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10.1007/s00431-021-03999-z

http://scihub22266oqcxt.onion/10.1007/s00431-021-03999-z
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33634336!7906570!33634336
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suck abstract from ncbi


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pmid33634336      Eur+J+Pediatr 2021 ; 180 (7): 2137-2145
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  • A cross-sectional study of screening for coronavirus disease 2019 (COVID-19) at the pediatric emergency department in Vilnius during the first wave of the pandemic #MMPMID33634336
  • Staceviciene I; Burokiene S; Steponaviciene A; Vaiciuniene D; Jankauskiene A
  • Eur J Pediatr 2021[Jul]; 180 (7): 2137-2145 PMID33634336show ga
  • Screening for COVID-19 is based on clinical and epidemiological factors. Children infected with SARS-CoV-2 may have a few or many non-specific symptoms or may be asymptomatic. The aim of this study was to analyze clinical features and exposure to SARS-CoV-2 characteristics of children screened for COVID-19 at the pediatric emergency department in Vilnius during the first 3 months (March-May) of the COVID-19 pandemic in Lithuania. SARS-CoV-2 PCR was positive for 0.6% (8/1348) of all screened children and for 0.9% (7/811) of symptomatic patients, more among children with fever and cough (2.6%, 4/154). There were also COVID-19 cases among children without cough but with other respiratory symptoms (0.5%, 2/409) or gastrointestinal symptoms (1.2%, 3/257). Only one child with positive SARS-CoV-2 did not meet COVID-19 clinical criteria-he presented with vomiting and dehydration only. All COVID-19 cases (n = 8) had a contact with a confirmed COVID-19 family member. There were no COVID-19 cases among children without known exposure to SARS-CoV-2 or among asymptomatic children.Conclusion: Screening for COVID-19 in children is exceptionally challenging due to the diverse and non-specific symptoms of infection they present. Testing strategies should not only focus on the typical COVID-19 symptoms of fever or cough, but also include other symptoms, especially gastrointestinal symptoms, which are also important. The greatest attention should be paid to known exposure to SARS-CoV-2, especially in family clusters. Screening of asymptomatic children with no known exposure should be weighed for medical necessity and cost-effectiveness. What is Known: * Diagnosis of COVID-19 in children is challenging because the disease does not always manifest with typical symptoms. What is New: * Children in our study who did not have symptoms of acute infection and contact with another person infected with COVID-19 were not diagnosed with COVID-19, so the benefit of PCR testing is questionable. Such testing may only be useful for infection control purposes, and to limit intra-hospital transmission.
  • |*COVID-19[MESH]
  • |*Pandemics[MESH]
  • |Child[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Emergency Service, Hospital[MESH]
  • |Humans[MESH]
  • |Lithuania[MESH]


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