Clinical and epidemiological presentation of COVID-19 among children in conflict setting

Background: This study aims to describe the observable symptoms of children with COVID-19 infection and analyze access to real-time polymerase chain reaction (RT-PCR) testing among children seeking care in Yemen. Method: In the period of March 2020-February 2022, data were obtained from 495 children...

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Hauptverfasser: Dar Iang, Maureen (VerfasserIn) , Hassan, Ola El Hajj (VerfasserIn) , McGowan, Maureen (VerfasserIn) , Basaleem, Huda (VerfasserIn) , Al-Sakkaf, Khaled (VerfasserIn) , Jahn, Albrecht (VerfasserIn) , Dureab, Fekri (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 8 November 2022
In: Children
Year: 2022, Jahrgang: 9, Heft: 11, Pages: 1-12
ISSN:2227-9067
DOI:10.3390/children9111712
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3390/children9111712
Verlag, lizenzpflichtig, Volltext: https://www.mdpi.com/2227-9067/9/11/1712
Volltext
Verfasserangaben:Maureen Dar Iang, Ola El Hajj Hassan, Maureen McGowan, Huda Basaleem, Khaled Al-Sakkaf, Albrecht Jahn and Fekri Dureab

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520 |a Background: This study aims to describe the observable symptoms of children with COVID-19 infection and analyze access to real-time polymerase chain reaction (RT-PCR) testing among children seeking care in Yemen. Method: In the period of March 2020-February 2022, data were obtained from 495 children suspected to have been infected with COVID-19 (from a larger register of 5634 patients) from the Diseases Surveillance and Infection Control Department at the Ministry of Public Health and Population in Aden, Yemen. Results: Overall, 21.4% of the children with confirmed COVID-19 infection were asymptomatic. Fever (71.4%) and cough (67.1%) were the most frequently reported symptoms among children, and children were less likely to have fever (p < 0.001), sore throat (p < 0.001) and cough (p < 0.001) compared to adults. A lower frequency of COVID-19-associated symptoms was reported among children with positive RT-PCR tests compared to children with negative tests. A lower rate of testing was conducted among children (25%) compared to adults (61%). Fewer tests were carried out among children <5 years (11%) compared to other age groups (p < 0.001), for children from other nationalities (4%) compared to Yemeni children (p < 0.001) and for girls (21%) compared to boys (30%) (p < 0.031). Conclusion: Understanding and addressing the cause of these disparities and improving guidelines for COVID-19 screening among children will improve access to care and control of the COVID-19 pandemic. 
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