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Coronavirus disease 2019 in healthy children: What is the effect of household contact?
Ustundag, Gulnihan; Yilmaz-Ciftdogan, Dilek; Kara-Aksay, Ahu; Sahin, Aslihan; Ekemen-Keles, Yildiz; Orsdemir-Hortu, Hacer; Kanik, Ali; Yuksel, Necmi Can; Arslan, Fatma Demet; Yilmaz, Nisel.
  • Ustundag G; Pediatric Infectious Diseases Clinic, Izmir Tepecik Training, and Research Hospital, Health Science University, Izmir, Turkey.
  • Yilmaz-Ciftdogan D; Pediatric Infectious Diseases Clinic, Izmir Tepecik Training, and Research Hospital, Health Science University, Izmir, Turkey.
  • Kara-Aksay A; Division of Pediatric Infectious Diseases, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.
  • Sahin A; Pediatric Infectious Diseases Clinic, Izmir Tepecik Training, and Research Hospital, Health Science University, Izmir, Turkey.
  • Ekemen-Keles Y; Pediatric Infectious Diseases Clinic, Izmir Tepecik Training, and Research Hospital, Health Science University, Izmir, Turkey.
  • Orsdemir-Hortu H; Pediatric Infectious Diseases Clinic, Izmir Tepecik Training, and Research Hospital, Health Science University, Izmir, Turkey.
  • Kanik A; Department of Pediatrics, Izmir Tepecik Training and Research Hospital, Health Science University, Izmir, Turkey.
  • Yuksel NC; Department of Pediatrics, Izmir Tepecik Training and Research Hospital, Health Science University, Izmir, Turkey.
  • Arslan FD; Department of Pediatrics, Faculty of Medicine, Izmir, Katip Celebi University, Izmir, Turkey.
  • Yilmaz N; Department of Pediatrics, Izmir Tepecik Training and Research Hospital, Health Science University, Izmir, Turkey.
Pediatr Int ; 64(1): e14890, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-2284957
ABSTRACT

BACKGROUND:

Coronavirus disease 2019 (COVID-19) in children is milder than in adults. Household virus exposure may affect clinical severity. We aimed to determine the household contact history of patients and its influence on the clinical stage.

METHODS:

One hundred and seventy-three pediatric patients with COVID-19 as diagnosed with positive real-time polymerase chain reaction for severe acute respiratory syndrome coronavirus-2 aged 1 month to 18 years were included. Demographic data, laboratory and clinical findings, and the history of household contact of the patients were obtained. They were classified according to their clinical stage as mild or moderate-severe.

RESULTS:

Sixty patients (34.7%) were asymptomatic, and 113 were symptomatic (65.3%). Of the 173 patients, 138 (79.8%) had at least one family member in the household who was diagnosed as having COVID-19. Hemoglobin, absolute neutrophil count, and absolute neutrophil count /absolute lymphocyte count ratio decreased significantly in patients with household contact. The presence of a household contact did not have a significant effect on the presence of symptoms, clinical course, age, and the sex of the patients. The need for hospitalization was less in the group that had household contact. Being 0-12 months, being female, and being a patient without household contact were independent factors associated with higher hospitalization ratios in logistic regression analysis.

CONCLUSIONS:

In this study, we found that household contact history did not significantly affect presenting symptoms and clinical course. We detected the rate of hospitalization to be less in the group with only household contact.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Child / Female / Humans Language: English Journal: Pediatr Int Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: Ped.14890

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Child / Female / Humans Language: English Journal: Pediatr Int Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: Ped.14890