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COVID-19 clinical features in primary care: COVIDPAP study
Marta Carballal-Mariño1, Josep Vicent Balaguer-Martínez2, César García-Vera3
1Centro de Atención Primaria "Cerceda-Culleredo", A Coruña, Spain.
Pediatric COVID-19 is generally mild, with many asymptomatic cases and few hospitalizations. The household is the primary transmission setting, suggesting school closures should be a last resort.
Area of Science:
- Pediatric infectious diseases
- Epidemiology of viral infections
- Community health
Background:
- Previous COVID-19 studies primarily focused on hospitalized or emergency patients.
- Commonly reported symptoms in earlier studies included fever and cough.
- Limited data existed on the clinical presentation of pediatric COVID-19 in community settings.
Purpose of the Study:
- To define the clinical characteristics of coronavirus disease 2019 (COVID-19) in children within the community setting in Spain.
- To analyze transmission patterns and symptom prevalence across different pediatric age groups.
Main Methods:
- A descriptive and analytical observational study was conducted.
- Included 10,021 pediatric cases (0-14 years) from primary care centers in Spain (May 2020 - April 2021).
- Diagnostics utilized PCR, rapid antigen tests, or positive IgG serology.
Main Results:
- 43.2% of pediatric COVID-19 cases were asymptomatic.
- Rhinorrhea (<2 years), fever (3-8 years), and headache (>9 years) were the most frequent symptoms.
- Households accounted for 64.9% of transmissions; only 18 patients were hospitalized, with no deaths.
Conclusions:
- Pediatric COVID-19 is predominantly a mild illness with a high rate of asymptomatic infections.
- The household is the main transmission setting, not schools.
- School closures should be considered a last resort intervention for managing the pandemic in children.
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