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J Clin Virol Coronavirus Disease 2019 in Children: Characteristics, Antimicrobial Treatment, and Outcomes

tetano

Editor, Senior Moderator
J Clin Virol


. 2020 May 7;128:104425.
doi: 10.1016/j.jcv.2020.104425. Online ahead of print.
Coronavirus Disease 2019 in Children: Characteristics, Antimicrobial Treatment, and Outcomes


Hui Peng[SUP] 1 [/SUP], Ping Gao[SUP] 1 [/SUP], Qiong Xu[SUP] 1 [/SUP], Maochang Liu[SUP] 1 [/SUP], Jing Peng[SUP] 1 [/SUP], Yang Wang[SUP] 2 [/SUP], Hua Xu[SUP] 3 [/SUP]



Affiliations

Abstract

Background: At present, coronavirus disease 2019 (COVID-19) has spread in many countries. We conducted this study to help pediatricians understand the conditions of COVID-19 in children.
Methods: We retrospectively summarized the characteristics, treatment and outcomes of pediatric cases in Wuhan Children's Hospital which was the only designated hospital for children with COVID-19 in Hubei Province. A Cox proportional hazards regression analysis was used to evaluate factors associated with clinical outcomes.
Results: As of February 29, 75 children had been discharged, of which only one was has severe pneumonia and one was critical cases. Children younger than 2 years were more susceptible to COVID-19. All patients have received interferon-α nebulization, and eight cases including the severe and critical cases were co-administrated ribavirin. Five patients with mild pneumonia were given arbidol. Twenty-three patients were given traditional Chinese medicine (TCM). The average length of stay (LOS) and the time of SARS-CoV-2 clearance were 10.57 and 6.39 days, respectively. None of the factors was associated with LOS or time of SARS-CoV-2 clearance.
Conclusions: The severity of COVID-19 in pediatric cases were milder than adults. The efficacy of the antiviral therapy in children with COVID-19 remains to be evaluated.

Keywords: Characteristics; Coronavirus disease 2019; Outcomes; Pediatric; Treatment.
 
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