ISSN : 2146-3123
E-ISSN : 2146-3131

Characteristics and Management of Children with COVID-19 in Turkey
Burcu Ceylan Cura Yayla1, Yasemin Özsürekçi2, Kübra Aykaç1, Pembe Derin Oygar2, Sibel Laçinel Gürlevik2, Sare İlbay2, Musa Gürel Kukul2, Sevilay Karahan3, Ali Bülent Cengiz2, Mehmet Ceyhan2
1Department of Pediatric Infectious Diseases, University of Health Science Turkey, Ankara Training and Research Hospital, Ankara, Turkey
2Department of Pediatric Infectious Diseases, Hacettepe University School of Medicine, Ankara, Turkey
3Department of Biostatistics, Hacettepe University School of Medicine, Ankara, Turkey
DOI : 10.4274/balkanmedj.galenos.2020.2020.7.52
Pages : 341-347

Abstract

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.

Keywords : COVID-19, children, favipiravir, refugees, Turkey
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