Incidence, Clinical Features, and Outcomes of the Confirmed Neonatal COVID-19 Infection in the Southwest Iran.

IF 1.3 Q3 PEDIATRICS International Journal of Pediatrics Pub Date : 2023-09-27 eCollection Date: 2023-01-01 DOI:10.1155/2023/7095326
Najmeh Maharlouei, Arash Khojasteh Zonoozi, Zaynab Noeizad, Atila Erami, Hamidreza Parsa, Zahra Eskandari Kootahi, Sara Raji, Kamran B Lankarani
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Abstract

Background: The impact of COVID-19 on the neonatal population is still mysterious. This study is aimed at reporting the prevalence of COVID-19 and its clinical characteristics and outcomes among neonates in Iran.

Methods: We conducted a retrospective cohort including 25 neonates who had COVID-19 infection confirmed by reverse transcription polymerase chain reaction (RT-PCR). Based on neonates' hospitalization records, data regarding neonatal and maternal characteristics and clinical and paraclinical findings were extracted.

Results: In Fars Province, the incidence of COVID-19 among neonates was 47.5 per 100000 living births in one year. From 25 neonates, 20 cases (80%) were recovered, while five cases (20%) died, and all of them were symptomatic. Nine cases (37.5%) were preterm, and two cases (22.2%) belonged to deceased neonates. Four out of five deceased neonates (80%) suffered from congenital abnormalities, and all required respiratory support in the course of their disease progression. Also, 18 neonates (72%) were admitted to NICU. Moreover, the COVID-19 RT-PCR test of nine mothers (43.7%) became positive.

Conclusions: This study showed that the incidence of confirmed and symptomatic SARS-CoV-2 infection among neonates in the Fars Province of Iran over one year was 47.5 per 100000 living births. Thoroughly evaluating the epidemiological factors associated with COVID-19, such as underlying health conditions and family history of COVID-19, is crucial in properly managing neonates during the pandemic and increasing awareness.

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伊朗西南部确诊新生儿新冠肺炎感染的发病率、临床特征和结果。
背景:新冠肺炎对新生儿人口的影响仍然很神秘。本研究旨在报告伊朗新生儿中新冠肺炎的患病率及其临床特征和结果。根据新生儿的住院记录,提取了有关新生儿和产妇特征以及临床和副临床表现的数据。结果:在法尔斯省,新生儿中新冠肺炎的发病率为一年内每10万活产47.5例。25例新生儿中,20例(80%)康复,5例(20%)死亡,均出现症状。早产9例(37.5%),死亡新生儿2例(22.2%)。五分之四的死亡新生儿(80%)患有先天性异常,在疾病进展过程中都需要呼吸支持。此外,新生儿重症监护室收治了18名新生儿(72%)。此外,九位母亲(43.7%)的新冠肺炎RT-PCR检测结果呈阳性。结论:这项研究表明,伊朗法尔斯省一年内新生儿中确诊和有症状的严重急性呼吸系统综合征冠状病毒2型感染的发生率为47.5/100000活产。彻底评估与新冠肺炎相关的流行病学因素,如潜在的健康状况和新冠肺炎家族史,对于在大流行期间正确管理新生儿和提高认识至关重要。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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