COVID-19 and Pediatric Lung Disease: A South African Tertiary Center Experience

Diane M Gray1,2, Mary-Ann Davies3, Leah Githinji1,2

  • 1Department of Pediatrics and Child Health, University of Cape Town, Cape Town, South Africa.

Frontiers in Pediatrics
|February 8, 2021
PubMed

Insights

Children with chronic lung disease in Africa experienced mild COVID-19, with no increased severe disease risk. Further research is needed on long-term impacts and specific conditions like immunosuppression.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Global Health

Background:

  • The COVID-19 pandemic significantly impacted global health systems, with children generally experiencing milder disease.
  • Chronic lung disease is a known risk factor for severe COVID-19, but data from African pediatric populations, burdened by co-morbidities, is limited.
  • Understanding COVID-19's impact on children with chronic respiratory conditions in low-middle income countries (LMICs) is crucial.

Purpose of the Study:

  • To review existing literature on COVID-19 and pediatric chronic lung disease.
  • To present clinical experience from a South African pediatric pulmonary center.
  • To assess the risk of severe COVID-19 in children with pre-existing respiratory conditions in Africa.

Main Methods:

  • Literature review on COVID-19 and pediatric chronic lung disease.
  • Analysis of epidemiological data from South Africa regarding pediatric COVID-19 cases and admissions.
  • Review of patient data from a pediatric pulmonary service managing various chronic respiratory conditions.

Main Results:

  • Children <18 years represented 8% of diagnosed COVID-19 cases and 3% of admissions in South Africa.
  • No significant increase in COVID-19 admissions was observed among children with chronic lung conditions.
  • Pediatric COVID-19 cases with pre-existing respiratory disease generally had a mild disease course.

Conclusions:

  • Pre-existing respiratory conditions in children do not appear to be a significant risk factor for severe COVID-19 in the South African context.
  • Longitudinal data are required to evaluate risks in children with immunosuppression and interstitial lung diseases.
  • The indirect effects of pandemic response measures on child respiratory health require further investigation and quantification.

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