COVID 19 infection clinical features in pediatric patients in Southwestern Iran: a cross-sectional, multi-center study

Jamalidoust, Marzieh; Jalil, Mohsen; Ashkan, Zahra; Sharifi, Moslem; Hemmati, Rouhollah; Dashti, Anahita Sanaei; Kadivar, Mohammad Rahim; Pouladfar, Gholamreza; Amanati, Ali; Hamzavi, Seyeheh Sedigheh; Asaie, Sadaf; Eskandari, Maryam; Aliabadi, Nasrin; Ziyaeyan, Mazyar

doi:10.1186/s12879-023-08720-z

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…Another study in the Golestan province of northern Iran included 91 confirmed cases aged between 0 and 18 years. Of these, 17.5% (16) required ICU hospitalization, and 8.8% (91) resulted in mortality events [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Trust in primary health care and COVID-19 vaccine uptake among Iranian pediatric: a web-based cross-sectional survey

Sarbazi,

Masoudi,

Mehri

et al. 2024

BMC Pediatr

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Background Children are the most vulnerable group to diseases. Thus, it’s critical to evaluate parents’ or guardians’ willingness to vaccinate their children. This study aims to investigate the prevalence and predictors of pediatric COVID-19 vaccination in Iran and its relationship with trust in the Primary Health Care (PHC) system. Method A cross-sectional online survey of 549 Iranian parents was conducted between January and March 2023. This study collected data from all provinces of Iran using a questionnaire shared on Google Forms and various social media platforms. After considering various background factors, we used a multivariable logistic regression model. This model explored how trust in the PHC system and parent-related and child-related factors were related to parents’ vaccine uptake for their children. Results Of 549 parents aged between 19 and 67 years (median = 38 years), 65.2% (358) were female. The prevalence of vaccine uptake among parents was 46.8%. After adjusting for background features, child’s age (adjusted odds ratio [AOR] 0.81, 95% CI 0.71–0.91), vaccine doses (1-dose: AOR 14.72, 95% CI 6.44–33.65, 2-dose: AOR 32.54, 95% CI 15.22–69.57), child’s disease (AOR 5.31, 95% CI 2.19–12.85), and trust in PHC (AOR 1.01, 95% CI 1.00–1.02) were associated with parental uptake of the COVID-19 vaccine. Conclusions The findings of this study suggest that the child’s age, vaccine doses received, diseases, and trust in PHC are significant predictors of parental uptake of the COVID-19 vaccine for children in Iran. The results can be used in service planning regarding children’s COVID-19 vaccination.

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Section: Introductionmentioning

confidence: 99%

Trust in primary health care and COVID-19 vaccine uptake among Iranian pediatric: a web-based cross-sectional survey

Sarbazi,

Masoudi,

Mehri

et al. 2024

BMC Pediatr

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Etiology of Severe Acute Respiratory Infections in ICU-Admitted Patients During the COVID-19 Pandemic in Iran: A Single Center Study

Jamalidoust,

Pouladfar,

Eskandari

et al. 2024

Arch Pediatr Infect Dis

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Background: Acute respiratory infections (ARI) caused by a wide range of etiologies represent a significant public health challenge worldwide. Objectives: In this study, we aimed to evaluate the characteristics of ARI caused by various respiratory pathogens among patients admitted to intensive care units (ICUs) in a referral hospital in Iran during the first four waves of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Methods: A total of 395 patients with ARI were enrolled, all hospitalized in the ICUs of Nemazi Teaching Hospital, affiliated with Shiraz University of Medical Sciences in Shiraz, Iran, over a 13-month period from April 2020 to June 2021. Real-time polymerase chain reaction (RT-PCR) assays were used to detect SARS-CoV-2, influenza viruses, respiratory syncytial virus (RSV), Mycoplasma, and Chlamydia in nasopharyngeal fluid (NPS) samples. The demographic and clinical data, including underlying diseases, were also considered. Results: Of the 395 patients, 209 (53.7%) were male, and the mean age was 32 ± 27 years. An etiology was detected in 63 (16%) patients, with 53 testing positive for SARS-CoV-2 and 5 each for Chlamydia and Mycoplasma. No RSV or influenza infections were detected. The highest rate of COVID-19 was observed among adults aged 36 to 65 years (5.31%), while the lowest rate was in children under 5 years old (0.3%). Shortness of breath was the most common symptom in SARS-CoV-2-infected patients (P-value ≤ 0.001). Of the total patients, 146 (37%) had at least one underlying disease, with diabetes being the most common (8.1%). Conclusions: The absence of RSV and influenza infections, along with a notable number of Chlamydia and Mycoplasma infections during the first four waves of the SARS-CoV-2 pandemic, emphasizes the importance of continuous surveillance of the etiologies of ARI during respiratory pandemics. This information is critical for guiding appropriate infection control measures and selecting empirical antibiotic regimens.

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COVID 19 infection clinical features in pediatric patients in Southwestern Iran: a cross-sectional, multi-center study

Cited by 2 publications

References 33 publications

Trust in primary health care and COVID-19 vaccine uptake among Iranian pediatric: a web-based cross-sectional survey

Trust in primary health care and COVID-19 vaccine uptake among Iranian pediatric: a web-based cross-sectional survey

Etiology of Severe Acute Respiratory Infections in ICU-Admitted Patients During the COVID-19 Pandemic in Iran: A Single Center Study

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