COVID-19 ve Diğer Viral Pnömoniler

Amaç: Diğer solunum yolu virüsleri ile ortak belirtiler paylaşan COVID-19 pnömonisini diğer pnömoni türlerinden ayırtetmek, sağlık hizmetlerinin sürdürülebilirliğinin sağlanması, hastaların acil servislerde uzun bekleme sürelerininönlenmesi ve izole edilmesi açısından büyük önem taşıyacaktır. COVID-19 pnömonisini diğer pnömonilerden ayırt etmekamacıyla COVID-19 pnömonisi ve NONCOVID-19 pnömonisi olan hastaları karşılaştırdık. Yöntemler: Çalışmamızda 1 Nisan-1 Temmuz 2020 tarihleri arasında Ağrı Eğitim ve Araştırma Hastanesinin acilservisine başvuran hastaların tıbbi kayıtları geriye dönük olarak gözden geçirilmiştir. Çalışmamızda iki grup: COVID-19pnömonili hastalar ve diğer pnömoniler (COVID-19 olmayan), demografik özellikler, laboratuvar verileri ve bilgisayarlıtorasik tomografi (BT) bulguları açısından karşılaştırıldı. Bulgular: Çalışmamıza COVID-19 dışı grupta 201 hasta ve COVID-19 grubunda 165 hasta dahil edildi. BT bulgularınadayanan bir analiz, buzlu cam opasitelerinin (GGO) oranının COVID-19 grubunda önemli ölçüde daha yüksek olduğunugösterdi (P

COVID-19 and Other Viral Pneumonias

Objectıve: Distinguishing COVID-19 pneumonia, which shares common symptoms with other respiratory viruses, from other pneumonia types will be of utmost importance for maintaining the sustainability of health services, preventing long waiting times of patients at emergency services, and isolating. We compared patients with COVID19 pneumonia and those with NONCOVID-19 pneumonia with a view to distinguishing COVID-19 pneumonia from other pneumonias.Methods: Our study retrospectively reviewed the medical records of patients who were admitted to the emergency service of training and research hospital in Ağrı, Turkey between April 1-July 1, 2020. In our study two groups: patients with COVID-19 pneumonia and those with other pneumonias (non COVID-19) were compared in terms of demographic characteristics, laboratory data, and thoracic computerized tomography (CT) findings.Results: Our study included 201 patients in the non COVID-19 group and 165 patients in the COVID-19 group. An analysis based on the CT findings showed that the rate of ground glass opacities (GGO) was significantly higher in the COVID-19 group (P < 0.01). The rate of isolated lobar or segmental consolidation was significantly higher in the non COVID-19 group (P < 0.01). The lesions had a significantly higher rate of bilateral distribution and peripheral location in the COVID-19 group (P < 0.01). There was no significant difference between the two groups in terms of the mortality rate (P = 0.469).Conclusıon: We believe that in order to differentiate COVID-19 pneumonia from other pneumonias, a rapid thoracic computed tomography scan can be performed in the emergency department to be successfully patient management.

PDF

___

1. World Health Organization. Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. Available from: http://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefingon-2019-ncov-on-11-february-2020. (Accessed in 2020 (Oct 19).
2. Park SE. Epidemiology, virology, and clinical features of severe acute respiratory syndrome - coronavirus-2 (SARS-CoV-2; Coronavirus Disease-19). Clin Exp Pediatr. 2020; 63: 119-24.PMID: 32252141; doi: 10.3345/cep.2020.00493.
3. Lai CC, Wang CY, Wang YH, et al. Global epidemiology of coronavirus disease 2019 (COVID19): disease incidence, daily cumulative index, mortality, and their association with country healthcare resources and economic status. Int J Antimicrob Agents. 2020; 55: 105946. PMID: 32199877; doi:10.1016/j.ijantimicag.2020.1059 46.
4. Anthony SJ, Johnson CK, Greig DJ, et al. Global patterns in coronavirus diversity. Virus Evol. 2017; 3: vex012. PMID: 28630747; doi: 10.1093/ve/vex012.
5. Monto AS, DeJonge PM, Callear AP, et al. Coronavirus Occurrence and Transmission Over 8 Years in the HIVE Cohort of Households in Michigan. J Infect Dis. 2020; 222: 9-16. PMID: 32246136; doi: 10.1093/infdis/jiaa161.
6. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Alp Meşe E. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci. (2020;50 (SI-1): 489-94. PMID: 32304192; doi: 10.3906/sag-2004-187.
7. Gormeli Kurt N, Gunes C. How has Covid-19 pandemic affected crowded emergency services? Int J Clin Pract. 2020;00:e13624.5. doi: 10.1111/ijcp.13624.
8. Ai T, Yang Z, Hou H, et al. Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. 2020; 296: E32-40. PMID: 32101510; doi: 10.1148/radiol.2020200642.
9. World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. Available from: https://covid19.who.int/ Accessed in 2020 (Oct 19).
10. Available from: https://covid19.saglik.gov.tr/TR-66122/genel-koronavirus-tablosu.html. T.C. Sağlık Bakanlığı.
11. World Health Organization. Report of the WHO China Joint Mission on Coronavirus DIsease 2019 (COVID-2019). 16-24 February, 2020. Available from: http://www.who.int/docs/default/source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf. (Accessed, in 2020 (Oct 19).
12. Stokes EK, Zambrano LD, Anderson KN, et al. Coronavirus Disease 2019 Case Surveillance - United States, January 22-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69: 759-65. PMID: 32555134; doi: 10.15585/mmwr.mm6924e2.
13. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223): 497-506. PMID: 31986264; doi: 10.1016/S0140- 6736(20)30183-5.
14. Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323: 1061-9. PMID: 32031570; doi: 10.1001/jama.2020.1585.
15. Bao C, Liu X, Zhang H, et al. Coronavirus Disease 2019 (COVID-19) CT Findings: A Systematic Review and Meta-analysis. J Am Coll Radiol. 2020; 17: 701- 9. PMID: 32283052; doi: 10.1016/j.jacr.2020.03.006.
16. Zhao W, Zhong Z, Xie X,Yu Q, Liu. Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study. AJR Am J Roentgenol. 2020; 214: 1072-7. PMID: 32125873; doi: 10.2214/AJR.20.22976.
17. Acute Kidney Injury Associated with SARS-CoV-2. Şit D., Kayabaşı H.,Cilt 47, Sayı 2 (2020) 498-507 doi:10.5798/dicletip.755786
18. Shi H, Han X, Jiang N, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis. 2020; 20: 425-34. PMID: 32105637; doi: 10.1016/S1473-3099(20)30086-4.