학술논문
COVID-19 in hospitalized infants aged under 3 months: multi-center experiences across Turkey
Document Type
Original Paper
Author
Üstündağ, Gülnihan; Karadag-Oncel, Eda; Kara-Ulu, Nursel; Polat, Meltem; Salı, Enes; Çakır, Deniz; Şahin, Aslıhan; Akaslan-Kara, Aybüke; Kaçar, Pelin; Işık, Aylin Dizi; Erdemli, Pınar Canizci; Durmuş, Sevgi Yaşar; Özdemir, Ahmet; Çelik, Binnaz; Sütçü, Murat; Kara, Manolya; Kandemir-Gülmez, Tuğba; Çelikyurt, Aydın; Ümit, Zühal; Aktürk, Hacer; Arıkan, Kamile; Kaba, Özge; Caymaz, Canan; Bayhan, Cihangül; Aygün, Deniz; Penezoğlu, Döndü Nilay; Alataş, Şilem Özdem; Özdemir, Halil; Türel, Özden; Akça, Mehtap; Çelebi-Çongur, Emel; Kepenekli, Eda; Çelik, Ümit; Ecevit, İsmail Zafer; Belet, Nurşen; Dalgıç, Nazan; Yılmaz, Nisel; Yılmaz, Dilek; Kuyucu, Necdet; Çiftçi, Ergin
Source
European Journal of Pediatrics. 183(3):1153-1162
Subject
Language
English
ISSN
1432-1076
Abstract
To investigate coronavirus disease 2019 (COVID-19) in infants aged 0 to 3 months because there is currently a significant gap in the literature on the subject. A cross-sectional study was conducted with the involvement of 19 medical centers across Turkey and 570 infants. The majority of the patients were male (58.2%), and the three most common symptoms were fever (78.2%), cough (44.6%), and feeding intolerance (39.9%). The results showed that a small percentage of infants had positive blood (0.9%) or urine cultures (10.2%). Most infants presented with fever (78.2%). Children without underlying conditions (UCs) had mostly a complicated respiratory course and a normal chest radiography. Significant more positive urine culture rates were observed in infants with fever. A higher incidence of respiratory support requirements and abnormal chest findings were seen in infants with chronic conditions. These infants also had a longer hospital stay than those without chronic conditions. Conclusions: Our study discloses the clinical observations and accompanying bacterial infections found in infants aged under 3 months with COVID-19. These findings can shed light on COVID-19 in infancy for physicians because there is limited clinical evidence available.[Table Removed]