under 1 year of age in China. JAMA, 323(13), 1313–1314. doi: 10.1001/jama.2020.2131
  • Wu, P., Hao, X., Lau, E.H.Y., Wong, J.Y., Leung, K., Wu, J.T., ... Leung G.M. (2020). Real-time tentative assessment of the epidemiological characteristics of novel coronavirus infections in Wuhan, China, as at 22 January 2020. Eurosurveillance, 25(3). doi: 10.2807/1560-7917. ES.2020.25.3.2000044.
  • Xia, W., Shao, J., Guo, Y., Peng, X., Li, Z. & Hu, D. (2020). Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatric Pulmonology, 55(5), 1169–1174. doi: 10.1002/ppul.24718
  • Yanping, Z. (2020). The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China 2020. 41(2), 145-151. doi: 10.3760/cma.j.issn.0254-6450.2020.02.003.
  • Yasuhara, J., Kuno, T., Takagi, H., & Sumitomo, N. (2020). Clinical characteristics of COVID-19 in children: A systematic review. Pediatric Pulmonology, 2565-2575. doi: 10.1002/ppul.24991
  • Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., ... Tan, W. (2020). A novel coronavirus from patients with pneumonia in China, 2019. The New England Journal of Medicine, 382(8), 727-733. doi: 10.1056/ NEJMoa2001017.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm Araştırma Makaleleri
Yazarlar

Derya Kılınç 0000-0002-2631-9138

Seda Çağlar 0000-0001-8768-9282

Yayımlanma Tarihi 15 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 3 Sayı: 3

Kaynak Göster

APA Kılınç, D., & Çağlar, S. (2021). Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 3(3), 141-146. https://doi.org/10.48071/sbuhemsirelik.996112
AMA Kılınç D, Çağlar S. Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri. SBÜHD. Aralık 2021;3(3):141-146. doi:10.48071/sbuhemsirelik.996112
Chicago Kılınç, Derya, ve Seda Çağlar. “Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 3, sy. 3 (Aralık 2021): 141-46. https://doi.org/10.48071/sbuhemsirelik.996112.
EndNote Kılınç D, Çağlar S (01 Aralık 2021) Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 3 3 141–146.
IEEE D. Kılınç ve S. Çağlar, “Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri”, SBÜHD, c. 3, sy. 3, ss. 141–146, 2021, doi: 10.48071/sbuhemsirelik.996112.
ISNAD Kılınç, Derya - Çağlar, Seda. “Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 3/3 (Aralık 2021), 141-146. https://doi.org/10.48071/sbuhemsirelik.996112.
JAMA Kılınç D, Çağlar S. Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri. SBÜHD. 2021;3:141–146.
MLA Kılınç, Derya ve Seda Çağlar. “Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, c. 3, sy. 3, 2021, ss. 141-6, doi:10.48071/sbuhemsirelik.996112.
Vancouver Kılınç D, Çağlar S. Türkiye’de Bir Çocuk Acil Servisindeki COVID-19 Tanılı Çocukların Klinik Özellikleri. SBÜHD. 2021;3(3):141-6.
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