SARS-COV-2 Infection in Children in Emergency Departments in Spain A Multicenter Study
Por:
Hernández-Bou S, Rivas-Garcia, A, Lera, E, Valle-T-Figueras, JM, Bonvehi, A and Gomez, B
Publicada:
1 feb 2023
Resumen:
ObjectivesThe first cases of infection by SARS-CoV-2 in the Spanish pediatric population were reported on early March 2020. Although most were mild or asymptomatic, new forms of clinical presentation and severity were reported with the evolution of the pandemic. We aimed to describe demographics, clinical features, and management of children with COVID-19 treated in Spanish emergency departments (EDs).MethodsA multicenter registry including 15 pediatric EDs was carried out. Patients younger than 18 years with confirmed acute SARS-CoV2 infection diagnosed between March and August 2020 were included.ResultsThree hundred ninety-five patients were analyzed (median age, 4.3 years). Fifty-five (13.9%) had comorbidities, and 141 (35.7%) a household contact with confirmed COVID-19. The most reported symptoms were fever (85.2%) and cough (41.7%). Fifty (12.5%) were asymptomatic. Seventeen (4.9%) were not well-appearing at presentation. Children underwent a blood test in 26.7% and a chest X-ray in 21.4%; findings were often unremarkable. Symptomatic treatment was prescribed to 80%; 6 (1.7%) received antiviral treatment. Seventy-one (20.6%) were hospitalized, and 3 (0.9%) were admitted to the intensive care unit; no patient died. The main clinical diagnoses were fever without a source (38%) and upper respiratory tract infection (32.2%); 4 (1.1%) presented a multisystem inflammatory syndrome.ConclusionsMost pediatric COVID-19 cases in EDs during the first months of the pandemic were healthy, well-appearing children, presenting with fever +/- respiratory symptoms. In a significant number of cases, there was household transmission. Most children were managed as outpatients with symptomatic treatment, being exceptional the evolution to a serious illness.
Filiaciones:
Hernández-Bou S:
Hosp St Joan Deu, Pediat Emergency Dept, Barcelona, Spain
Inst Recerca St Joan Deu IRSJD, Infect Dis & Microbiome, Barcelona, Spain
Rivas-Garcia, A:
Hosp Univ Gregorio Maranon, Fdn Biomed Res Hosp Univ Gregorio Maranon, Emergency Dept, Madrid, Spain
Lera, E:
Hosp Universitari Vall dHebron, Pediat Emergency Dept, Barcelona, Spain
Valle-T-Figueras, JM:
Hosp St Creu i St Pau Barcelona, Pediat Deparment, Barcelona, Spain
Hosp St Creu St Pau Barcelona, Fundacio Inst Recerca, Barcelona, Spain
Bonvehi, A:
Hosp Univ Son Espases, Pediat Emergency Dept, Palma De Mallorca, Illes Balears, Spain
Gomez, B:
Cruces Univ Hosp, Pediat Emergency Dept, Baracaldo, Spain
Biocruces Bizkaia Hlth Res Inst, Baracaldo, Spain
Green Published
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