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The impact of the COVID-19 pandemic on child health

Nijman, Ruud G.

Journal of laboratory medicine, 2021-12, Vol.45 (6), p.249-258 [Periódico revisado por pares]

Berlin: Walter de Gruyter GmbH

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Título:
The impact of the COVID-19 pandemic on child health
Autor: Nijman, Ruud G.
Assuntos: Adverse events ; child ; child health ; Children ; Coronary artery ; Coronary artery disease ; Coronaviruses ; Cough ; COVID-19 ; COVID-19 vaccines ; Critical care ; Disease control ; Disease transmission ; Emergency medical care ; Emergency medical services ; Fever ; Gastrointestinal symptoms ; Health services ; Illnesses ; Immunization ; Immunoglobulins ; Infections ; Inflammation ; Injury prevention ; Mental health ; Multisystem inflammatory syndrome in children ; multisystem inflammatory syndrome in children (mis-c) ; Myocarditis ; Pandemics ; Respiratory diseases ; sars-cov-2 ; Severe acute respiratory syndrome ; Severe acute respiratory syndrome coronavirus 2 ; Social distancing ; social distancing measures ; Steroid hormones ; Vaccination ; Viral diseases ; Young adults
É parte de: Journal of laboratory medicine, 2021-12, Vol.45 (6), p.249-258
Descrição: Abstract Most Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections in children are mild or asymptomatic. Severe Coronavirus Disease 2019 (COVID-19) in children is infrequent. An estimated 0.3–1.3% of children with SARS-CoV-2 infection were admitted to hospital, and of these 13–23% needed critical care. SARS-CoV-2 related deaths were very rare in children, estimated at 2 per million. The vast majority of admitted children had one of shortness of breath, fever, and cough, but atypical symptoms are more common in children. Cases of Multisystem Inflammatory Syndrome in Children (MIS-C) have been linked to SARS-CoV-2 infection. Cardinal symptoms include prolonged fever, clinical signs of inflammation, gastro-intestinal symptoms, and cardiac dysfunction. Twenty two to 80% of patients with MIS-C needed critical care; mortality of MIS-C is around 2%. Six to 24% of children with MIS-C had coronary artery dilatation or cardiac aneurysms. Equipoise still exists between first-line treatment with immunoglobulins and steroids. Outcomes for children with MIS-C are generally very good in those recognised early and started on appropriate treatment. Vaccination schemes for children are rapidly expanding, with the benefits of preventing severe COVID-19 disease and MIS-C and reducing community transmission outweighing the risks of adverse events of, amongst others, myocarditis temporally related to COVID-19 vaccination in children and young adults. The imposed social distancing measures reduced the overall number of children with acute illness or injury presenting to urgent and emergency care facilities worldwide. No clear signal was seen that large numbers of children had a delayed presentation to emergency care departments with a serious illness. The social distancing measures negatively impacted the mental health of children.
Editor: Berlin: Walter de Gruyter GmbH
Idioma: Inglês;Alemão

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The impact of the COVID-19 pandemic on child health

Nijman, Ruud G.

Berlin: Walter de Gruyter GmbH

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