COVID-19 pandemic. What have we learned?

Journal: Anales de pediatria

Volume: 95

Issue: 5

Year of Publication: 2021

Affiliated Institutions:  Servicio de Pediatría, Enfermedades Infecciosas y Tropicales, Hospital Universitario La Paz, Madrid, Spain; Red de Investigación traslacional en infectología Pediátrica (RITIP), Spain. Electronic address: ccalvor@salud.madrid.org. Red de Investigación traslacional en infectología Pediátrica (RITIP), Spain; Unidad de Pediatría Investigación y Ensayos Clínicos (UPIC), Instituto de Investigación Sanitaria Hospital de Octubre (IMAS), Madrid; Fundación para la Investigación Biomédica del Hospital de Octubre, Madrid; Servicio de Pediatría, Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid, Spain. Servicio de Pediatría, Enfermedades Infecciosas y Tropicales, Hospital Universitario La Paz, Madrid, Spain; Red de Investigación traslacional en infectología Pediátrica (RITIP), Spain. Comisión de Infección, Sociedad Española de Neonatología (SENeo), Spain. Centro de Salud Cuzco, Fuenlabrada, Madrid; Grupo de Patología Infecciosa de la Asociación Española de Pediatría de Atención Primaria (AEPap), Spain. ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain; Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique; ICREA, Barcelona, Spain; Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

Abstract summary 

Since the COVID-19 pandemic was declared in March 2020, we have learned a lot about the SARS-CoV-2 coronavirus, and its role in pediatric pathology. Children are infected in a rate quite similar to adults, although in most cases they suffer mild or asymptomatic symptoms. Around 1% of those infected require hospitalization, less than 0.02% require intensive care, and mortality is very low and generally in children with comorbidities. The most common clinical diagnoses are upper or lower respiratory infections, gastrointestinal infection and, more seriously, multisystemic inflammatory syndrome (MIS-C). Most episodes do not require treatment, except for MIS-C. Remdesivir has been widely used as a compassionate treatment and its role has yet to be defined. The newborn can become infected, although vertical transmission is very low (<1%) and it has been shown that the baby can safely cohabit with its mother and be breastfed. In general, neonatal infections have been mild. Primary care has supported a very important part of the management of the pandemic in pediatrics. There has been numerous collateral damage derived from the difficulty of access to care and the isolation suffered by children. The mental health of the pediatric population has been seriously affected. Although it has been shown that schooling has not led to an increase in infections, but rather the opposite. It is essential to continue maintaining the security measures that make schools a safe place, so necessary not only for children's education, but for their health in general.

Authors & Co-authors:  Calvo Cristina C Tagarro Alfredo A Méndez Echevarría Ana A Fernández Colomer Belén B Albañil Ballesteros M Rosa MR Bassat Quique Q Mellado Peña M José MJ

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Centro de Coordinación de Alertas y Emergencias Sanitarias. Dirección General de Salud Pública Ministerio de Sanidad. Instituto de Salud Carlos III. Procedimiento de actuación frente a casos de infección por el nuevo coronavirus (2019-nCoV). Actualizado a 6 de febrero. 2020, https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Procedimiento_2019-nCoV.pdf. [Accessed 27 July 2021].
Authors :  7
Identifiers
Doi : 10.1016/j.anpede.2021.10.002
SSN : 2341-2879
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
COVID-19;Colegios;Neonates;Neonatos;SARS-CoV-2;Schools
Study Design
Study Approach
Country of Study
Publication Country
Spain