Epidemiological and clinical and laboratory features of the new coronavirus infection COVID-19 in children of different age groups in Ryazan

Мұқаба

Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Objective. Study of epidemiological and clinical laboratory features of the new coronavirus infection COVID-19 in children of various age groups permanently residing in Ryazan.

Materials and methods. An analysis of the medical records of 585 patients aged over 1 month up to 17 years of age with a verified diagnosis of new coronavirus infection COVID-19, who were under the follow-up of the local pediatric service of city children’s clinics in Ryazan for the period from March 2020 to December 2021 was carried out.

Results. School-age children accounted for 68.7%. Infection with SARS-CoV-2 in 87.2% of cases occurred as a result of intra-family contact with patients with COVID-19. 71.8% had a mild course of the disease, 5.3% had a moderate course; the diagnosis of «community-acquired pneumonia2» was verified in 4.1% of cases. Premorbid pathology was detected in 8.4% of children; it was 10.7 times more likely to be recorded in children with a moderate course of the disease (p < 0.001). The clinical picture of COVID-19 was dominated by symptoms of intoxication (74.9%) and respiratory tract damage (69.6%). Gastrointestinal manifestations were more common in children aged 0 to 7 years (p < 0.001), dysosmia and dysgeusia – in school-age children (p < 0.001). Asthenic syndrome was noted in 4.7% of children 3 months after new coronavirus infection.

Conclusion. The majority of children had a mild course of coronavirus infection, not requiring hospitalization, with a favorable outcome. Relationships between the severity of coronavirus infection and the presence of concomitant pathology (r = 0.33; p < 0.001), as well as between the age of patients and the presence of gastrointestinal symptoms (r = -0.48; p < 0.001), dysgeusia (r = 0.44; p < 0.001) and dysosmia (r = 0.46; p < 0.001) were established.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Nataliya Belykh

I.P. Pavlov Ryazan State Medical Pavlov

Хат алмасуға жауапты Автор.
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-5533-0205

MD, Head, Department of Outpatient Pediatrics with a Course in Pediatrics, Faculty of Additional Professional Education

Ресей, Ryazan

Nataliya Anikeeva

I.P. Pavlov Ryazan State Medical Pavlov

Email: natasha782@inbox.ru
ORCID iD: 0000-0003-1103-2019

Cand. Med. Sci., Assistant Professor, Department of Faculty and Outpatient Pediatrics with a Course in Pediatrics, Faculty of Additional Professional Education

Ресей, Ryazan

Elizaveta Akimova

City Children’s Clinic № 7

Email: elizaveta.akimova.97@mail.ru
ORCID iD: 0000-0001-8755-0918

Pediatrician

Ресей, Ryazan

Anastasia Panferuhina

I.P. Pavlov Ryazan State Medical Pavlov

Email: n.panferuhina@mail.ru
ORCID iD: 0000-0002-6926-2418

Resident

Ресей, Ryazan

Inna Piznyur

I.P. Pavlov Ryazan State Medical Pavlov

Email: innaabramova@yandex.ru
ORCID iD: 0000-0002-9267-439X

Teaching Assistant, Department of Faculty and Outpatient Pediatrics with a Course in Pediatrics, Faculty of Additional Professional Education

Ресей, Ryazan

Elena Stezhkina

I.P. Pavlov Ryazan State Medical Pavlov

Email: polus1972@yandex.ru
ORCID iD: 0000-0002-1806-0787

Cand. Med. Sci., Assistant Professor, Department of Faculty and Outpatient Pediatrics with a Course in Pediatrics, Faculty of Additional Professional Education

Ресей, Ryazan

Nataliya Sharapina

City Children’s Clinic № 7

Email: Gdp7@ryazangov.ru

Head, Pediatric Department

Ресей, Ryazan

Nataliya Privalova

City Children’s Clinic № 6

Email: natali-rz@mail.ru

Head, Pediatric Department

Ресей, Ryazan

Elena Makarkina

City Children’s Clinic № 3

Email: mak.elena1965@yandex.ru
ORCID iD: 0000-0001-6106-6722

Deputy Chief Medical Officer

Ресей, Ryazan

Olga Solovyova

I.P. Pavlov Ryazan State Medical Pavlov

Email: olgasolovejka@yandex.ru
ORCID iD: 0000-0002-7680-7041

Postgraduate Student, Department of Faculty and Polyclinic Pediatrics with a Pediatrics Course at the Faculty of Continuing Professional Education

Ресей, Ryazan

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