Introduction: The corona virus disease 2019 (COVID-19) is a pandemic disease. Infection by COVID-19 in children is not so common but gradually the numbers of children affected with COVID-19 are increasing day by day. The epidemiological importance and clinical pattern in children with COVID-19 is now a challenge to be described by the clinicians. Objectives: To describe socio-demographic and clinical characteristics of COVID-19 infected children. Material and Methods: This cross sectional observational study was conducted among 58 COVID-19 children who were admitted in COVID-19 dedicated Kurmitola General Hospital (KGH), Dhaka from March 2020 to July 2020. Their signs, symptoms, sex, age distribution, laboratory results and familial contact were analyzed. Results: Among 58 most of the children (63.8%) were in school going age (5-15years). The number of female (39) was more than male (19) and female-male ratio was 1:0.48. Most of the children (75.9%) came from urban lower middle socioeconomic group. About 84.4% children were affected from family member. Among all, (8.6%) patients had no symptoms. Main symptoms of the children were cough (36.2%), only fever (22.4%), fever with cough (8.62%) and diarrhoea (5.2%). About 12.06% of the children had additional symptoms including sore throat, nasal congestion, fatigue, headache, body ache, vomiting, abdominal pain, convulsion and rash, 6.9% had respiratory distress and one child came with convulsion. About 12.1% patients showed lymphopenia, 18.9% showed leucopenia, 13.8% patient had neutrophillia. C-Reactive Protein (CRP) and serum ferritin were high in only 12.1% and 8.6% cases respectively. There were 29.3% patients who had normal Chest X-Ray and 58.6% had mild lesion, 8.6% had bilateral consolidation and 3.4% had patchy opacities. Conclusions: COVID-19 is not so common in children and usually presents with mild form or no sign symptoms clinically and by laboratory analysis. But it is noteworthy that they may play role in transmission of disease. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 72-75
Objective: Not only has COVID-19 caused unprecedented changes in every sphere of human lives, but it has also simultaneously triggered a wide range of psychological problems within the community. Naturally, parents are prone to being anxious about their children amidst this pandemic. This becomes particularly serious when their children are being affected and hospitalized due to exposure to COVID-19, leading to increased anxiety and depression. Our study aims to assess the level of anxiety and depression and the predictor factors for depression and anxiety among the parents of hospitalized COVID-19-infected children. Method: This cross-sectional study incorporated 160 parents of COVID-19 infected children who were admitted to Mugda Medical College Hospital, Dhaka Shishu (Children) Hospital, and Kurmitola General Hospital between April 2020 and October 2020. Result: The study has revealed that among the 160 participants, every one in five parents (19.37%) was suffering from moderate to severe anxiety, while 43.10% of parents were suffering from moderate and moderately severe depression. More than fifty per cent of the respondents were suffering from minimal anxiety (54.38%), while 43.80% of parents were suffering from minimal depression. City dwellers were more prone to developing both anxiety and depression. Conclusion: About 43.1% of parents suffered from moderate and moderately severe depression, while 54.38% of parents suffered from minimal anxiety. These parents need to be addressed, and proper support & intervention must be ensured.
Abstract:Neonatal jaundice is observed during 1 st week of life in approximately 60% of term infants and 80% of preterm infants. All jaundiced newborns are at potential risk for developing severe hyperbilirubinemia if there is uncontrolled or managed inappropriately. The objective of this study is to compare serum bilirubin level of term and preterm babies. A cross-sectional study was conducted with total of 100 newborns babies who were admitted into neonatal unit, babies from obstetric department and who came for checkup and follow up in neonatal unit of Mymensingh Medical College Hospital, Mymensingh during the period August 2006 to January 2007. In this study, mean gestational age of term babies was 38.9±1.22 weeks and of preterm babies was 34.64±1.05 weeks. Mean bilirubin levels observed in term babies 6.68 and 5.72 mg/dl on day 3 and day 5 respectively. In preterm babies, the mean bilirubin levels were 7.16 and 9.09 mg/dl on day 3 and day 5 respectively. Statistically significant differences were observed in bilirubin level on day 5 in both term and preterm groups (p<0.05). Incidence of jaundice among term babies was 64.0% and among preterm babies was 84.0%. Jaundice developed significantly more among the preterm babies than the term babies (p<0.05). From this study, it can be concluded that in premature infants, the rate of rise in serum bilirubin tends to be the same or a little slower and mean serum bilirubin level was higher than that of term babies.
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