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Pediatric COVID-19: Report From Indonesian Pediatric Society Data Registry
Antonius H Pudjiadi1,2, Nina Dwi Putri1,2, Hikari Ambara Sjakti1,2
1The Indonesian Pediatric Society, Jakarta, Indonesia.
Insights
COVID-19 in Indonesian children is a significant public health concern. The Indonesian Pediatric Society
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Indonesia faces a high burden of COVID-19 cases and fatalities globally.
- Children were perceived as less affected, with limited segregated data.
- The Indonesian Pediatric Society (IPS) established a data registry for child COVID-19 cases.
Purpose of the Study:
- To report data on suspected and confirmed COVID-19 cases in children.
- To analyze the prevalence, case fatality rate (CFR), and characteristics of pediatric COVID-19 in Indonesia.
Main Methods:
- Retrospective analysis of the IPS COVID-19 data registry.
- Data collected from March to December 2020 across IPS chapters.
- Analysis included prevalence, CFR, age distribution, diagnoses, and comorbidities.
Main Results:
- Over 35,506 suspected and 37,706 confirmed pediatric COVID-19 cases recorded.
- Case Fatality Rate (CFR) for confirmed cases was 0.46% (175 deaths).
- Highest mortality in confirmed cases was among 10-18 year olds (26%); common comorbidity: malignancy (17.3%); diagnosis: respiratory failure (54.5%).
Conclusions:
- The Case Fatality Rate for confirmed COVID-19 in Indonesian children is alarmingly high.
- Pediatric COVID-19 warrants significant public health attention and targeted interventions.
- Malignancy and respiratory failure are key associated conditions in severe pediatric COVID-19.
Abstract:
Background: Indonesia has a high number of COVID-19 cases and mortalities relative to not only among the Asia Pacific region but the world. Children were thought to be less affected by the virus compared to adults. Most of the public data reported combined data between adults and children. The Indonesian Pediatric Society (IPS) was involved in the COVID-19 response, especially in the area of child health. One of IPS's activities is collecting data registries from each of their chapters to provide a better understanding of COVID-19 in children. Objective: The objective of this study was to share the data of suspected and confirmed COVID-19 cases in children from IPS's COVID-19 data registry. Method: This is a retrospective study from the IPS's COVID-19 registry data. We collected the data of COVID-19 in children during March to December 2020 from each of the IPS chapters. We analyzed the prevalence, case fatality rate (CFR), age groups, diagnosis, and comorbidities of the children diagnosed with COVID-19. Result: As of December 21, 2020, there were 35,506 suspected cases of children with COVID-19. In total, there were 522 deaths, with a case fatality ratio (CFR) of 1.4. There were 37,706 confirmed cases with 175 fatalities (CFR 0.46). The highest mortality in confirmed COVID-19 cases was from children ages 10-18 years (42 out of 159 cases: 26%). The most common comorbidity and diagnosis found were malignancy (17.3%) and respiratory failure (54.5%). Conclusion: The CFR of confirmed COVID-19 cases in children in Indonesia is high and should be a major public concern.