3个月以下住院婴儿的COVID-19:土耳其各地的多中心体验
Gülnihan Üstündağ1, Eda Karadag-Oncel2, Nursel Kara-Ulu3
1Izmir Tepecik Training and Research Hospital, Clinic of Pediatric Infectious Diseases, Health Sciences University, Izmir, Turkey.
European journal of pediatrics
|November 16, 2023
概括
在三个月以下的婴儿中,COVID-19通常会出现发烧和咳. 健康的婴儿通常会出现轻度疾病,而患有潜在疾病的婴儿可能需要呼吸辅助和更长的住院时间.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 关于0-3个月龄的婴儿的COVID-19存在有限的文献.
- 婴儿和儿童的COVID-19通常比成年人更轻微地呈现.
- 发烧和咳是婴儿常见的COVID-19症状,类似于老年人群.
研究的目的:
- 在0-3个月的婴儿中调查COVID-19的临床表现和特征.
- 为了确定这个儿科群体中常见的症状,细菌共感染和临床结果.
- 解决关于婴儿COVID-19病例的科学文献中的重大差距.
主要方法:
- 一项涉及土耳其19个医疗中心570名婴儿的横截面研究.
- 数据收集包括患者的人口统计,症状,实验室结果 (血液和尿液培养) 和临床过程.
- 分析的重点是比较患有和没有潜在疾病的婴儿之间的结果.
主要成果:
- 发烧 (78.2%),咳 (44.6%),食不耐受 (39.9%) 是最常见的症状.
- 血液培养在0.9%的婴儿中呈阳性,尿液培养在10.2%的婴儿中呈阳性.
- 与健康婴儿相比,患有潜在疾病的婴儿出现了更高的呼吸支需求,异常的胸部放射和更长的住院时间.
结论:
- 3个月以下婴儿的COVID-19可能会出现发烧,但健康的婴儿往往会有一个无事件的临床过程.
- 患有潜在疾病的婴儿面临更高的呼吸道并发症和长时间住院的风险.
- 由于现有的证据有限,研究结果为在幼儿中管理COVID-19提供了有价值的临床见解.
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