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10.1542/peds.2020-027268

http://scihub22266oqcxt.onion/10.1542/peds.2020-027268
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33033178!ä!33033178

suck abstract from ncbi


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pmid33033178      Pediatrics 2021 ; 147 (1): ä
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  • Symptoms and Transmission of SARS-CoV-2 Among Children - Utah and Wisconsin, March-May 2020 #MMPMID33033178
  • Laws RL; Chancey RJ; Rabold EM; Chu VT; Lewis NM; Fajans M; Reses HE; Duca LM; Dawson P; Conners EE; Gharpure R; Yin S; Buono S; Pomeroy M; Yousaf AR; Owusu D; Wadhwa A; Pevzner E; Battey KA; Njuguna H; Fields VL; Salvatore P; O'Hegarty M; Vuong J; Gregory CJ; Banks M; Rispens J; Dietrich E; Marcenac P; Matanock A; Pray I; Westergaard R; Dasu T; Bhattacharyya S; Christiansen A; Page L; Dunn A; Atkinson-Dunn R; Christensen K; Kiphibane T; Willardson S; Fox G; Ye D; Nabity SA; Binder A; Freeman BD; Lester S; Mills L; Thornburg N; Hall AJ; Fry AM; Tate JE; Tran CH; Kirking HL
  • Pediatrics 2021[Jan]; 147 (1): ä PMID33033178show ga
  • BACKGROUND AND OBJECTIVES: Limited data exist on severe acute respiratory syndrome coronavirus 2 in children. We described infection rates and symptom profiles among pediatric household contacts of individuals with coronavirus disease 2019. METHODS: We enrolled individuals with coronavirus disease 2019 and their household contacts, assessed daily symptoms prospectively for 14 days, and obtained specimens for severe acute respiratory syndrome coronavirus 2 real-time reverse transcription polymerase chain reaction and serology testing. Among pediatric contacts (<18 years), we described transmission, assessed the risk factors for infection, and calculated symptom positive and negative predictive values. We compared secondary infection rates and symptoms between pediatric and adult contacts using generalized estimating equations. RESULTS: Among 58 households, 188 contacts were enrolled (120 adults; 68 children). Secondary infection rates for adults (30%) and children (28%) were similar. Among households with potential for transmission from children, child-to-adult transmission may have occurred in 2 of 10 (20%), and child-to-child transmission may have occurred in 1 of 6 (17%). Pediatric case patients most commonly reported headache (79%), sore throat (68%), and rhinorrhea (68%); symptoms had low positive predictive values, except measured fever (100%; 95% confidence interval [CI]: 44% to 100%). Compared with symptomatic adults, children were less likely to report cough (odds ratio [OR]: 0.15; 95% CI: 0.04 to 0.57), loss of taste (OR: 0.21; 95% CI: 0.06 to 0.74), and loss of smell (OR: 0.29; 95% CI: 0.09 to 0.96) and more likely to report sore throat (OR: 3.4; 95% CI: 1.04 to 11.18). CONCLUSIONS: Children and adults had similar secondary infection rates, but children generally had less frequent and severe symptoms. In two states early in the pandemic, we observed possible transmission from children in approximately one-fifth of households with potential to observe such transmission patterns.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19 Nucleic Acid Testing/*trends[MESH]
  • |COVID-19/diagnosis/*epidemiology/*transmission[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2/*isolation & purification[MESH]
  • |Utah/epidemiology[MESH]
  • |Wisconsin/epidemiology[MESH]


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