COVID-19 in pediatrics: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7140

Keywords:

Pediatrics; COVID-19; Epidemiology.

Abstract

Objective: To analyze the scientific literature that deals with the clinical, laboratory and radiological behavior of COVID-19 in the pediatric population. Methodology: This is an integrative literature review. The sample was selected through the PubMed, ScienceDirect, SciELO and LILACS databases, using the descriptors (("COVID-19" OR "SARS COV 2") AND Child). Results: 11 articles made up the result of this study. As for clinical behavior, signs and symptoms are mild and the most common were fever, cough and some gastrointestinal symptom. As for laboratory changes, leukopenia, neutropenia and increased C-reactive protein were the most frequent. Finally, regarding radiological findings, studies describe ground-glass opacity in most cases. An important finding pointed out by the studies was that, even after the removal of the virus from the respiratory tract, viral gastrointestinal infection and the potential fecal-oral transmission can continue. Conclusion: Cases of COVID-19 infection in pediatrics are still underreported when compared to cases in adults. Further studies are needed for a better understanding of the theme involving pediatric patients, in order to support the care process.

References

Cardoso, R. B., Caldas, C. P., & Souza, P. A. (2019). Uso da teoria do conforto de Kolcaba na implementação do processo de enfermagem: revisão integrativa. Rev Enfermagem Atenção Saúde[Online], 8(1),118-128.

Calvo, C., García López-Hortelano, M., De Carlos Vicente, J. C., & VázquezMartínez, J. L. (2020). Recomendaciones sobre el manejo clínico de lainfección por el «nuevocoronavirus» SARS-CoV2. Grupo de trabajo de laAsociaciónEspañola de Pediatría (AEP). Anales de pediatria, 92(4), 241.e1–241.e11.

Chen, J., Zhang, Z. Z., Chen, Y. K., Long, Q. X., Tian, W. G., Deng, H. J., Hu, J. L., Zhang, X. X., Pu-Liao, Xiang, J. L., Wang, D. X., Hu, P., Zhou, F. C., Li, Z. J., Xu, H. M., Cai, X. F., Wang, D. Q., Hu, Y., Tang, N., Liu, B. Z., & Huang, A. L. (2020). The clinical and immunological features of pediatric COVID-19 patients in China. Genes &diseases. doi: 10.1016/j.gendis.2020.03.008. Advance online publication.

Díaz, A. C., Maestro, L. M., Pumarega, M. T., Antón, B. F., & Alonso, C. R. F. (2020). Primer caso de infección neonatal por SARS-CoV-2 enEspaña. Anales de pediatria, 92(4), 237–238.

Hong, H., Wang, Y., Chung, H. T., & Chen, C. J. (2020). Clinical characteristics of novel coronavirus disease 2019 (COVID-19) in newborns, infants and children. Pediatricsandneonatology, 61(2), 131–132.

Le, H. T., Nguyen, L. V., Tran, D. M., Do, H. T., Tran, H. T., Le, Y. T., & Phan, P. H. (2020). The first infant case of COVID-19 acquired from a secondary transmission in Vietnam. The Lancet. Child&adolescenthealth, 4(5), 405–406.

Lee, P. I., Hu, Y. L., Chen, P. Y., Huang, Y. C., & Hsueh, P. R. (2020). Are children less susceptible to COVID-19?. Journal of microbiology, immunology and infection, 53(3), 371–372.

Liu, H., Liu, F., Li, J., Zhang, T., Wang, D., &Lan, W. (2020a). Clinical and CT imaging features of the COVID-19 pneumonia: Focus on pregnant women and children. The Journalofinfection, 80(5), e7–e13.

Liu, W., Zhang, Q., Chen, J., Xiang, R., Song, H., Shu, S., Chen, L., Liang, L., Zhou, J., You, L., Wu, P., Zhang, B., Lu, Y., Xia, L., Huang, L., Yang, Y., Liu, F., Semple, M. G., Cowling, B. J., Lan, K., & Liu, Y. (2020b). Detection of Covid-19 in Children in Early January 2020 in Wuhan, China. The New England journal of medicine, 382(14), 1370–1371.

Melo, L. P. C., Dias, M. E. S, Santana, M. S., Diniz, P. R., Galvão, P. V. M., Santana, P. M. S. (2020). Aleitamento materno em tempos de COVID-19: uma revisão integrative. Research, Society and Development, 9 (9), e129997074.

Mogharab, V., Pasha, A., Javdani, F., & Hatami, N. (2020). The first case of COVID-19 infection in a 75-day-old infant in Jahrom City, south of Iran. Journal of the Formosan Medical Association, 119(5), 995–997.

Oliveira, C B. B., Lima, M. C. R., Alexandre D’Auria, F., Fálico, R. G., Morandim, L. L. M., Souza, K. M. J., & Monroe, A. A. (2017). Experiências de adoecimento por condições crônicas transmissíveis: revisão integrativa da literatura. Saúde e Sociedade, 26(2), 510-520.

Park, J. Y., Han, M. S., Park, K. U., Kim, J. Y., & Choi, E. H. (2020). First Pediatric Case of Coronavirus Disease 2019 in Korea. Journal of Korean medical science, 35(11), e124.

Qiu, H., Wu, J., Hong, L., Luo, Y., Song, Q., & Chen, D. (2020). Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study. The Lancet. Infectiousdiseases, 20(6), 689–696.

See, K. C., Liew, S. M., Ng, D., Chew, E. L., Khoo, E. M., Sam, C. H., Sheena, D., ZahilahFilzah, Z., Chin, S. Y., Lee, P. Y., Tan, L. P., Farah Najwa, Z., Sabrina, S., Them, W. W., Saipriya, T., Muhammad Zamakhshari, Z. A., Cheah, W. K., Peariasamy, K., Goh, P. P., & Ibrahim, H. (2020). COVID-19: Four Paediatric Cases in Malaysia. International journal of infectious diseases, 94, 125–127.

Wang, S., Guo, L., Chen, L., Liu, W., Cao, Y., Zhang, J., & Feng, L. (2020). A case report of neonatal COVID-19 infection in China. Clinical infectious diseases, 71(15), 853-857.

Yin, X., Dong, L., Zhang, Y., Bian, W., & Li, H. (2020). A mild type of childhood Covid-19 - A case report. Radiology of infectious diseases. doi: 10.1016/j.jrid.2020.03.004.

Tan, Y. P., Tan, B. Y., Pan, J., Wu, J., Zeng, S. Z., & Wei, H. Y. (2020). Epidemiologic and clinical characteristics of 10 children with coronavirus disease 2019 in Changsha, China. Journal of clinical virology, 127, 104353.

Xing, Y. H., Ni, W., Wu, Q., Li, W. J., Li, G. J., Wang, W. D., Tong, J. N., Song, X. F., Wing-Kin Wong, G., & Xing, Q. S. (2020). Prolonged viral shedding in feces of pediatric patients with coronavirus disease 2019. Journal of microbiology, immunology and infection, 53(3), 473–480.

Published

20/08/2020

How to Cite

CARVALHO, R. M. C. de .; CARDOSO, E. L. da S.; FERREIRA, B. N. M. da S. .; FERREIRA, R. K. . G. COVID-19 in pediatrics: an integrative review. Research, Society and Development, [S. l.], v. 9, n. 9, p. e322997140, 2020. DOI: 10.33448/rsd-v9i9.7140. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7140. Acesso em: 22 nov. 2024.

Issue

Section

Review Article