Evaluation of suspected cases of SARS-CoV-2 infection in children and adolescents in a hospital in Brazil

• Autor(a) principal: Lima, Maria Adriely Cunha
• Data de Publicação: 2021
• Outros Autores: Costa, Tiago Almeida, Cestari, Yasmim Laila Fragoso, Leite, Débora Cristina Fontes, Oliveira, Halley Ferraro, Azevedo, Maria Regina Domingues de, Porto , Carla Pereira Santos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/23480
• topic: COVID-19; Infecciones de las vías respiratorias; Niño; Adolescente; Diagnóstico.; COVID-19; Respiratory Tract Infections; Child; Adolescent; Diagnosis.; COVID-19; Infecções Respiratórias; Criança; Adolescente; Diagnóstico.

A COVID-19 is a disease caused by infection with the SARS-CoV-2 virus. The pediatric population corresponds to 1 to 5% of confirmed cases of the disease, varying according to the country under study. This work aims to analyze suspected and confirmed cases of children and adolescents of COVID-19 in a hospital in Sergipe. This is a cross-sectional observational study involving 1,388 patients, under 20 years of age, during March 2020 and September 2021. Among patients, 54.8% were male, 10.4% had some comorbidities. It was observed that dyspnea was related to age, being frequent in children. In addition, some clinical manifestations were associated with SARS-CoV-2 infection, such as headache (p=0.021), diarrhea (p=0.002), respiratory distress (p<0.001), dyspnea (p<0.001), sneezing (p <0.001) and O2 saturation < 95% (p<0.001). There was a relationship between patients who progressed to death and some variables such as the presence of comorbidities, respiratory distress, sneezing, need for stabilization and ICU (p<0.001). Most pediatric cases are asymptomatic or mild, and children have a better outcome in COVID-19, as a small percentage evolves to death, usually associated with the presence of pre-hospital comorbidities.