AIM: Reports describing coronavirus disease 2019 (Covid-19) in children are fewer than adult studies due to milder clinical picture . We aimed to share our experience at a single center with an emphasis on collective decision making . MATERIALS AND
METHODS: A suspected case was defined as the presence of symptoms suggestive of COVID-19 and/or positive contact history . SARS-CoV-2 PCR positive patients were defined as confirmed COVID-19 . Between March 12 , 2020, and May 15 , 2020, all children presenting with fever, cough, or respiratory difficulty were investigated for COVID-19 . A total of 719 children were examined at outpatient clinics, and 495 were tested with polymerase chain reaction (PCR) for suspicion of COVID-19 . A team was organized for monitoring and treating patients either as outpatients or hospitalization . Patients were evaluated in terms of age, gender, travel history, epidemiological history, clinical symptoms and signs, laboratory and radiological findings, treatment, and outcome .
RESULTS: Sixty patients were hospitalized for suspicion of COVID-19 . Forty-three patients were diagnosed as probable or confirmed COVID-19 . 21 of 43 patients (48.8 %) were PCR confirmed . The remaining 22 were diagnosed by epidemiologic history, clinical assessment, and computerized thorax tomography (CT) findings . The median age was 126 and 78.5 months in PCR positives and PCR negatives, respectively and the youngest patient was a 28 days old baby . Nineteen of the patients had an upper respiratory infection (44.1 %). Although five patients had no clinical signs, chest X-ray, or CT revealed pneumonia .
CONCLUSIONS: As previously reported, the clinical manifestations of COVID-19 in children are mostly mild . Even very young kids can become infected following exposure to sick family members . International and local guidelines are valuable for decision making since it is a new disease . A combination of chest disease, infectious diseases, and emergency care physicians approach will aid the appropriate management of cases.