{"title":"Effect of Physician's Experience on Patient’s Anxiety During Impacted Third Molar Surgery","authors":"","doi":"10.12996/gmj.2023.56","DOIUrl":"https://doi.org/10.12996/gmj.2023.56","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47593158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Filiz Yıldırım, R. Ozturk, P. Kaynar, Z. Yildirim, H. Karageçili
Objectives: In this study, it was aimed to identify the causative bacteria of urinary tract infections, to determine antibiotic susceptibility, and to examine acute phase markers in patients hospitalized in the palliative care service of Ankara Polatlı Duatepe State Hospital between January 2019 and December 2020. Materials and Methods: These sex, age and, detected diseases of a total of 72 palliative care patients included in our study were analyzed retrospectively. To determine the causative agents of urinary tract infections in these patients, Gram staining was performed on the bacterial cultures that developed in the urine samples, and the Vitek-2 (bioMérieux, France) automatic test device was used to identify these cultures and determine their antibiotic susceptibility. In the blood sample staken from these patients, leukocyte (WBC), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) measurements were also made. Results: The causative agents of urinary tract infections of these patients are Gram-negative bacteria Escherichia coli , Klebsiella pneumoniae , Pseudomonas aeruginosa , Proteus mirabilis , Acinetobacter baumannii , Citrobacter koseri , Morganella morganii ssp. morganii , Enterobacter cloacae complex , and Gram-positive bacteria Enterococcus faecium , Enterococcus spp ., and Staphylococcus epidermidis were found. Various antibiotics were determined to have different levels of sensitivity. Conclusions: It is important to determine the causative agents of urinary tract infections, which are among the most frequently detected infections in palliative care patients, and to determine antibiotic susceptibility and acute phase response markers fo these agents. Mortality and morbidity will be reduced by determining the causative agents of these infections and applying appropriate antibiotic treatments.
{"title":"Evaluation of Infection Factor and Antibiotic Resistance Distributions in Palliative Care Patients Developed Urinary Tract Infection","authors":"Filiz Yıldırım, R. Ozturk, P. Kaynar, Z. Yildirim, H. Karageçili","doi":"10.12996/gmj.2023.64","DOIUrl":"https://doi.org/10.12996/gmj.2023.64","url":null,"abstract":"Objectives: In this study, it was aimed to identify the causative bacteria of urinary tract infections, to determine antibiotic susceptibility, and to examine acute phase markers in patients hospitalized in the palliative care service of Ankara Polatlı Duatepe State Hospital between January 2019 and December 2020. Materials and Methods: These sex, age and, detected diseases of a total of 72 palliative care patients included in our study were analyzed retrospectively. To determine the causative agents of urinary tract infections in these patients, Gram staining was performed on the bacterial cultures that developed in the urine samples, and the Vitek-2 (bioMérieux, France) automatic test device was used to identify these cultures and determine their antibiotic susceptibility. In the blood sample staken from these patients, leukocyte (WBC), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) measurements were also made. Results: The causative agents of urinary tract infections of these patients are Gram-negative bacteria Escherichia coli , Klebsiella pneumoniae , Pseudomonas aeruginosa , Proteus mirabilis , Acinetobacter baumannii , Citrobacter koseri , Morganella morganii ssp. morganii , Enterobacter cloacae complex , and Gram-positive bacteria Enterococcus faecium , Enterococcus spp ., and Staphylococcus epidermidis were found. Various antibiotics were determined to have different levels of sensitivity. Conclusions: It is important to determine the causative agents of urinary tract infections, which are among the most frequently detected infections in palliative care patients, and to determine antibiotic susceptibility and acute phase response markers fo these agents. Mortality and morbidity will be reduced by determining the causative agents of these infections and applying appropriate antibiotic treatments.