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COVID-19 in pediatric nephrology centers in Turkey
Emre Leventoğlu1, Yeşim Özdemir Atikel2, Hülya Nalçacioğlu3
1Departments of Pediatric Nephrology and Rheumatology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Turkish Journal of Medical Sciences
|March 22, 2023
Summary
COVID-19 in children with kidney disease was studied, revealing higher susceptibility in kidney transplant and hemodialysis patients. Most children recovered, but healthcare staff infections highlighted the need for stringent infection control and vaccination.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Public Health
Background:
- Limited data exists on COVID-19 impact in pediatric kidney disease patients.
- Understanding COVID-19's characteristics and prognosis in this vulnerable group is crucial.
Purpose of the Study:
- To investigate the characteristics and prognosis of COVID-19 in pediatric nephrology patients in Turkey.
- To establish an initial dataset for a comprehensive pediatric nephrology COVID-19 registry.
Main Methods:
- A national, multicenter, retrospective cohort study.
- Data collected via an online survey between March 2020 and March 2021.
- Involved 203 pediatric patients diagnosed with COVID-19.
Main Results:
- Half of the patients were on kidney replacement therapy (kidney transplant, hemodialysis, or peritoneal dialysis).
- 40.3% required hospitalization, with 28% needing intensive care.
- 19.5% of hospitalized patients developed acute kidney injury; 2.4% had MIS-C. 83% recovered without sequelae, but 3.4% died.
- 108 healthcare staff were infected.
Conclusions:
- COVID-19 disproportionately affected kidney transplant and hemodialysis patients, likely due to immunosuppression and hospital exposure.
- High rates of healthcare staff infection underscore the need for robust infection control measures.
- Optimal vaccination coverage is essential for protecting this high-risk pediatric population.
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