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Published on: November 7, 2020
Characteristics and Management of Children with COVID-19 in Turkey
Burcu Ceylan Cura Yayla1, Yasemin Özsürekçi2, Kübra Aykaç1
1Department of Pediatric Infectious Diseases, University of Health Science Turkey, Ankara Training and Research Hospital, Ankara, Turkey
Insights
This study analyzed 220 pediatric coronavirus disease-2019 cases in Turkey, finding that while most cases are mild, critical illness necessitates supportive care. Data aids understanding pediatric COVID-19 disease management.
Area of Science:
- Pediatric Infectious Diseases
- Epidemiology
- Critical Care Medicine
Background:
- Limited data exists on pediatric coronavirus disease-2019 (COVID-19) management strategies, especially in Turkey.
- Understanding the disease course in children is crucial for effective healthcare planning.
Purpose of the Study:
- To share data on pediatric COVID-19 patients in Turkey (under 18 years).
- To contribute to the understanding of COVID-19's clinical presentation and management in children.
Main Methods:
- Retrospective review of medical records for pediatric patients (<18 years) diagnosed with COVID-19.
- Data collected between March 11 and June 23, 2020, from admitted patients.
Main Results:
- 220 pediatric COVID-19 patients evaluated; median age 10 years, 9.5% with comorbidities.
- Severity distribution: 25.5% asymptomatic, 45% mild, 26.8% moderate, 2.7% critical/severe.
- 0.9% required ECMO, 1.4% mechanical ventilation; 2.7% received targeted therapies (hydroxychloroquine/favipiravir).
Conclusions:
- While pediatric COVID-19 often presents mildly, critical illness occurs and requires attention.
- Preliminary observations suggest supportive care is the primary treatment strategy for pediatric COVID-19.
Aims:
Limited data about disease management strategies are available for pediatric patients with coronavirus disease-2019, particularly in Turkey. This study aimed to share the data on patients aged under 18 years in our country to be beneficial for understanding the disease course in children.
Methods:
A retrospective review of the medical records of pediatric patients aged under 18 years who were confirmed as coronavirus disease-2019 between March 11, and June 23, 2020, and were admitted to our hospitals was conducted.
Results:
A total of 220 pediatric patients with coronavirus disease-2019 were evaluated, of which 48.2% were boys, with a median age of 10 years, and 9.5% had underlying diseases. Patients were classified according to severity, with the percentages of asymptomatic, mild, moderate, and critical/severe cases determined to be 25.5%, 45%, 26.8%, and 2.7%, respectively. Extracorporeal membrane oxygenation was required in two patients (0.9%) and mechanical ventilation in three (1.4%). Targeted therapies were used in six patients (2.7%), with hydroxychloroquine being the most commonly used agent either alone (one patient) or in combination with favipiravir (five patients). Two patients (0.9%) died, and nine (4.1%) were still hospitalized during the study period.
Conclusion:
Although the disease course of coronavirus disease-2019 seems to be mild in children, critical illness is significant, and the treatment strategy primarily should consist of supportive care according to our preliminary observations.
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