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48756451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vitrification of Feline Ovarian Tissue on Copper Grid Versus Acupuncture Needle Using Different Rates of Vitrification Solution","authors":"","doi":"10.12996/gmj.2023.55","DOIUrl":"https://doi.org/10.12996/gmj.2023.55","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45872877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"'Impaired Autonomy and Performance' Predicts Instagram Addiction Among Instagram Users: A Cross-Sectional Study","authors":"","doi":"10.12996/gmj.2023.66","DOIUrl":"https://doi.org/10.12996/gmj.2023.66","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48003440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective. Detection of the pathogen and appropriate early treatment are very important in the treatment of periprosthetic joint infection (PJI). In our study, we evaluated the correlation of culture results and hematologic parameters with tissue polymerase chain reaction (PCR) test in the diagnosis of PJI. Methods. The study included 26 patients whose culture and tissue PCR samples were examined with suspicion of PJI in our clinic. Tissue samples were obtained for PCR and culture during revision surgery. All data were statistically analyzed. Cut-off values of acute phase reactants were tried to be determined according to the culture results. Pathogens were detected in only one patient in culture, whereas pathogens were detected in 5 patients in PCR test. Results . C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values of patients with positive PCR test results were significantly higher than those with negative PCR test results. As a result of the ROC analysis performed to determine the cut-off values, the cut-off value of CRP was 24.5 with 100.0% sensitivity and 90.0% specificity (p<0.05), and the cut-off value of ESR was 64.5 with 80.0% sensitivity and 85.7% specificity (p<0.05). Conclusions. Diagnosing infection with PCR test reduces the possibility of making mistakes. In addition, we tried to find the cut-off values for CRP and ESR in the diagnosis of PJI in our study. To confirm these cut-off values we need prospective studies with larger number of patients.
{"title":"Correlation of Culture Results and Hematological Parameters with Tissue PCR Test in the Diagnosis of Periprosthetic Joint Infection","authors":"H. Atalar, A. C. Baymurat, T. Tolunay","doi":"10.12996/gmj.2023.71","DOIUrl":"https://doi.org/10.12996/gmj.2023.71","url":null,"abstract":"Objective. Detection of the pathogen and appropriate early treatment are very important in the treatment of periprosthetic joint infection (PJI). In our study, we evaluated the correlation of culture results and hematologic parameters with tissue polymerase chain reaction (PCR) test in the diagnosis of PJI. Methods. The study included 26 patients whose culture and tissue PCR samples were examined with suspicion of PJI in our clinic. Tissue samples were obtained for PCR and culture during revision surgery. All data were statistically analyzed. Cut-off values of acute phase reactants were tried to be determined according to the culture results. Pathogens were detected in only one patient in culture, whereas pathogens were detected in 5 patients in PCR test. Results . C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values of patients with positive PCR test results were significantly higher than those with negative PCR test results. As a result of the ROC analysis performed to determine the cut-off values, the cut-off value of CRP was 24.5 with 100.0% sensitivity and 90.0% specificity (p<0.05), and the cut-off value of ESR was 64.5 with 80.0% sensitivity and 85.7% specificity (p<0.05). Conclusions. Diagnosing infection with PCR test reduces the possibility of making mistakes. In addition, we tried to find the cut-off values for CRP and ESR in the diagnosis of PJI in our study. To confirm these cut-off values we need prospective studies with larger number of patients.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48039551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Presbyphagia; is the physiological, structural and sensory changes that occur in the structures related to swallowing with age. Elderly patients adapt to all these changes by making various alteration in their eating habits to maintain normal swallowing function; however, an intervening stressor, comorbid disease or sarcopenic changes can make an asymptomatic swallowing disorder "symptomatic". This situation may be overlooked by the patient himself or the caregivers and may be accepted as a natural consequence of aging. Dysphagia in elderly can lead to serious complications such as malnutrition, dehydration and aspiration pneumonia. Recognizing the situation and not accept it as a natural consequence of old age plays a key role in this problem
