Characteristic of COVID-19 infection in pediatric patients: early findings from two Italian Pediatric Research Networks

Detailed data on clinical presentations and outcomes of children with COVID-19 in Europe are still lacking. In this descriptive study, we report on 130 children with confirmed COVID-19 diagnosed by 28 centers (mostly hospitals), in 10 regions in Italy, during the first months of the pandemic. Among...

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Vydáno v:	European journal of pediatrics Ročník 179; číslo 8; s. 1315 - 1323
Hlavní autoři:	Parri, Niccolò, Magistà, Anna Maria, Marchetti, Federico, Cantoni, Barbara, Arrighini, Alberto, Romanengo, Marta, Felici, Enrico, Urbino, Antonio, Da Dalt, Liviana, Verdoni, Lucio, Armocida, Benedetta, Covi, Benedetta, Mariani, Ilaria, Giacchero, Roberta, Musolino, Anna Maria, Binotti, Marco, Biban, Paolo, Fasoli, Silvia, Pilotto, Chiara, Nicoloso, Flavia, Raggi, Massimiliano, Miorin, Elisabetta, Buonsenso, Danilo, Chiossi, Massimo, Agostiniani, Rino, Plebani, Anna, Barbieri, Maria Antonietta, Lanari, Marcello, Arrigo, Serena, Zoia, Elena, Lenge, Matteo, Masi, Stefano, Barbi, Egidio, Lazzerini, Marzia
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2020 Springer Nature B.V
Témata:	Adolescent Asymptomatic Betacoronavirus - isolation & purification Child Child, Preschool Children Clinical Laboratory Techniques - methods Clinical Laboratory Techniques - statistics & numerical data Comorbidity Coronary artery disease Coronavirus Infections - diagnosis Coronavirus Infections - epidemiology Coronavirus Infections - etiology Coronavirus Infections - therapy Coronaviruses COVID-19 COVID-19 Testing Disease Female Heart diseases Humans Infant Infant, Newborn Infants Intensive care Italy - epidemiology Male Medicine Medicine & Public Health Pandemics Pediatrics Pneumonia, Viral - diagnosis Pneumonia, Viral - epidemiology Pneumonia, Viral - etiology Pneumonia, Viral - therapy Respiratory Therapy - methods Respiratory Therapy - statistics & numerical data Retrospective Studies Risk Factors SARS-CoV-2 Short Communication Teenagers Treatment Outcome Italy Europe COVID-19 Italy Children Adolescents
ISSN:	0340-6199, 1432-1076, 1432-1076
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Shrnutí:	Detailed data on clinical presentations and outcomes of children with COVID-19 in Europe are still lacking. In this descriptive study, we report on 130 children with confirmed COVID-19 diagnosed by 28 centers (mostly hospitals), in 10 regions in Italy, during the first months of the pandemic. Among these, 67 (51.5%) had a relative with COVID-19 while 34 (26.2%) had comorbidities, with the most frequent being respiratory, cardiac, or neuromuscular chronic diseases. Overall, 98 (75.4%) had an asymptomatic or mild disease, 11 (8.5%) had moderate disease, 11 (8.5%) had a severe disease, and 9 (6.9%) had a critical presentation with infants below 6 months having significantly increased risk of critical disease severity (OR 5.6, 95% CI 1.3 to 29.1). Seventy-five (57.7%) children were hospitalized, 15 (11.5%) needed some respiratory support, and nine (6.9%) were treated in an intensive care unit. All recovered. Conclusion :This descriptive case series of children with COVID-19, mostly encompassing of cases enrolled at hospital level, suggest that COVID-19 may have a non-negligible rate of severe presentations in selected pediatric populations with a relatively high rates of comorbidities. More studies are needed to further understand the presentation and outcomes of children with COVID-19 in children with special needs. What is Known: • There is limited evidence on the clinical presentation and outcomes of children with COVID-19 in Europe, and almost no evidence on characteristics and risk factors of severe cases. What is New: • Among a case series of 130 children, mostly diagnosed at hospital level, and with a relatively high rate (26.2%) of comorbidities, about three-quarter had an asymptomatic or mild disease. • However, 57.7% were hospitalized, 11.5% needed some respiratory support, and 6.9% were treated in an intensive care unit.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Communicated by Nicole Ritz
ISSN:	0340-6199 1432-1076 1432-1076
DOI:	10.1007/s00431-020-03683-8