tetano
Editor, Senior Moderator
Int J Infect Dis
. 2023 Aug 9;S1201-9712(23)00690-2.
doi: 10.1016/j.ijid.2023.08.006. Online ahead of print. A comparative study of SARS-CoV-2 and common human coronavirus infections among children presenting to tertiary care in Oman
Badria Al Waili[SUP] 1 [/SUP], Laila Al Yazidi[SUP] 2 [/SUP], Hilal Al Hashami[SUP] 1 [/SUP], Maryam Al Gheilani[SUP] 3 [/SUP], Fatema Al Muharrami[SUP] 4 [/SUP], Rafal Al Jadder[SUP] 4 [/SUP], Gulnar Al Hashami[SUP] 5 [/SUP], Fatma Ba Alawi[SUP] 6 [/SUP], Khuloud Al Maamari[SUP] 6 [/SUP], Hanan Al Khatri[SUP] 7 [/SUP], Zaid Alhinai[SUP] 8 [/SUP]
Affiliations
Objectives: To compare clinical manifestations, laboratory characteristics, and outcomes of children presenting to tertiary care with SARS-CoV-2 or common human coronaviruses (HCoV) infection.
Methods: Children 13 years of age or younger presenting in 2020 with SARS-CoV-2 and those presenting with HCoV between 2017 and 2019 were included. Clinical and laboratory features were compared using appropriate statistical tests. The study was conducted at the two main tertiary hospitals in Muscat, Oman.
Results: The study included 255 cases (131 SARS-CoV-2 and 124 HCoV). Median age was 1.7 years (IQR 0.5-5.6), and 140 patients (55%) were males. Among children with HCoV infection, diarrhea was less common compared to children with SARS-CoV-2 (4% vs 23%, P <0.001), while respiratory symptoms such as cough were more common (74% vs 31%, P <0.001). Intensive care admission was more frequent with SARS-CoV-2 infection compared to HCoV (22% vs 11%, P =0.039). Three virus-related deaths were recorded, all of which occurred among patients with SARS-CoV-2 and multisystem inflammatory syndrome in children (MIS-C).
Conclusions: Lower respiratory tract disease is more frequent among children with HCoV infection compared to SARS-CoV-2, while gastrointestinal symptoms are more frequent with SARS-CoV-2. Critical illness is more likely with SARS-CoV-2 infection, driven mostly by MIS-C.
Keywords: COVID-19; Human coronavirus; SARS-CoV-2; pediatric.
. 2023 Aug 9;S1201-9712(23)00690-2.
doi: 10.1016/j.ijid.2023.08.006. Online ahead of print. A comparative study of SARS-CoV-2 and common human coronavirus infections among children presenting to tertiary care in Oman
Badria Al Waili[SUP] 1 [/SUP], Laila Al Yazidi[SUP] 2 [/SUP], Hilal Al Hashami[SUP] 1 [/SUP], Maryam Al Gheilani[SUP] 3 [/SUP], Fatema Al Muharrami[SUP] 4 [/SUP], Rafal Al Jadder[SUP] 4 [/SUP], Gulnar Al Hashami[SUP] 5 [/SUP], Fatma Ba Alawi[SUP] 6 [/SUP], Khuloud Al Maamari[SUP] 6 [/SUP], Hanan Al Khatri[SUP] 7 [/SUP], Zaid Alhinai[SUP] 8 [/SUP]
Affiliations
- PMID: 37567551
- DOI: 10.1016/j.ijid.2023.08.006
Objectives: To compare clinical manifestations, laboratory characteristics, and outcomes of children presenting to tertiary care with SARS-CoV-2 or common human coronaviruses (HCoV) infection.
Methods: Children 13 years of age or younger presenting in 2020 with SARS-CoV-2 and those presenting with HCoV between 2017 and 2019 were included. Clinical and laboratory features were compared using appropriate statistical tests. The study was conducted at the two main tertiary hospitals in Muscat, Oman.
Results: The study included 255 cases (131 SARS-CoV-2 and 124 HCoV). Median age was 1.7 years (IQR 0.5-5.6), and 140 patients (55%) were males. Among children with HCoV infection, diarrhea was less common compared to children with SARS-CoV-2 (4% vs 23%, P <0.001), while respiratory symptoms such as cough were more common (74% vs 31%, P <0.001). Intensive care admission was more frequent with SARS-CoV-2 infection compared to HCoV (22% vs 11%, P =0.039). Three virus-related deaths were recorded, all of which occurred among patients with SARS-CoV-2 and multisystem inflammatory syndrome in children (MIS-C).
Conclusions: Lower respiratory tract disease is more frequent among children with HCoV infection compared to SARS-CoV-2, while gastrointestinal symptoms are more frequent with SARS-CoV-2. Critical illness is more likely with SARS-CoV-2 infection, driven mostly by MIS-C.
Keywords: COVID-19; Human coronavirus; SARS-CoV-2; pediatric.