2021, Number 2
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Rev Cubana Pediatr 2021; 93 (2)
Clinical-epidemiological characterization of pediatric patients admitted to isolation centers of Cienfuegos province
Sánchez ET, González RJO, Manso MR, Cruz PNR, Yanes MJC, Crespo GA
Language: Spanish
References: 21
Page: 1-12
PDF size: 703.39 Kb.
ABSTRACT
Introduction:
The pediatric population has not been the most vulnerable to COVID-19. Strict epidemiological surveillance and the strategies taken, allow to identify and perform a clinical-epidemiological analysis in this population.
Objective:
Characterize from the clinical and epidemiological points of view pediatric patients admitted to isolation centers.
Methods:
Descriptive and cross-sectional study of 316 infants who were suspected cases or contacts of people with COVID-19, in ages from 1 to 18 years and who were admitted to the isolation centers of Cienfuegos province, from March 11 to June 30, 2020. The variables used were: age, sex, suspected cases or contacts, month of admission, clinical symptomatology, and confirmed cases. The data were expressed in absolute and relative values.
Results:
36.7% children, and 63.3% contacts were suspected; 96.9% were referred from their health areas. Only 5 (1.6%) children were confirmed with the disease and all had favorable evolution. The ages from 5 to 9 and from 15 to 18 years predominated with 24.4% and 24.7%, respectively, without gender difference; 64.9% were asymptomatic. The most common clinical symptoms were: cough (56.8%) and fever (55.9%). Only 9 patients (8.1%) had respiratory distress.
Conclusions:
This disease in the pediatric population of Cienfuegos province is not a health problem because of the low percentage of children confirmed with the COVID-19 in isolation centers. It is confirmed that one of the forms of transmission is person-to-person and isolation is vital for control and diagnosis.
REFERENCES
Carr D. Sharing research data and findings relevant to the novel coronavirus (COVID-19) outbreak. London: Wellcome Trust; 2020 [acceso 01/09/2020]. Disponible en: https://wellcome.ac.uk/press-release/sharing-research-data-and-findings-relevant-novel-coronavirus-covid-19-outbreak
Organización Mundial de la Salud. Noticias ONU. Los 13 desafíos de la salud mundial en esta década. Ginebra: OMS;2020 [acceso03/06/2020]. Disponible en: https://news.un.org/es/search/Los%2013%20desaf%C3%ADos%20de%20la%20salud%20mundial%20en%20esta%20d%C3%A9cada
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. NEJM. 2020;382(1):1199-207.
Wu JT, Leung K, Leung GM. Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study. Lancet. 2020;395(10225):689-97.
Organización Mundial de la Salud. Declaración sobre la segunda reunión del Comité de Emergencias del Reglamento Sanitario ?Internacional acerca del brote del nuevo coronavirus (2019-nCoV). Ginebra: OMS; 2020 [acceso 03/06/2020]. Disponible en: https://www.who.int/es/news-room/detail/30-01-2020-statement-onthe-second-meeting-of-the-international-health-regulations(2005)-emergency-committee-regarding-the-outbreak-of-novelcoronavirus-(2019-ncov)
Organización Mundial de la Salud. Coronavirus disease 2019 (COVID-19). Situation report 42. Ginebra: OMS;2020 [acceso 03/06/2020]. Disponible en: https://www.who.int/emergencies/diseases/novelcoronavirus-2019/situation-reports
Llop A, Valdés MM, Zuazo JL. Microbiología y parasitología médicas. Coronavirus. La Habana: Editorial Ciencias Médicas; 2001.
Forni D, Cagliani R, Clerici M, Sironi M. Molecular evolution of human coronavirus genomes. Trends Microbiol. 2017;25(1):35-48.
Organización Mundial de la Salud. Foco Técnico: Investigaciones epidemiológicas y clínicas precoces sobre la COVID-19 para una respuesta de salud pública. Ginebra: OMS; 2020[acceso03/06/2020]. Disponible en: https://www.who.int/docs/defaultsource/coronaviruse/200223-early-investigations-one-pager-v2spanish.pdf?sfvrsn=8aa0856_14
Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and corona virus disease-2019 (COVID-19): the epidemic and the challenges. Internat J Antimicrob Agents. 2020 [acceso12/06/2020];55(3). Disponible en: https://pdf.sciencedirectassets.com
Liu W, Zhang Q, Chen J, Xiang R, Song H, Shu S, et al. Detection of Covid-19 in children in early January 2020 in Wuhan, China. NEJM. 2020;382(14):1370-1.
Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, et al. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. Pediatrics. 2020;20(1):1-30.
Han Q, Lin Q, Jin S, You L. Coronavirus 2019-nCoV: A brief perspective from the front line. J Infect. 2020;80(4):373-7.
Sánchez JA, ArceL R, Rodríguez A. Enfermedad por coronavirus 2019 (COVID-19) en América Latina: papel de la atención primaria en la preparación y respuesta. Aten Prim. 2020 [acceso02/10/2020];52(6). Disponible en: https://pdf.sciencedirectassets.com/
Mengana E, Pérez Y, Portuondo D, Domínguez D, Álvarez R, Rodríguez Y. Caracterización clínico-epidemiológica de pacientes pediátricos infectados por el coronavirus SARS-CoV-2 en Santiago de Cuba. Rev Cubana Pediatr. 2020 [acceso 02/09/2020];92(Suppl. 1). Disponible en: http://scielo.sld.cu/pdf/ped/v92s1/1561-3119-ped-92-s1-e1177.pdf
Hellewell J, Abbott S, Gimma A, Bosse NI, Jarvis CI, Russell TW, et al. Feasibility of controlling COVID-19 outbreaks by isolation of cases and contacts. Lancet Global Health. 2020;8(4):74-7.
Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimm. 2020;109(1):433.
Centers for Disease Control and Prevention. Information for pediatric healthcare providers. New York: CDCP; 2020 [acceso02/10/2020]. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/pediatric-hcp.html
Yu H, Cai Q, Dai X, Liu X, Sun H. The clinical and epidemiological features and hints of 82 confirmed COVID-19 pediatric cases aged 0-16 in Wuhan, China. MedRxiv. 2020;183(3):1-10.
Lu X, Zhang L, Du H, Zhang J, Li YY, Qu J, et al. SARS-CoV-2 infection in children. NEJM. 2020;382(17):1663-5.
Shen K, Yang Y, Wang T, Zhao D, Jiang Y, Jin R, et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts' consensus statement. J W Pediatrics. 2020;16(3):223-31.