{"title":"Tip of the Iceberg: Geriatric Dysphagia","authors":"Banu Tijen, Buz Dağının Tepesi, Geriatrik Disfaji","doi":"10.12996/gmj.2023.75","DOIUrl":"https://doi.org/10.12996/gmj.2023.75","url":null,"abstract":"Presbyphagia; is the physiological, structural and sensory changes that occur in the structures related to swallowing with age. Elderly patients adapt to all these changes by making various alteration in their eating habits to maintain normal swallowing function; however, an intervening stressor, comorbid disease or sarcopenic changes can make an asymptomatic swallowing disorder \"symptomatic\". This situation may be overlooked by the patient himself or the caregivers and may be accepted as a natural consequence of aging. Dysphagia in elderly can lead to serious complications such as malnutrition, dehydration and aspiration pneumonia. Recognizing the situation and not accept it as a natural consequence of old age plays a key role in this problem","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44305203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bernard Kar Eng Ho, Wei Hoong Yee, Nakhieeran Nallasamy, Jecolyn Jeoffrey Ekol, S. Chong, F. Hayati
Visceral artery aneurysms are uncommon but can present as life-threatening often fatal emergencies when ruptured. Hepatic artery aneurysms account for 20% of splanchnic artery aneurysms and are associated with a 25% rupture rate with 70%-100% mortality. We report a case of a 33-year-old male who presented with a 1-day history of severe epigastric pain associated with hypotension and anaemia with no clinical signs of overt bleeding nor history of trauma. Computed tomography abdomen and pelvis showed a ruptured saccular common hepatic aneurysm which was successfully embolized by our interventional radiologist.
{"title":"Ruptured Common Hepatic Artery Aneurysm Masquerading as an Intestinal Obstruction","authors":"Bernard Kar Eng Ho, Wei Hoong Yee, Nakhieeran Nallasamy, Jecolyn Jeoffrey Ekol, S. Chong, F. Hayati","doi":"10.12996/gmj.2023.73","DOIUrl":"https://doi.org/10.12996/gmj.2023.73","url":null,"abstract":"Visceral artery aneurysms are uncommon but can present as life-threatening often fatal emergencies when ruptured. Hepatic artery aneurysms account for 20% of splanchnic artery aneurysms and are associated with a 25% rupture rate with 70%-100% mortality. We report a case of a 33-year-old male who presented with a 1-day history of severe epigastric pain associated with hypotension and anaemia with no clinical signs of overt bleeding nor history of trauma. Computed tomography abdomen and pelvis showed a ruptured saccular common hepatic aneurysm which was successfully embolized by our interventional radiologist.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42176397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Wulandari, Daniel Maranatha, T. Adiono, A. Riadi, Gemilang Khusnurrokhman, Yudi Aditya, Yusuf Purna Yudanto, Citrya Saraswati, J. Fajar
Objective : To assess the validity of RESPINOS, a remote monitoring device, to measure the vital signs of patients with mild – moderate COVID-19. Methods : A cross sectional study was conducted in Dr. Soetomo Hospital, Surabaya, Indonesia. All patients with mild – moderate COVID-19 were enrolled to our study, and patients with unable to cooperate in operating the tool were excluded. The implementation of RESPINOS was considered the predictor covariate, and the vital signs were considered the outcome, compared to the measurement of standard device. A t test and kappa agreement were used to assess the similarity between the measurement of RESPINOS and the standard device. Results : A total of 180 participants was employed to our study. Of them, we found that the measurements of respiratory rate, heart rate, and oxygen saturation had similarity between RESPINOS and the standard device (p > 0.05). Moreover, our analysis in kappa agreement also found that the coefficient of kappa agreement was higher in respiratory rate, heart rate, and oxygen saturation, suggesting that the measurement either by using RESPINOS or standard device provided similar findings. Conclusion : RESPINOS offers the benefits for a remote monitoring in patients with mild – moderate COVID-19.
