CLINICAL FEATURES OF COVID–19 IN CHILDREN
DOI:
https://doi.org/10.11603/24116-4944.2021.2.12889Keywords:
COVID-19, clinical specifics, childrenAbstract
The aim of the study – to analyze the clinical and laboratory features of COVID–19 in children of different ages.
Materials and Methods. The clinical course of COVID-19 in 175 children aged 1 month to 18 years was retrospectively evaluated. To assess the clinical course of the disease, patients were divided into groups depending on age, while assessing the concomitant comorbid pathology, clinical and laboratory features of the disease, the duration of inpatient treatment. In the statistical analysis, 95 % confidence interval (95 % CI) was calculated for the mean values and Pearson’s criterion for the comparative analysis of frequency tables.
Results and Discussion. It was found that the largest group of children with COVID–19 were children aged 1–5. The most common symptoms in all children were fever ≥38.5 ° C, cough, nasal congestion and discharge, sore throat, and gastrointestinal disturbances in infants under 1 year of age, and asthenic syndrome in children ≥10 years of age. Based on clinical, laboratory and instrumental data, 139 children (79.4 %) were diagnosed with a mild course, 24 children (13.7 %) – moderate, and 12 children (6.9 %) – severe.
Conclusions. Children of all ages may have COVID–19 with the leading symptoms of respiratory viral infection, with a predominance of mild disease in infants <1 year of age and moderate to severe in children over 15 years of age.
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