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Clinical overview for pediatric population with SARS-CoV-2 and care: review
Lucas Amaral Martins1,2, Deisy Vital Dos Santos1, Patrícia Figueiredo Marques1
1Universidade Federal do Recôncavo da Bahia (UFRB), Centro de Ciências da Saúde, Colegiado de Enfermagem. Santo Antônio de Jesus, Bahia, Brasil.
Insights
Pediatric COVID-19 cases present varied symptoms, including respiratory issues, gastrointestinal problems, and fever. Early screening and extended isolation are recommended for infected children and their families.
Area of Science:
- Pediatric infectious diseases
- Public health surveillance
- Viral respiratory illnesses
Background:
- The global emergence of SARS-CoV-2 has necessitated understanding its impact on pediatric populations.
- Limited data exists on the clinical spectrum and management of COVID-19 in children.
Purpose of the Study:
- To synthesize the clinical presentation of SARS-CoV-2 positive children.
- To identify recommended care and isolation strategies for pediatric COVID-19 cases.
Main Methods:
- A rapid review methodology was employed, adhering to Joanna Briggs Institute guidelines.
- A comprehensive literature search was conducted across nine databases in April 2020.
- Eighteen primary studies were critically appraised and synthesized.
Main Results:
- Common clinical findings included respiratory symptoms, gastrointestinal issues, and fever.
- Radiological findings often showed irregular ground-glass opacifications.
- Screening of symptomatic pediatric cases and family members, along with isolation exceeding 14 days, was advised.
Conclusions:
- Pediatric COVID-19 presents a diverse clinical picture, not limited to respiratory symptoms, with a notable proportion of asymptomatic individuals.
- Further research, including randomized controlled trials and cohort studies, is crucial to elucidate the role of children in COVID-19 transmission.
Objective:
To identify in the scientific literature the clinical overview of the pediatric population that tested positive for SARS-CoV-2 and care recommendations and recommendations among children who tested positive for SARS-CoV-2 in the scientific literature.
Method:
Rapid review based on the guidelines of the Joana Briggs Institute: elaboration of the research question, structured search of the literature in April 2020, in nine databases, selection and critical analysis of the eighteen primary studies (using two instruments to assess methodological quality), elaboration of the synthesis, incorporation of suggestions and dissemination.
Result:
The most frequent clinical overview was respiratory, gastrointestinal symptoms and fever. The images showed irregular frosted glass opacification. It is recommended to screen the pediatric population and family members who show signs and symptoms and to adopt isolation for more than fourteen days.
Conclusion:
The clinical overview in pediatric population is varied, not exclusively with respiratory symptoms, and a significant number of asymptomatic patients. The importance of new investigations is highlighted, such as randomized clinical trial or cohort studies, identifying their participation in the transmission of COVID-19.
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