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The Epidemiological and Clinical Characteristics of 81 Children with COVID-19 in a Pandemic Hospital in Turkey: an

Muhammet Furkan Korkmaz1, Esra Türe2, Bayram Ali Dorum3

  • 1Department of Pediatrics, Bursa City Hospital, Bursa, Turkey. korkmazmfurkan@gmail.com.

Journal of Korean Medical Science
|June 30, 2020
PubMed

Insights

COVID-19 presents milder in children than adults. Younger children (under five) experienced longer hospital stays and viral shedding after SARS-CoV-2 infection.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic caused by SARS-CoV-2 has had a global impact.
  • Limited data exists on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in pediatric populations.

Purpose of the Study:

  • To investigate the epidemiological, laboratory, radiological, and treatment characteristics of pediatric patients with SARS-CoV-2.
  • To understand the clinical course and outcomes of COVID-19 in children.

Main Methods:

  • Retrospective analysis of 81 pediatric patients positive for SARS-CoV-2 via RT-PCR.
  • Evaluation of symptoms, laboratory findings, imaging, and treatment data.

Main Results:

  • Fever, cough, and fatigue were common symptoms. Abnormal labs included elevated CRP and D-dimer. Chest CT showed consolidation or ground-glass opacities in 8% of patients.
  • Most children did not require intensive care. Median hospital stay was 5 days, and viral clearance took a median of 5 days.
  • Younger children (≤5 years) had significantly longer hospital stays and time to SARS-CoV-2 negative RT-PCR results.

Conclusions:

  • COVID-19 appears milder and presents differently in children compared to adults.
  • Conservative diagnostic, clinical, and therapeutic strategies may be suitable for pediatric COVID-19 cases.
Abstract

Keywords:
COVID-19ChildrenClinical SymptomsCoronavirusNewbornSARS-CoV-2

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