Abstract
Aim. The analysis the clinical, laboratory and instrumental data and the results of therapy of children hospitalized with the new coronavirus infection in the infectious clinic hospital.
Materials and methods. The analysis of the clinical course of the disease was carried out in 105 children aged 1 month to 17 years with confirmed COVID-19 infection, hospitalized in the infectious diseases hospital of the clinic. The examination included physical examination, determination of ferritin, coagulogram, IL-6, markers of bacterial infection procalcitonin and C-reactive protein, PCR diagnostics for detecting SARS-CoV-2 RNA in swabs from the nasopharynx and oropharynx, microbiological examination of nasal swabs and pharynx, pulse oximetry, computed tomography of the chest organs, specialist consultations according to indications.
Results and discussion. A large proportion of the patients were school-age boys. The etiology of the disease caused by the SARS-CoV-2 virus was confirmed by PCR. It was found that more often the disease was accompanied by complaints characteristic of asthenic syndrome, fever and cough. The main clinical forms of the disease were acute viral infection and pneumonia without respiratory failure of moderate severity. In most children, the infection proceeded without damage to the lung tissue or with minimal damage to the lung parenchyma. A more severe course of infection with the development of respiratory failure was noted in schoolchildren and adolescents. In 42.9% of children were revealed multimorbid conditions. The most common conditions were iron deficiency anemia and autonomic dysfunction. The most severe course of infection was noted in children with hematological malignancies. In laboratory tests, children showed leukopenia, an increase of ferritin and activation of thrombus formation. 51.4% children were discharged in 1114 days of the disease. Deaths were in 1.9% of patients with leukemia.