Impact of COVID-19 on Child Life &amp; Health in Bangladesh

Hussain, Manzoor; Mamun, Mohammad Abdullah Al

doi:10.3329/bjch.v45i1.55465

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…The mortality rate of 3.2% seen in our study is lower than earlier studies in Pakistan involving children, which is encouraging [ 3 , 4 ]. This may reflect improved knowledge with treating children with COVID-19, with similar findings in other countries [ 10 , 85 ].…”

Section: Discussionsupporting

confidence: 65%

Antibiotic Overprescribing among Neonates and Children Hospitalized with COVID-19 in Pakistan and the Implications

et al. 2023

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There are concerns with excessive antibiotic prescribing among patients admitted to hospital with COVID-19, increasing antimicrobial resistance (AMR). Most studies have been conducted in adults with limited data on neonates and children, including in Pakistan. A retrospective study was conducted among four referral/tertiary care hospitals, including the clinical manifestations, laboratory findings, the prevalence of bacterial co-infections or secondary bacterial infections and antibiotics prescribed among neonates and children hospitalized due to COVID-19. Among 1237 neonates and children, 511 were admitted to the COVID-19 wards and 433 were finally included in the study. The majority of admitted children were COVID-19-positive (85.9%) with severe COVID-19 (38.2%), and 37.4% were admitted to the ICU. The prevalence of bacterial co-infections or secondary bacterial infections was 3.7%; however, 85.5% were prescribed antibiotics during their hospital stay (average 1.70 ± 0.98 antibiotics per patient). Further, 54.3% were prescribed two antibiotics via the parenteral route (75.5%) for ≤5 days (57.5), with most being ‘Watch’ antibiotics (80.4%). Increased antibiotic prescribing was reported among patients requiring mechanical ventilation and high WBCs, CRP, D-dimer and ferritin levels (p < 0.001). Increased COVID-19 severity, length of stay and hospital setting were significantly associated with antibiotic prescribing (p < 0.001). Excessive antibiotic prescribing among hospitalized neonates and children, despite very low bacterial co-infections or secondary bacterial infections, requires urgent attention to reduce AMR.

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Section: Discussionsupporting

confidence: 65%

Antibiotic Overprescribing among Neonates and Children Hospitalized with COVID-19 in Pakistan and the Implications

et al. 2023

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“…The calculated incidence rates of COVID-19 among pediatric patients managed at the University of Ghana Medical Centre (UGMC) in 2020 and 2021 were 9.8% (85/869) and 10.4% (116/1119), respectively, with an overall mortality rate of 10.9% (22/201). This mortality rate (10.9%) among pediatric patients diagnosed and admitted for COVID-19 was lower than seen in Bangladesh and Indonesia at the start of the pandemic, at 13.3% and 40%, respectively [41,48]. However, it was higher than a recent study in Bangladesh (1.4%), as well as the rate reported by the Child Rights International in Ghana, which showed that the incidence rate of COVID-19 among the pediatric population was 4.43% of the total population, with only four deaths recorded out of 2180 children with the virus (0.13% of total deaths) by the end of 2020 [20,49].…”

Section: Discussionmentioning

confidence: 69%

Assessing the Clinical Characteristics and Management of COVID-19 among Pediatric Patients in Ghana: Findings and Implications

et al. 2023

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There is an increasing focus across countries on researching the management of children admitted to hospital with COVID-19. This stems from an increasing prevalence due to new variants, combined with concerns with the overuse of antimicrobials driving up resistance rates. Standard treatment guidelines (STGs) have been produced in Ghana to improve their care. Consequently, there is a need to document the clinical characteristics of children diagnosed and admitted with COVID-19 to our hospital in Ghana, factors influencing compliance to the STG and treatment outcomes. In all, 201 patients were surveyed between March 2020 and December 2021, with males accounting for 51.7% of surveyed children. Those aged between 6 and 10 years were the largest group (44.8%). Nasal congestion and fever were some of the commonest presenting complaints, while pneumonia was the commonest (80.6%) COVID-19 complication. In all, 80.0% of all admissions were discharged with no untreated complications, with a 10.9% mortality rate. A combination of azithromycin and hydroxychloroquine (41.29%) was the most prescribed antimicrobial regimen. Compliance to the STG was variable (68.2% compliance). Increased compliance was associated with a sore throat as a presenting symptom. Mortality increased following transfer to the ICU. However, current recommendations to prescribe antimicrobials without demonstrable bacterial or fungal infections needs changing to reduce future resistance. These are areas to address in the future.

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“…This economic misery created nutritional defficiency among rural (84%) and municipal (62.4%) students. In their study, Hussain and Mamun (2020) showed that 64% families were in serious food crisis. This findig has also been corroborated by Antara (2021) reaving that 44% students suffered from malnutrition due to financial crisis.…”

Section: Facing Economic and Familial Crisismentioning

confidence: 99%

“…Helping household activities 8 , involving in income generating activities 9 , facing more financial crisis 10 and forced child marriage 11 are elements of the second group. The last group mainly includes restrictions on outside movement 12 and mental illness 13 . All these studies reviewed conducted their studies at macro level and did not take an attempt to make a comparison between rural and municipal areas.…”

Section: Introductionmentioning

confidence: 99%

Covid-19 and students life in Khansama Upazila, Dinajpur District, Bangladesh

2024

IJFMR

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The Covid-19 has had drastic effect on educational sector around the world. This study took an attempt to explore how far the Corona pandemic affected the lives of rural and municipal students of Khansama Upazila, Dinajpur District, Bangladesh. The study collected data by using questionnaire interviews from 198 respondents who were 9 to 18 years old. The study found that the Corona pandemic hit the educational lives of rural pupils more compared to municipal ones and a remarkable number of rural students were afraid of returning to their studies than those of municipal ones. According to the survey, municipal students were more aware of Corona infection than rural ones. It also found that students-families of both areas had financial crisis during Corona pandemic which created a rift in the families that affected the mentality of the students. It also found that rural students involved more in income generating activities to support their families than their counter ones, and many rural parents married off their school-going daughters to reduce their financial crisis. Long time market closure result of this pandemic, made a shortage of daily necessities in both areas which affected the nutritional needs of the students. Again, the confinement of the students in their home during the lockdown isolated them to their surroundings that ultimately affected their mental health.

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Impact of COVID-19 on Child Life & Health in Bangladesh

Abstract: not available BANGLADESH J CHILD HEALTH 2021; VOL 45 (1) : 1-5

Cited by 4 publications

References 11 publications

Antibiotic Overprescribing among Neonates and Children Hospitalized with COVID-19 in Pakistan and the Implications

Antibiotic Overprescribing among Neonates and Children Hospitalized with COVID-19 in Pakistan and the Implications

Assessing the Clinical Characteristics and Management of COVID-19 among Pediatric Patients in Ghana: Findings and Implications

Covid-19 and students life in Khansama Upazila, Dinajpur District, Bangladesh

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