ABSTRACT
Fever and rash are a common symptom combination in children. Etiological studies are carried out primarily for the most common diseases. For this reason, in the period of the new Coronavirus disease-2019 (COVID-19) pandemic, especially COVID-19-related multi-inflammatory syndrome (MIS-C) comes to mind in children with this combination. Measles infection was detected in an 18-month-old Syrian girl who was hospitalized with the diagnosis of fever, conjunctivitis, pneumonia, maculopapular rash during the COVID-19 pandemic period. The case died with pneumonia and septic shock. With this case, we wanted to emphasize that during the COVID-19 pandemic, and measles should also be considered in the differential diagnosis of MIS-C in cases with fever, maculopapular rash and conjunctivitis. © 2023 by Society of Pediatric Emergency and Intensive Care Medicine Journal of Pediatric Emergency and Pediatric Intensive Care published by Galenos Yayınevi.
ABSTRACT
Objective: Many hypotheses have been proposed and researched regarding why coronavirus disease 2019 (COVID-19) disease is clinically milder and has better outcomes in pediatric patients. These include immune differences, inflammatory response level, T-lymphocyte profile, ACE 2 expression level, melatonin secretion level, less exposure to environmental contaminants, less chronic diseases, and cross-immunity to other viruses. Material and Methods: In this study, it was aimed to examine the relationship between measles, rubella, mumps, hepatitis A and B vaccine serological responses and the asymptomatic or symptomatic course of COVID-19 infection in children diagnosed with COVID-19. Between March and June 2020, we compared the symptomatic status of children with COVID-19 who were vaccinated for these factors and who did not have a history of measles, rubella, mumps, hepatitis A and hepatitis B infection among the SARS-CoV-2 PCR positive cases. Results: Seventy-two patients were included in the study. Half of the patients were males. The median age of the cases was 167 months (min: 18 months, max: 213 months). Thirty-seven (51.3%) of all cases were asymptomatic and 35 (48.6%) were symptomatic. There was no statistically significant difference between measles, rubella, mumps, hepatitis A and hepatitis B serological vaccine responses and clinical classification. Conclusion: As a result, in our study, no significant association was found between measles, rubella, mumps, hepatitis A and hepatitis B serological vaccine responses and symptom development status in COVID-19. Further studies are needed to investigate the reasons for the better clinical course of the disease in pediatric cases compared to adults.
ABSTRACT
Objective: In the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and Methods: A survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: Among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n= 4457) received education on PPE usage. Of those who received education only 36% was given both theoretical and applied education. Although there was no differences among different occupation groups, receiving education depended on regions. Conclusion: It is essential to educate healthcare personnel appropiately nationwidely for the continuity of qualified healthcare services during the pandemic.
ABSTRACT
Objective: In the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and Methods: A survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: Among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n=4457) received education on PPE usage. Of those who received education only 36% was given both theoretical and applied education. Although there was no differences among different occupation groups, receiving education depended on regions. Conclusion: It is essential to educate healthcare personnel appropiately nationwidely for the continuity of qualified healthcare services during the pandemic.