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Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
Clinical characteristics of COVID-19 in family clusters: a systematic review
Wen-Liang Song1, Ning Zou1, Wen-He Guan1
1Department of Pediatrics, Shengjing Hospital of China Medical University, No.36, SanHao Street, Shenyang, 110004, China.
Insights
Children infected with Coronavirus disease 2019 (COVID-19) often had milder symptoms and higher rates of asymptomatic infection than adults. Adults were typically the first to spread the virus within family clusters during the early epidemic.
Area of Science:
- Epidemiology
- Virology
- Pediatrics
Background:
- The global spread of Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has highlighted family clusters.
- Early reports indicated distinct patterns in pediatric COVID-19 cases within families.
Purpose of the Study:
- To analyze the clinical characteristics of COVID-19 in pediatric family clusters.
- To compare COVID-19 presentation in children versus adults within family settings.
Main Methods:
- Systematic literature review of English and Chinese databases (PubMed, Web of Science, CNKI, CQVIP, Wanfangdata).
- Inclusion of studies detailing COVID-19 family clusters involving children.
Main Results:
- Eighteen studies identified 34 children and 98 adults across 28 families.
- Children exhibited a higher proportion of asymptomatic infections (32.4% vs. 13.3%) and a longer incubation period (10 days vs. 7 days).
- Significant differences observed in lymphopenia, C-reactive protein levels, and chest CT findings between pediatric and adult patients.
Conclusions:
- SARS-CoV-2 can cause milder disease in children compared to adults.
- Adults were the primary source of COVID-19 transmission within families during the early epidemic.
- Asymptomatic individuals are capable of transmitting the virus.
Background:
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread around the world and reports of children during early epidemic period showed features of family clusters. The aim of this study is to assess clinical profiles of COVID-19 in family clusters with children.
Methods:
We performed a systematic literature review of English database (PubMed, Web of Science) and Chinese database (" www.cnki.net ", " www.cqvip.com " and " www.Wanfangdata.com.cn ") to identify papers on family clusters of COVID-19 with children and their family members.
Results:
Eighteen studies involving 34 children and 98 adults from 28 families were included. Fever, cough and ground-grass opacity change of chest computed tomography (CT) were the dominant features, whereas proportion of asymptomatic infections for children was higher than adults with statistical significance (32.4% and 13.3%, respectively, P < 0.05). Median time of longer incubation period (10 days) and shorter duration of pharyngeal swab nucleic acid test positive period (11 days) were seen in children than adults (7 and 17 days, respectively) with statistical significance (P < 0.05). There were statistically significant differences in lymphopenia, increased C-reactive protein and abnormal chest CT between children and adult patients (P < 0.05). Twenty-seven families reported adults as first case of COVID-19 in family clusters.
Conclusions:
The same virus strain can cause milder disease in children compared with their caregivers. Children of COVID-19 were infected by adults in family during the early epidemic period. Asymptomatic patients can transmit the virus.
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