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COVID-19 in Children: A Narrative Review
1Department of Paediatrics Otolaryngology-Head & Neck Surgery, Perth Children's Hospital, 15 Hospital Avenue, Nedlands 6009, Western Australia, Australia.
Insights
Children infected with coronavirus disease 2019 (COVID-19) generally experience milder symptoms and have limited virus growth. Continued research is vital for managing this vulnerable population effectively.
Area of Science:
- Virology
- Pediatrics
- Epidemiology
Background:
- The COVID-19 pandemic, caused by a novel zoonotic coronavirus, affects all age groups.
- This review focuses on pertinent information regarding COVID-19 in pediatric populations.
- The scientific community has rapidly generated extensive data since the pandemic's onset.
Purpose of the Study:
- To summarize key information concerning COVID-19 in children.
- To provide an overview of the disease's impact on pediatric patients.
Main Methods:
- A comprehensive literature search was performed using PubMed, MEDLINE, and Embase databases.
- Keywords included "COVID 19" and "children", with searches updated in April 2020.
- Bibliographic searches and abstract screening were conducted for narrative review inclusion.
Main Results:
- The review discusses the etiology, transmission, incubation period, and pathophysiology of COVID-19.
- Clinical features, complications, and management strategies for COVID-19 in children are detailed.
- Information on SARS-CoV-2 aetiology, transmission, and clinical presentation in pediatric cases is synthesized.
Conclusions:
- COVID-19 in children typically presents with milder disease courses and limited viral replication.
- Many pediatric cases are asymptomatic, highlighting a different disease dynamic compared to adults.
- Further research is crucial for optimizing the timely management of COVID-19 in children.
Introduction:
The coronavirus disease 2019 (COVID-19) pandemic is caused by the third known zoonotic coronavirus. It is a disease that does not spare any age group. The scientific community has been inundated with information since January. This review aims to summarise pertinent information related to COVID-19 in children.
Methods:
A literature search was conducted in 2020 on the PubMed, MEDLINE, and Embase databases, with the keyword "COVID 19" and "children". A bibliographic search of articles included was also undertaken. The abstracts were scanned to assess their appropriateness to be included in this narrative review. This was updated on the 11th April, 2020.
Results:
The aetiology, transmission, incubation, pathophysiology, clinical features and complications, and management are discussed.
Conclusion:
Our understanding of COVID-19 is evolving as more reports are published. The growth of SARS-CoV2 is limited in children and they are often asymptomatic. The disease course is also milder. Continued research to understand its effect on children is important to help us manage the disease in these vulnerable populations in a timely fashion.
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