Abstract

Background: Corona virus disease 2019 (COVID-19) has become global pandemic. It affects mainly adult with serious devastating effect in some cases. It is less in children, even more less in neonates. But to date with increasing surveillances number of neonates with COVID -19 are increasing.

Methods: This cross sectional study was conducted from April 2000 to June 2000 at Dhaka Shishu (Children) Hospital in Bangladesh. All admitted neonates with COVID-19 were taken as cases. Neonate with suspected COVID-19 were tested for SARS-CoV2 virus by Rt PCR. Criteria for test were H/o maternal test positive, relatives test positive, resident of risk area and neonates with abnormal clinical courses such as respiratory distress, not responded to conventional treatment and abnormal chest x-ray. Data regarding gestational age, birth weight, gender, positive cases and others findings were collected and analyzed. Statistics analysis was done by SPSS version 17.

Results: During this study period total 1007 neonates were admitted. Among them 20 (2%) cases were COVID-19. Among the cases with covid19 male were 13 (65%) and female 7 (35%). Male and female ratio was 1.9:1. Term baby was 17 (85%) and preterm 3 (15%). Mean weight were 2618 ± 235 gms. Eight (40%) cases with COVID 19 lived in Dhaka and 12 (60%) cases in outside of Dhaka. Only 2 (10%) cases were positive for SARS- CoV2 virus by Rt PCR within 3 days but after 24 hours of age of neonates. Four (20%) and 14 (70%) cases were test positive at day 4 - 7 and 8 - 28 days of age of neonates respectively. Most of the diseases associated with COVID-19 belonged to neonatal medicine (16,80%) and only 4 (20%) cases were associated with surgical diseases. In neonate two or more diseases coexist in same cases. Sepsis was present in 4 (20%) cases with COVID -19. Perinatal asphyxia and pneumonia both were present in 3 (15%) cases.

Conclusion: In this study the incidence of neonates with COVID-19 was 2% among the hospitalized neonates. This implies that neonates also be affected with COVID-19 and it should be properly addressed for management of neonates with COVID-19 as well as for prevention of community transmission of the disease.

Keywords: COVID-19; SARS-CoV-2; Corona Virus; Incidence of COVID-19

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Citation

Citation: Maksudur Rahman.,et al. “Incidence of Corona Virus Disease 2019 (COVID-19) of Neonates at a Tertiary Care Hospital in Bangladesh". Acta Scientific Paediatrics 3.10 (2020): 11-16.

Copyright

Copyright: © 2020 Maksudur Rahman.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.