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10.1016/j.jadohealth.2020.07.009

http://scihub22266oqcxt.onion/10.1016/j.jadohealth.2020.07.009
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32798098!7418645!32798098
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suck abstract from ncbi


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pmid32798098      J+Adolesc+Health 2020 ; 67 (4): 612-614
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  • COVID-19 Outbreak Among Adolescents at an Inpatient Behavioral Health Hospital #MMPMID32798098
  • Krass P; Zimbrick-Rogers C; Iheagwara C; Ford CA; Calderoni M
  • J Adolesc Health 2020[Oct]; 67 (4): 612-614 PMID32798098show ga
  • PURPOSE: We report on a coronavirus disease 2019 (COVID-19) outbreak among adolescents at an inpatient behavioral health facility that was identified within 5 weeks of known viral transmission in the surrounding community. METHODS: Clinical records were reviewed for all inpatients aged <18 years with laboratory-confirmed COVID-19 between March 23 and April 21, 2020. RESULTS: A total of 19 COVID-19-positive patients aged 11-17 years were identified. Patients most commonly presented with sore throat (37%) and nausea/vomiting (32%). Only 26% of patients presented with cough, shortness of breath, or fever. The most common medical comorbidity was asthma (32%), and the most common psychiatric comorbidity was posttraumatic stress disorder (63%). Infected patients were colocated and managed together on a separate COVID-19 unit to maintain a therapeutic group milieu. Mental health treatment was modified to limit staff exposure. Patients received daily medical assessment by an in-house pediatrician. One patient required intravenous fluids. No patients required transfer to a medical facility. CONCLUSIONS: Adolescents in psychiatric inpatient settings may be especially vulnerable to COVID-19 infection. Close collaboration between medical and psychiatric care providers is needed to optimize care for this population and to address admission and disposition options for infected patients.
  • |*Disease Outbreaks[MESH]
  • |*Hospitals, Psychiatric[MESH]
  • |Adolescent[MESH]
  • |Asthma/complications[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Coronavirus Infections/complications/*epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inpatients[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Philadelphia[MESH]
  • |Pneumonia, Viral/complications/*epidemiology[MESH]
  • |SARS-CoV-2[MESH]


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