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Published on: November 10, 2023
Severe Acute Respiratory Syndrome Coronavirus 2 Infections in Children
Eric J Chow1, Janet A Englund2
1Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 1959 NE Pacific Street, Box 356423, Seattle, WA 98195, USA.
Insights
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause severe illness in children, including MIS-C and long COVID. Infection prevention, especially through vaccination, is crucial for protecting children and mitigating pandemic-related disparities.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- While typically milder in children, SARS-CoV-2 infections can lead to severe outcomes like MIS-C and persistent post-acute symptoms.
- The COVID-19 pandemic has disproportionately affected children due to infection and societal disruptions.
Purpose of the Study:
- To highlight the spectrum of COVID-19 severity in children.
- To emphasize the importance of infection prevention strategies.
- To advocate for the inclusion of children in clinical trials for COVID-19 treatment.
Main Methods:
- This is a review and synthesis of current knowledge on pediatric COVID-19.
- Analysis of reported cases of severe disease, MIS-C, and long COVID in children.
- Examination of the impact of the pandemic on children's health and well-being.
Main Results:
- Severe COVID-19 and associated complications like MIS-C can occur in children.
- Children experience persistent post-acute symptoms following SARS-CoV-2 infection.
- Vaccination remains the most effective method for preventing infection and severe outcomes.
Conclusions:
- Infection prevention, particularly vaccination, is essential for protecting children from SARS-CoV-2.
- Further research and clinical trials including children are necessary to establish optimal COVID-19 therapies.
- Addressing the broader impacts of the pandemic on children is critical.
Abstract:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in children generally have milder presentations, but severe disease can occur in all ages. MIS-C and persistent post-acute COVID-19 symptoms can be experienced by children with previous infection and emphasize the need for infection prevention. Optimal treatment for COVID-19 is not known, and clinical trials should include children to guide therapy. Vaccines are the best tool at preventing infection and severe outcomes of COVID-19. Children suffered disproportionately during the pandemic not only from SARS-CoV-2 infection but because of disruptions to daily life, access to primary care, and worsening income inequalities.
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