Clinical outcomes of pediatric COVID-19 in a tertiary care center in Bangkok, Thailand

Anugulruengkitt, Suvaporn; Teeraananchai, Sirinya; Chantasrisawad, Napaporn; Promsena, Pathariya; Jantarabenjakul, Watsamon; Puthanakit, Thanyawee

doi:10.1016/j.ijregi.2021.11.003

Cited by 12 publications

(12 citation statements)

References 5 publications

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“…Pneumonia was more common in all age [15]. Study in the United State and 6 in Canada, 25 (52%) were male, and the median (range) age was 13 (4.2-16.6) years Forty patients (83%) had significant preexisting comorbidities, 35 (73%) presented with respiratory symptoms [16].…”

Section: Discussionmentioning

confidence: 98%

Epidemiological Study of COVID-19 in Single Center in Baghdad City-Iraq

H¹,

J²

2022

J Infect Dis Epidemiol

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Background: Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus, a novel strain of corona virus was first detected in December 2019 in Wuhan, a city of Chinas Hubei province with population of 11 million, after an outbreak of pneumonia without an obvious cause. The virus has now spread to over 200 countries and territories across the globe and was characterized as a pandemic by the world health organization march 2020.Objective: -To determine the incidence rate of COVID-19 in pediatric and health workers -To identify the demography of participant's and epidemiological characteristics of a positive case. Material and method:Across sectional study in the tertiary hospital in Baghdad city. It was conducted for about two years 2020-2021.The study sample constitutes laboratoryconfirmed COVID-19 by testing PCR (polymerase chain reaction) to children attends to the hospital and laboratoryconfirmed COVID-19 of health workers in the center, data collected was taken from health workers by face to face interview, about children information which is taken from child's family.Data included demographic information like age, gender, job specifications, pre-existing condition (i.e. diabetes, malignancy and so on), mode of presentation asymptomatic or has symptoms like (fever, respiratory symptom, headache, loss of taste, insomnia and so on) , congenital abnormality for children if present , fallow the positive case covid-19 for a consequence of disease may be need admission, not need or admitted to respiratory care unit in severe cases with final result (dead, alive well or alive with complication).Data were analyzed by using SPSS (statistical software version 20) chi-square test found a significant difference in several characteristics, p-value of 0.05 was considered significant. Result:The total number of testing PCR (polymerase chain reaction) for children in the year of 2020 was 975 and positive cases was 199 so the incidence rate 20.4%, In 2021 1847 PCR test was done, positive cases 383 so the incidence rate of children equal to 20.7%. And even most children tend to have asymptomatic infection, which means they don't have any symptoms at all [7]. Every age may be affected but childhood seems to be safeguarded by severe COVID-19, due to comorbidities associated with lethal COVID-19 infection (obesity, diabetes and chronic heart disease) [8].

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Section: Discussionmentioning

confidence: 98%

Epidemiological Study of COVID-19 in Single Center in Baghdad City-Iraq

H¹,

J²

2022

J Infect Dis Epidemiol

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“…15 National rates of carbapenem-resistance were lower; in 2019, the national antimicrobial resistance surveillance center of Thailand reported that 10.1% of Enterobacterales were carbapenem-resistant Enterobacterales (CREs). 16…”

Section: Problemmentioning

confidence: 99%

Keeping It Real: Infection Prevention and Control Problems and Solutions in Low- and Middle-income Countries

Dramowski¹,

Bekker

Anugulruengkitt

et al. 2022

Pediatric Infectious Disease Journal

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Infection prevention challenges are ubiquitous in healthcare, but some are unique to or more prevalent in low-and middle-income country settings. Despite limited resources, innovative and committed paediatric healthcare providers and infection preventionists have found creative solutions to address the very real and pressing risks their patients face every day. We gathered examples of infection prevention and control challenges faced by clinicians in resource-limited healthcare facilities, and the real-world infection prevention and control solutions they implemented, with the goal of learning broader lessons applicable to low-and middle-income countrie.

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“… 4 – 6 , 8 – 13 There was limited data on the epidemiological and clinical characteristics of pediatric COVID-19 patients in Thailand. 15 , 17 Our aim was to study this and compare the clinical characteristics and symptom severity of each wave.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological and Clinical Characteristics of Pediatric Covid-19 in the Tertiary Care System in Thailand: Comparative Delta and Pre-Delta Era

Satdhabudha

Chaiyakulsil

Sritipsukho

et al. 2022

Mediterr J Hematol Infect Dis

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Background: Few studies had focused on the epidemiological and clinical characteristics of pediatric COVID-19 (SARS-CoV-2) during Delta and pre-Delta eras in Asia, despite it being a pandemic. Objective: To study the epidemiological and clinical characteristics of three waves of pediatric COVID-19 infections in a tertiary-care setting in Thailand. Methods: This retrospective study reviewed all PCR-confirmed pediatric (0-18 years of age) COVID-19 infections between January 13th, 2020 and October 31st, 2021, in a tertiary care system, Thailand. Results: There were 1,019 patients, aged 0.02 - 18 years, median age of 9.2 years, with no gender differences. Asymptomatic cases accounted for 35.7%, of which 18.9% had abnormal chest X-ray findings. The majority of cases were classified as having mild clinical symptoms, with only 0.8 and 0.4% developing severe and critical illness, respectively. There were no deaths. The Delta dominant group appeared more transmissible, but we did not see any difference in disease severity. Upper respiratory tract symptoms were predominant, while few cases had lower respiratory signs. The sensitivity and specificity of dyspnea symptoms to predict pneumonia (abnormal chest X-ray) were 14% and 95%, respectively, with a likelihood ratio 3.37. The overall prognosis was good, with only 0.01 % needing respiratory equipment. All cases showed clinical improvement with a decent recovery. Conclusion: Pediatric COVID-19 during Delta era appeared generally more transmissible but benign. One-fifth of cases had pneumonia, but few cases needed respiratory support. Prevention remains important for disease control. Keywords: Pediatric, COVID-19, SARS-CoV-2, Delta, Epidemiology

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Clinical outcomes of pediatric COVID-19 in a tertiary care center in Bangkok, Thailand

Cited by 12 publications

References 5 publications

Epidemiological Study of COVID-19 in Single Center in Baghdad City-Iraq

Epidemiological Study of COVID-19 in Single Center in Baghdad City-Iraq

Keeping It Real: Infection Prevention and Control Problems and Solutions in Low- and Middle-income Countries

Epidemiological and Clinical Characteristics of Pediatric Covid-19 in the Tertiary Care System in Thailand: Comparative Delta and Pre-Delta Era

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