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Progress in the Diagnosis and Treatment of COVID-19 in Children: A Review
Libo Wang1, Gan Li1, Chang Yuan1
1Department of Clinical Medicine, Wenzhou Medical University, Wenzhou, 325000, Zhejiang, People's Republic of China.
Insights
Children infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be asymptomatic but still transmit the virus. This review covers COVID-19 in children, including epidemiology, clinical features, and treatment.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, presents unique challenges in pediatric populations.
- While often mild or asymptomatic in children, they act as significant reservoirs and vectors for viral transmission.
- Serious complications like multisystem inflammatory syndrome in children (MIS-C) highlight the need for focused research.
Purpose of the Study:
- To comprehensively review the current understanding of COVID-19 in children.
- To consolidate information on epidemiological, mechanistic, and clinical aspects of pediatric COVID-19.
- To aid in the diagnosis, treatment, and further research concerning SARS-CoV-2 in pediatric patients.
Main Methods:
- Systematic literature review of epidemiological characteristics.
- Analysis of SARS-CoV-2 variant features in relation to pediatric infections.
- Review of clinical manifestations, diagnostic methods, and therapeutic strategies for pediatric COVID-19.
Main Results:
- Children exhibit diverse clinical presentations, ranging from asymptomatic to severe disease, including MIS-C.
- Pediatric patients play a crucial role in community transmission dynamics.
- Current research on pediatric COVID-19 remains incomplete, necessitating ongoing investigation.
Conclusions:
- Understanding the specific epidemiology and clinical spectrum of COVID-19 in children is vital.
- Children's role as asymptomatic carriers and potential for severe complications like MIS-C requires attention.
- Further research is essential to refine diagnostic and therapeutic approaches for pediatric SARS-CoV-2 infections.
Abstract:
Coronavirus disease 2019 (COVID-19) has been circulating in many countries around the world, characterized by long incubation period, strong infectivity, strong variability, high population susceptibility and diversified transmission methods. Its causative agent is severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Compared with adult patients, the clinical manifestations of COVID-19 in children are often dominated by mild or asymptomatic infections, but children are also important virus carriers and play an important role in the transmission of the virus. In addition, some children will show excessive inflammatory response and experience serious complications such as multisystem inflammatory syndrome in children (MIS-C). At present, the research on COVID-19 in children is still imperfect. This article will review epidemiological characteristics, the mechanism of action, variant characteristics, clinical manifestations, auxiliary examinations and treatment of children with COVID-19, in order to provide help for the diagnosis, treatment and research of children with COVID-19.
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