COVID-19 in Children, Pregnancy and Neonates Update
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The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has spread rapidly across the globe. In contrast to initial reports, recent studies suggest that children are just as likely as adults to become infected with the virus but have fewer symptoms and less severe disease.

11 case series including a total of 333 infants and children. Overall, 83% of the children had a positive contact history, mostly with family members. The incubation period varied between 2 and 25 days with a mean of 7 days. The virus could be isolated from nasopharyngeal secretions for up to 22 days and from the stool for more than 30 days. Co-infections were reported in up to 79% of children (mainly mycoplasma and influenza). Up to 35% of children were asymptomatic. The most common symptoms were cough, fever, and pharyngitis. Further symptoms were nasal congestion, rhinorrhea, tachypnoea, wheezing, diarrhea, vomiting, headache, and fatigue. Laboratory test parameters were only minimally altered.

Radiologic findings were unspecific and included unilateral or bilateral infiltrates with, in some cases, ground-glass opacities or consolidation with a surrounding halo sign. Children rarely needed admission to intensive care units (3%), and to date, only a small number of deaths have been reported in children globally.

Maternal SARS-CoV-2 infection during pregnancy in 65 women and 67 neonates. Two mothers were admitted to the intensive care unit. Fetal distress was reported in 30% of pregnancies. Thirty-seven percent of women delivered preterm. Neonatal complications included respiratory distress or pneumonia, disseminated intravascular coagulation, asphyxia, and 2 perinatal deaths. Four neonates have been reported to be SARS-CoV-2 positive despite strict infection control and prevention procedures during delivery and separation of mother and neonates, meaning vertical transmission could not be excluded.

Source: https://journals.lww.com/pidj/Abstract/2020/06000/COVID_19_in_Children,_Pregnancy_and_Neonates__A.1.aspx
Dr. S●●●●y M●●●●●●●●i and 3 others like this1 share
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Dr. R●●●N C●●●●●A G●●●a
Dr. R●●●N C●●●●●A G●●●a Obstetrics and Gynaecology
Very informative article. Thanks
May 16, 2020Like1