呼吸暂停或蓝色症作为COVID-19在新生儿中的初始表现
Carolina Tamayo-Múnera1, Zoila Margarita Insignares Vizcaino2, Ana Lucia Torres Millán2
1Pediatric Critical Care Unit. Hospital Pablo Tobón Uribe, Medellín. Colombia.
Journal of infection in developing countries
|November 13, 2023
概括
呼吸暂停和蓝色症是新生儿COVID-19的早期症状. 这项研究突出了这些迹象,建议将它们纳入新生儿呼吸道感染的诊断工作.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 新生儿2019年冠状病毒病 (COVID-19) 的临床表现从无症状到严重不等.
- 呼吸暂停和蓝色症很少被报告为新生儿COVID-19的早期症状.
研究的目的:
- 描述COVID-19感染新生儿入院新生儿重症监护病房的特征.
- 为了调查新生儿中呈现COVID-19症状的蓝色症或呼吸暂停.
主要方法:
- 用回顾性收集数据进行描述性观察性研究.
- 包括30天以下的新生儿和44周前的早产婴儿,经过妊娠年龄校正,确诊的SARS-CoV-2感染 (抗原或RT-PCR阳性).
- 在2020年3月至2022年3月期间收集的数据.
主要成果:
- 在410名入院患者中,26人 (6.3%) 确诊感染了SARS-CoV-2.
- 入院时的主要临床特征是呼吸暂停 (55%) 和蓝色 (45%).
- 大多数感染是轻微的 (65%),严重的 (31%) 和关键的 (4%) 病例也被观察到.
结论:
- 呼吸暂停和蓝色症可以表现为新生儿SARS-CoV-2感染的症状.
- 这些症状应在新生儿呼吸道感染的诊断工作中考虑,类似于其他病毒感染.
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