{"title":"RESPINOS Remote Monitoring Device to Observe the Vital Signs of Mild – Moderate COVID-19 Patients","authors":"L. Wulandari, Daniel Maranatha, T. Adiono, A. Riadi, Gemilang Khusnurrokhman, Yudi Aditya, Yusuf Purna Yudanto, Citrya Saraswati, J. Fajar","doi":"10.12996/gmj.2023.65","DOIUrl":"https://doi.org/10.12996/gmj.2023.65","url":null,"abstract":"Objective : To assess the validity of RESPINOS, a remote monitoring device, to measure the vital signs of patients with mild – moderate COVID-19. Methods : A cross sectional study was conducted in Dr. Soetomo Hospital, Surabaya, Indonesia. All patients with mild – moderate COVID-19 were enrolled to our study, and patients with unable to cooperate in operating the tool were excluded. The implementation of RESPINOS was considered the predictor covariate, and the vital signs were considered the outcome, compared to the measurement of standard device. A t test and kappa agreement were used to assess the similarity between the measurement of RESPINOS and the standard device. Results : A total of 180 participants was employed to our study. Of them, we found that the measurements of respiratory rate, heart rate, and oxygen saturation had similarity between RESPINOS and the standard device (p > 0.05). Moreover, our analysis in kappa agreement also found that the coefficient of kappa agreement was higher in respiratory rate, heart rate, and oxygen saturation, suggesting that the measurement either by using RESPINOS or standard device provided similar findings. Conclusion : RESPINOS offers the benefits for a remote monitoring in patients with mild – moderate COVID-19.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47179129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. E. Tepedelenlioğlu, Özlem Orhan, M. Aydin, Y. Polat, Mehmet Baran Uslu, Sefik M Arıkan, Retrospektif Çalışma
Objective: Intertrochanteric femur fractures are common fractures with increasing life expectancy. The aim of treatment is to provide early mobilization and pre-fracture function in patients. In this study, we aimed to compare the mortality and function scores of two treatment modalities (proximal femoral nail and bipolar hemiarthroplasty) commonly used in the treatment of intertrochanteric femur fractures in a secondary care hospital. Materials and Methods: The study was planned for patients who underwent proximal femoral nail (PFNA) and bipolar hemiarthroplasty (BHA) due to femoral intertrochanteric fracture in a second-care hospital between 2017 and 2020. The data from a total of 199 patients were analyzed retrospectively. The operation method, age, sex, vitality, operation time, and hospitalization were recorded. The short form-36 (SF-36) questionnaire, recorded at the last visit, was evaluated in the surviving patients. Results: No significant difference has been found for gender and age compared to the operation method. However, the mortality rate of BHA is found to be higher than the rate of PFNA (p<0.001). Compared to the time of death, no significant difference is found between operation methods. The operative time and hospitalization were significantly lower in the PFNA (p<0.01, p<0.05; respectively). At postoperative measurements, SF-36 physical functioning, energy/fatigue, emotional well-being, social functioning, pain, general health, and total scores were higher in the PFNA. Conclusion: In this study, PFNA has low mortality and high functional scores in treating femoral intertrochanteric fractures. Therefore, PFNA is safer in a secondary hospital treating femoral intertrochanteric fractures and is recommended as a primary treatment option.
