Turkish Archives of Pediatrics
Original Article

The Comparison of Children Who Were Diagnosed with COVID-19 in the First and the Second Waves of the SARS-CoV-2 Pandemic

1.

Division of Pediatric Emergency, Department of Pediatrics, Izmir Democracy University Medical Faculty, Buca Seyfi Demirsoy Teaching and Research Hospital, Izmir, Turkey

2.

Department of Pediatrics, Izmir Democracy University Medical Faculty, Buca Seyfi Demirsoy Teaching and Research Hospital, Izmir, Turkey

3.

Division of Pediatric Neurology, Department of Pediatrics, Dokuz Eylul University School of Medicine, Izmir, Turkey

4.

Division of Pediatric Neurology, Department of Pediatrics, Ege University School of Medicine, Izmir, Turkey

Turk Arch Pediatr 2021; 56: 596-601
DOI: 10.5152/TurkArchPediatr.2021.21162
Read: 164 Downloads: 63 Published: 01 November 2021

Objective: To compare the clinical and laboratory findings and short-term outcomes of those children diagnosed with COVID-19 in the first and second waves of the SARS-CoV-2 pandemic.

Methods: A retrospective study was conducted at a suburban community hospital during a 1-year period. All children who were less than 18 years of age and confirmed with COVID-19 were included in the study population. The demographics, clinical features, laboratories, treatments given, hospitalizations, and outcomes were analyzed.

Results: A total of 198 patients were enrolled; median age was 9.3 years. One-hundred four patients were diagnosed with COVID-19 disease in the first wave and 94 (47.5%) patients were diagnosed in the second wave of the pandemic. Those patients who were diagnosed with COVID-19 in the first wave of the pandemic were significantly younger than those in the second wave (medians: 2.7 years vs. 15 years respectively, P < .001). Intra-familial contact was detected in 66.4% vs. 33.6% in the first and second waves of the pandemic, respectively (P < .001). Asymptomatic patients were higher in the second wave than in the first wave (P < .001). Additionally, moderate-to-critically ill patients were significantly higher in the first wave than in the second wave (P < .001). The rate of multisystem inflammatory syndrome (MIS-C) cases was 0.32% in this study.

Conclusion: In children, COVID-19 disease affected older children, there was less intra-familial contact and the severity of the disease was milder in the second wave of the pandemic in comparison to the first wave. MIS-C was encountered in the second wave of the pandemic.

Cite this article as: Turan C, Basa EG, Elitez D, Yılmaz O, Gümüş E, Anıl M. The comparison of children who were diagnosed with COVID-19 in the first and the second waves of the SARS-CoV-2 pandemic. Turk Arch Pediatr. 2021; 56(6): 596-601.

Files
EISSN 2757-6256