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Published on: November 7, 2020
COVID-19 infection prevalence in pediatric population: Etiology, clinical presentation, and outcome
Fahad Alsohime1, Mohamad-Hani Temsah1, Abdulrahman M Al-Nemri1
1College of Medicine, King Saud University, Riyadh, Saudi Arabia; Department of Pediatric, King Saud University Medical City, Riyadh, Saudi Arabia.
Insights
Pediatric COVID-19 (coronavirus disease 2019) poses risks, including spread by asymptomatic children. Early identification is crucial for managing child cases and controlling transmission.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Public Health
Background:
- Novel coronavirus disease 2019 (COVID-19) caused significant global morbidity and mortality, primarily in adults.
- SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infections present unique risks in pediatric populations.
- Children with asymptomatic infections can contribute to community spread among family members.
Purpose of the Study:
- To investigate the etiology, clinical presentations, and outcomes of pediatric COVID-19.
- To understand the risk factors associated with SARS-CoV-2 infection in children.
- To highlight the implications of pediatric COVID-19 on public health and disease control.
Main Methods:
- Focused literature search of published reports from December 1, 2019, to August 20, 2020.
- Analysis of clinical data, risk factors, and outcomes in pediatric COVID-19 patients.
- Review of emerging conditions like multisystem inflammatory syndrome in children (MIS-C).
Main Results:
- Major risk factors for pediatric COVID-19 included close contact with infected family members, travel history, and residing in endemic areas.
- Comorbidities like malignancy were observed in children requiring intensive care.
- Multisystem inflammatory syndrome in children (MIS-C) emerged as a significant concern.
- Neonates born to mothers with COVID-19 require optimized management strategies.
Conclusions:
- Early identification of SARS-CoV-2 in children is vital for effective management and public health.
- Understanding pediatric COVID-19 presentations and outcomes is essential for pandemic response.
- Further research is needed to optimize care for neonates and children affected by COVID-19.
Abstract:
Novel COVID-19 infections caused major morbidity and mortality globally in the adult age group. Likewise, SARS-COV-2 infections in children are highly risky in the selected patient population. We performed a focused literature search of published reports from December 1, 2019, till August 20, 2020. The aim was to explore the etiology, clinical presentations, and outcome of pediatric COVID-19 patients. Viral respiratory infections are associated with high societal costs for children. In addition, children with asymptomatic SARS-COV-2 infections can be a source of COVID-19 spread to parents and caregivers. The major reported risk factors for pediatric COVID-19 cases were close contact with a SARS-COV-2 positive family member, a history of travel, and/or living in endemic areas. Children with COVID-19 who required ICU care had various comorbidities, such as malignancy. As the pandemic evolved, multiple cases of multisystem inflammatory syndrome in children and adolescents temporarily related to covid-19 (MIS-C) were reported. A unique population is neonates born to COVID-19 affected mothers, as there is an urgent need to optimize their management and outcome during this rapidly evolving pandemic. The early identification of SARS-COV-2 infection in infants and children has important direct management effects in these children and public health implications because of the effects on disease transmission control measures.
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