{"title":"Comparison of Mortality Rates and Functional Scores of Proximal Femur Nail and Partial Hip Arthroplasty in Intertrochanteric Femur Fractures: A Retrospective Study","authors":"H. E. Tepedelenlioğlu, Özlem Orhan, M. Aydin, Y. Polat, Mehmet Baran Uslu, Sefik M Arıkan, Retrospektif Çalışma","doi":"10.12996/gmj.2023.67","DOIUrl":"https://doi.org/10.12996/gmj.2023.67","url":null,"abstract":"Objective: Intertrochanteric femur fractures are common fractures with increasing life expectancy. The aim of treatment is to provide early mobilization and pre-fracture function in patients. In this study, we aimed to compare the mortality and function scores of two treatment modalities (proximal femoral nail and bipolar hemiarthroplasty) commonly used in the treatment of intertrochanteric femur fractures in a secondary care hospital. Materials and Methods: The study was planned for patients who underwent proximal femoral nail (PFNA) and bipolar hemiarthroplasty (BHA) due to femoral intertrochanteric fracture in a second-care hospital between 2017 and 2020. The data from a total of 199 patients were analyzed retrospectively. The operation method, age, sex, vitality, operation time, and hospitalization were recorded. The short form-36 (SF-36) questionnaire, recorded at the last visit, was evaluated in the surviving patients. Results: No significant difference has been found for gender and age compared to the operation method. However, the mortality rate of BHA is found to be higher than the rate of PFNA (p<0.001). Compared to the time of death, no significant difference is found between operation methods. The operative time and hospitalization were significantly lower in the PFNA (p<0.01, p<0.05; respectively). At postoperative measurements, SF-36 physical functioning, energy/fatigue, emotional well-being, social functioning, pain, general health, and total scores were higher in the PFNA. Conclusion: In this study, PFNA has low mortality and high functional scores in treating femoral intertrochanteric fractures. Therefore, PFNA is safer in a secondary hospital treating femoral intertrochanteric fractures and is recommended as a primary treatment option.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45394199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective. The data regarding Covid-19 in children is still limited. Although the course of Covid-19 disease in children seems milder than adults, the co-morbid conditions that may cause severe infection or death have not been fully clarified and this creates anxiety. This study aims to evaluate the frequency of Covid-19 in children admitting to hospital with symptoms. Methods. A retrospective study during 7 months of the pandemic period was conducted in two tertiary care academic hospitals in North Cyprus. All patients admitted into the pediatric outpatient clinics with fever and/or respiratory symptoms and tested for Covid-19 with real-time polymerase chain reaction (RT-PCR) were involved in the study. Clinical characteristics including symptoms, physical examination findings, laboratory results, hospitalization status, and diagnosis were all recorded from hospital database retrospectively, and the frequency of positive Covid-19 testing in children was evaluated. Results. A total of 111 patients with fever and/or respiratory symptoms without a contact history with Covid-19 were assessed. The age of the children ranged from 2 -172 months, with a median age of 32 months, and 60.4% were male. A total of 19 (17.3%) were hospitalized and the Covid-19 positivity rate was 1.8%. Conclusion. There is a certain need for guidelines to be followed for Covid-19 diagnosis in symptomatic children without a contact history. Test timing, the need for consecutive testing or isolation and recommendations for symptomatic child caregivers about how to protect themselves should be considered and seriously discussed.
{"title":"The Frequency of COVID 19 in Children with Fever and/or Respiratory Symptoms in 2020-2021 Winter: Preliminary Report from Cyprus","authors":"Kış Dönemi Raporu, N. Galip, C. Dalkan","doi":"10.12996/gmj.2023.58","DOIUrl":"https://doi.org/10.12996/gmj.2023.58","url":null,"abstract":"Objective. The data regarding Covid-19 in children is still limited. Although the course of Covid-19 disease in children seems milder than adults, the co-morbid conditions that may cause severe infection or death have not been fully clarified and this creates anxiety. This study aims to evaluate the frequency of Covid-19 in children admitting to hospital with symptoms. Methods. A retrospective study during 7 months of the pandemic period was conducted in two tertiary care academic hospitals in North Cyprus. All patients admitted into the pediatric outpatient clinics with fever and/or respiratory symptoms and tested for Covid-19 with real-time polymerase chain reaction (RT-PCR) were involved in the study. Clinical characteristics including symptoms, physical examination findings, laboratory results, hospitalization status, and diagnosis were all recorded from hospital database retrospectively, and the frequency of positive Covid-19 testing in children was evaluated. Results. A total of 111 patients with fever and/or respiratory symptoms without a contact history with Covid-19 were assessed. The age of the children ranged from 2 -172 months, with a median age of 32 months, and 60.4% were male. A total of 19 (17.3%) were hospitalized and the Covid-19 positivity rate was 1.8%. Conclusion. There is a certain need for guidelines to be followed for Covid-19 diagnosis in symptomatic children without a contact history. Test timing, the need for consecutive testing or isolation and recommendations for symptomatic child caregivers about how to protect themselves should be considered and seriously discussed.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46847748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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