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2020, Number 629

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Rev Med Cos Cen 2020; 86 (629)

Infección por COVID-19 en niños, ¿Cómo afecta a la población pediátrica?

Soto AMJ, Ureña CE
Full text How to cite this article

Language: Spanish
References: 9
Page: 29-36
PDF size: 189.02 Kb.


Key words:

pediatric COVID-19, pediatric respiratory distress syndrome, breastfeeding and COVID-19.

ABSTRACT

Preliminary data shows that severe pediatric COVID-19 is less common in young children, however, serious illness can be present among the group younger than 1 year of age and in those with underlying conditions. Reported data suggest that pediatric disease cases might be less severe than adult cases and that children might experience different signs and symptoms. Fever and cough should not be considered as classic symptoms. Many children are asymptomatic and others could have no respiratory symptoms but diarrhea, vomiting, nausea or headache. This review aims to summarize reported data in the pediatric group and to analyze current international and local institutional recommendations.
Conclusion: The majority of children with COVID-19 have good outcomes and the clinical manifestations differ from adults. Children have a key rol in the viral transmission. Clinicians should maintain a high index of suspicion, given that most kids are asymptomatic or may have mild symptoms. Also, be alert of the coinfection possibility with other viral agents during respiratory season in our country.


REFERENCES

  1. Academy of Breastfeeding Medicine statement on coronavirus 2019 (COVID-19). (ABM). [Internet]. 2020. [Consultado 17 abril 2020]; Disponible en: https://www.bfmed.org/abm-statement- coronavirus.

  2. Hasan A, Mehmood N, Fergie J. Coronavirus Disease (COVID-19) and Pediatric Patients: A Review of Epidemiology, Symptomatology, Laboratory and Imaging Results to Guide the Development of a Management Algorithm. Cureus. 2020; 12(3): e7485.

  3. CDC. Coronavirus Disease 2019 in Children: United States, US Department of Health and Human Services, CDC; 2020. [Consultado 17 abril 2020]; *https://www.cdc.gov/coronavirus/2019- ncov/downloads/pui-form.pdf.

  4. Edelson D, Sasson C, Chan P, Atkins D, Aziz K, Becker L, et al. Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Guidelines®-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians. Circulation 2020. Epub ahead of print https://doi.org/10.1161/CIRCULATIONAHA.120.047463

  5. Academy of Breastfeeding Medicine statement on coronavirus 2019 (COVID-19). (ABM). [Internet]. 2020. [Consultado 17 abril 2020]; Disponible en: https://www.bfmed.org/abm-statement- coronavirus.

  6. Ministerio de Salud Costa Rica. Caja Costarricense Seguro Social. Lineamientos generales sobre la lactancia materna y COVID-19. Versión 1.

  7. Chen, Z., Fu, J., Shu, Q. et al. Diagnosis and treatment recommendations for pediatric respiratory infection caused by the 2019 novel coronavirus. World J Pediatr 2020. Epub ahead of print https://doi.org/10.1007/s12519-020-00345-5.

  8. Kneyber M, Medina A, Modesto V, et al. Practice recommendations for the management of children with suspected or proven COVID-19 infections from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC) and the section Respiratory Failure from the European Society for Paediatric and Neonatal Intensive Care. ESPNIC [Internet]. 2020. [Consultado 17 abril 2020]; Disponible en: https://espniconline. org/Media/Files/2020-ESPNIC-PEMVECCCOVID- 19-practice-recommendations.

  9. Caja Costarricense Seguro Social. Hospital Nacional de Niños. Lineamiento para la atención pediátrica para la enfermedad COVID-19. Marzo 2020.




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Rev Med Cos Cen. 2020;86