长期COVID在儿童中的真实患病率:叙事性审查
Susanna Esposito1, Michela Deolmi1, Greta Ramundo1
1Pediatric Clinic, Pietro Barilla Children's Hospital, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy.
Frontiers in microbiology
|October 4, 2023
概括
儿科长期COVID (LC) 仍然不太了解,报告的发病率各不相同. 非感染相关的因素,如流行病压力,可能会导致儿童的症状,需要长期监测.
科学领域:
- 儿童传染病 儿童传染病
- 后病毒综合征 后病毒综合征
- 儿童和青少年健康问题
背景情况:
- 关于儿科长期COVID (LC) 的研究有限,阻碍了对其频率和原因的理解.
- 现有研究显示高异质性,使得最终的结论具有挑战性.
- 对儿童的临床,社会和经济影响需要采取有效的制措施.
研究的目的:
- 调查儿科长期COVID的患病率和促成因素.
- 为了比较患有和没有COVID-19病史的儿童的临床表现.
- 为制定适当的干预措施和长期护理策略提供信息.
主要方法:
- 关于儿科长期COVID发病率和症状的现有研究的审查.
- 在COVID-19受影响和未受影响儿童之间对临床表现的比较分析.
- 考虑影响儿童健康的与流行病相关的心理社会因素.
主要成果:
- 根据研究方法,报告的儿科LC发生率差异很大 (5%至25%).
- 许多COVID-19后儿童的症状,包括情绪和心脏问题,也出现在未感染的儿童身上.
- 流行病相关的压力可能会导致症状,无论SARS-CoV-2感染.
结论:
- SARS-CoV-2 很可能是仅在一小部分儿童中引起儿科LC的原因;其他因素也很重要.
- 建议在COVID-19后对所有儿童进行长期的身体和情绪监测,特别是那些患有先前疾病的儿童.
- 由于较不严重的变种和疫苗接种率的增加,预计儿科LC的患病率将下降.
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