Bingöl İlindeki 18 Yaş Altı Covid 19 Çocuk Hastalarının Epidemiyolojik Özelliklerinin İncelenmesi

Giriş COVİD-19’un küresel olarak tüm dünyayı etkilemesi nedeniyle Dünya Sağlık Örgütü tarafından halk sağlığı acil durumu olarak ilan edilmiştir. Bu çalışmada XXX İlindeki 18 yaş altı çocuk vakaların sosyodemografik ve çeşitli özelliklerinin incelenmesi amaçlanmıştır. Materyal ve Metod Mart-Aralık 2020 tarihleri arasında XXX İlindeki 18 yaş altı SARS-CoV-2 RT PCR testi pozitif 1431 vakanın verileri retrospektif olarak incelenmiştir. Çalışmanın yapılabilmesi için gerekli kurum izni ve etik kurul onayı alınmıştır. Çalışmanın bağımsız değişkenleri yaş, cinsiyet, ikamet yeri iken; bağımlı değişkeni pnömoni gelişme durumudur. Tanımlayıcı veriler sayı, yüzde, ortanca, en küçük, en büyük ile ifade edilmiş olup istatistiksel analizlerde Ki Kare testi kullanılmıştır. p0.05). Sonuç Çalışma grubunda pnömoni gelişme oranı düşüktür. Hastaların büyük bir kısmının klinik durumu iyi olarak saptanmıştır. Küçük yaş grubunda olan çocuk hastalarda daha yüksek oranda pnömoni geliştiği görülmüştür.
Anahtar Kelimeler:

Covid 19, Çocuk, Pnömoni

Childhood Depression in Pediatrics Practice: A cross-sectional study

Objective: Depression is an important disease in childhood and early diagnosis is crucial. In this study, we aimed to determine the depression levels of children in hospital settings and evaluation of the processes leading to the emergence of depression. Methods: In this cross-sectional study, pediatric patients who admitted to outpatient clinics and pediatric inpatients were included. The child depression inventory and a questionnaire consisting of 22 questions about sociodemographic characteristics and personal information such as age, gender, income level of the family and social media usage of the children were applied to the patients. Results: 72 participants who met the inclusion criteria were included in the study. Of these participants, 38 were female (52.8%) and 34 were male (47.2%). When the depression scale scores of the children were examined, the mean score of the depression scale was 10.39 ± 5.99 (2-30). In our study, 7 (9.7%) of 72 patients had high depression scale scores. There was a significant relationship between depression scale scores and age (p = 0.033). In addition, a statistically significant relationship was found between smoking status with depression scores and sleep duration with depression scores in children. Depression scores increased with the presence of smoking. Conclusions: Screening of pediatric patients who admitted to pediatric hospitals or inpatients in terms of depression may allow early diagnosis and therefore treatment. In particular, depression screening should be performed in children who admitted to hospital with sleep problems and smokers adolescents.

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  • 1. Huang CL, Wang YM, Li XW et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;102223(395):497-506.
  • 2. Zhu N, Zhang D, Wang W et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382:727-33.
  • 3. World Health Organization. WHO director-general’s statement on IHR Emergency Committee on Novel Coronavirus (2019-nCoV).[Access Date: 15 April 2021] Available from: https://www.who.int/dg/speeches/
  • 4. World Health Organization. Coronavirus Disease (COVID-19) Dashboard. [Access Date: 15 April 2021] Available from: https://covid19.who.int/.
  • 5. World Health Organization. Coronavirus Disease (COVID-19) Dashboard-Turkey. [Access Date 15 April 2021] Available from: https://covid19.who.int/region/euro/country/tr
  • 6. Dong Y, Mo X, Hu Y et al. Epidemiology of COVID-19 Among Children in China. Pedıatrıcs 2020;145(6): e20200702.
  • 7. Lu X, Zhang L, Du H et al. SARS-CoV-2 infection in children. N Engl J Med 2020;382(17):1663-65.
  • 8.Cui X, Zhao Z, Zhang T et al. A systematic review and meta-analysis of children with coronavirus disease 2019 (COVID-19). J Med Virol 2021;93(2):1057-69.
  • 9. Zhang Y. The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) China, 2020. Chinese Journal of Epidemiology. 2020;41(2):145-51
  • 10. Livingston E, Bucher K. Coronavirus Disease 2019 (COVID-19) in Italy. JAMA. 2020;323(14):1335.
  • 11. Center for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19): cases in United States, April 14, 2020. [Access Date 14 April 2021] CDC 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html#demographic characteristics.
  • 12. Chan JF, Yuan S, Kok KH et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020; 395(10223):514-23.
  • 13. Phan LT, Nguyen TV, Luong QC et al. Importation and human-to-human transmission of a novel coronavirus in Vietnam. N Engl J Med. 2020;382(9): 872–4.
  • 14. Wei M, Yuan J, Liu Y et al. Novel coronavirus infection in hospitalized infants under 1 year of age in China. JAMA 2020;323(13):1313-14.
  • 15. Cavallo F, Rossi N, Chiarelli F. Novel coronavirus infection and children. Acta Biomed 2020; 91(2): 172-6.
  • 16. Sinha IP, Harwood R, Semple MG et al. COVID-19 infection in children. Lancet Respir Med 2020;8(5):446-7.