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Published on: November 7, 2020
COVID-19 in Children
Meena Kalyanaraman1, Michael R Anderson2
1Pediatric Critical Care Medicine, Children's Hospital of New Jersey at Newark Beth Israel Medical Center, C-5, 201 Lyons Avenue, Newark, NJ 07112, USA.
Insights
Over 5 million US children contracted COVID-19, with severe cases linked to obesity and other conditions. Vaccinating children is crucial to prevent severe illness and multisystem inflammatory syndrome.
Area of Science:
- Pediatric infectious diseases
- Public health
- Virology
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is a global pandemic.
- Over 5 million children in the US have been infected.
- Risk factors for severe pediatric COVID-19 include obesity, pulmonary, gastrointestinal, and neurologic conditions.
Purpose of the Study:
- To summarize the impact of COVID-19 on children.
- To highlight risk factors for severe disease and pediatric intensive care unit (PICU) admissions.
- To emphasize the importance of pediatric vaccination against SARS-CoV-2.
Main Methods:
- Review of epidemiological data on pediatric COVID-19 infections.
- Analysis of risk factors associated with severe disease progression in children.
- Examination of trends during the 2021 delta surge.
Main Results:
- Significant burden of COVID-19 in the pediatric population, exceeding 5 million infections in the US.
- Identification of obesity, pulmonary disease, gastrointestinal disorders, and neurologic comorbidities as key risk factors.
- Increased disease severity and PICU admissions observed during the 2021 delta variant surge.
Conclusions:
- COVID-19 poses a significant threat to children, with specific risk factors influencing disease severity.
- Multisystem inflammatory syndrome in children (MIS-C) is a serious complication requiring intensive care.
- Vaccination of children against SARS-CoV-2 is essential to mitigate disease burden and prevent severe outcomes.
Abstract:
Coronavirus disease 2019 (COVID-19) is an ongoing pandemic caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) virus. More than 5 million children have been infected in the United States. Risk factors for more severe disease progression include obesity, pulmonary disease, gastrointestinal disorders, and neurologic comorbidities. Children with COVID-19 are admitted to the pediatric intensive care unit because of severe acute COVID-19 illness or COVID-19-associated multisystem inflammatory syndrome in children. The delta surge of 2021 was responsible for an increased disease burden in children and points to the key role of vaccinating children against this sometimes-deadly disease.
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