Turkiye Klinikleri Journal of Pediatrics

.: REVIEW
COVID-19'un Çocuklar Üzerindeki Dolaylı (İkincil) Etkilerinin İncelenmesi, Geleneksel Derleme
Investigation of the Indirect (Secondary) Effects of COVID-19 on Children, Traditional Compilation
Adnan Batuhan COŞKUNa, Zerrin ÇİĞDEMa, Seray POLATa
aHasan Kalyoncu Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Gaziantep, TÜRKİYE
Turkiye Klinikleri J Pediatr. 2021;30(2):145-52
doi: 10.5336/pediatr.2020-79685
Article Language: TR
Full Text
ÖZET
 Viral enfeksiyonlardan olan Koronavirüs hastalığı [coronavirus disease-2019 (COVID-19)] beta-CoV grubu olarak bi linen alt türlerden tetiklenmektedir. Dünya Sağlık Örgütü 31 Aralık 2019 tarihinde Çin ülke ofisi, Çin'in Hubei eyaletinin Wuhan şehrinde etiyolojisi bilinmeyen pnömoni olgularını bildirmiştir. Bildirilen etken 7 Ocak 2020 tarihinde daha önce insanlarda belirlenmemiş yeni bir koronavirüs (2019-nCoV) olarak tanımlanmıştır. İlerleyen süreçte 2019-nCoV hastalığının adı COVID-19 olarak kabul edilmiş, virüs Şiddetli akut solunum sendromu CoV'e yakın benzerliğinden dolayı şiddetli akut solunum sendromu-koronavirüs-2 olarak isimlendirilmiştir. Hastalık, Aralık 2019 tarihinden bu yana dünya genelinde yüksek oranda morbidite ve mortaliteye neden olmaktadır. COVID-19'un çocuk sağlığı üzerindeki etkilerini araştıran çalışmaların, sınırlı olması nedeniyle çocuk sağlığı üzerindeki doğrudan (birincil) ve dolaylı (ikincil) etkileri kesin olarak bilinmemektedir. Bununla birlikte ilerleyen tarihlerde elde edilen verilerin artışıyla daha somut verilerle yapılacak çalışmaların, genişletilmesi ve kesin sonuçların ortaya çıkması beklenmektedir. Yapılan çalışmalarda, belirtilen verilerde COVID-19 tanısı almış pediatrik vakaların klinik bulgularının yetişkinlere oranla daha seyrek görüldüğü belirlenmiştir. Çocuklarda, klinik tablonun hafif seyretmesine rağmen hastalığı taşıyıcı özellik gösterdiği ve hastalığın dolaylı (ikincil) etkilerinin çocuk sağlığı üzerinde doğrudan (birincil) etkilerine oranla daha büyük etkilere sebep olabileceği vurgulanmıştır. Yapılan çalışmalarda, COVID-19 pandemi süreci ve sonrası dolaylı (ikincil) etkiler nedeniyle dünya genelinde yaklaşık olarak 30 milyon çocuğun risk altında olabileceği bildirilmiştir. Bu derlemede amaç, güncel literatür bilgisi göz önüne alınarak COVID-19'un çocuk sağlığı üzerindeki dolaylı (ikincil) etkilere neden olarak sağlık hizmetlerine ulaşılabilirliğin azalması, eğitimin sekteye uğraması, günlük rutinlerin bozulması, sosyoekonomik düzey vb. birçok faktörü ele almaktadır.

Anahtar Kelimeler: COVID-19; pandemi; çocuk; istenmeyen etkiler; çocuk sağlığı
ABSTRACT
 Coronavirus disease (COVID-19), one of the viral infections, is triggered by subtypes known as the beta-CoV group. On December 2019, the World Health Organization China country office reported cases of pneumonia of unknown etiology in Wuhan, Hubei province of China. The reported agent was identified as a novel coronavirus (2019-nCoV) not previously identified in humans on January 7, 2020. In the following process, the name of 2019 -nCoV disease was accepted as COVID-19, and the virus was named as severe acute respiratory syndrome-coronavirus-2 due to i ts close similarity to Severe Acute Respiratory Syndrome CoV. The disease has caused high rates of morbidity and mortality worldwide since December 2019. Due to the fact that there is research on COVID-19 on child health, the direct (primary) and indirect (secondary) effects reasons on child health are not known exactly. However, with the product obtained in the future, it is expected that the researches to be made with more concrete data will be expanded and definite results will emerge. Pediatric cases diagnosed with COVID-19 are less frequent than those found in the data specified in studies where they received the clinical cloud around seven. It was emphasized that although the clinical picture in children is mild, it has a carrier feature (secondary) and may cause major effects against its direct (primary) effects. Studies have reported that there may be approximately 30 million risks worldwide due to the COVID-19 pandemic process and its indirect (secondary) effects. In this review, up-to-date literature knowledge has been shown to cause indirect (secondary) effects of COVID-19 on child health, causing distress in health services, interruption of education, daily routine disorder, socio-economic level, etc. many factors have been addressed.

Keywords: COVID-19; pandemic; child; adverse effects; child health
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