Fang Feng, Chen Yu, Zhao Dongchi, Liu Tonglin, Huang Yongjian, Qiu Liru, Hao Yan, Hu Xiaolin, Yin Wei, Liu Zhisheng, Jin Runming, Ning Qin, Cheung Pik-To, Liu Chunfeng, Shu Sainan, Wang Tianyou, Luo Xiaoping
Department of Pediatrics, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China.
Department of Pediatrics, Zhongnan Hospital of Wuhan University, Wuhan, China.
Front Pediatr. 2020 Nov 5;8:553394. doi: 10.3389/fped.2020.553394. eCollection 2020.
Ever since SARS-CoV-2 began infecting people by the end of 2019, of whom some developed severe pneumonia (about 5%), which could be fatal (case fatality ~3.5%), the extent and speed of the COVID-19 outbreak has been phenomenal. Within 2.5 months (by March 18, 2020) over 191,127 COVID-19 patients have been identified in 161 countries. By then, over 700 pediatric patients were confirmed to have COVID-19 in China, with only about 58 diagnosed elsewhere. By now, there are thousands of children and adolescents infected. Chinese pediatricians would like to share their experience on how these patients were managed in China and the key recommendations that had guided them in meeting the evolving challenges. A group of experts were summoned by the Chinese Pediatric Society and Editorial Board of Chinese Journal of Pediatrics to extract informative data from a survey on confirmed COVID-19 pediatric patients in China. Consensus on diagnosis, management, and prevention of pediatric COVID-19 were drawn up based on the analysis of such data plus insights gained from the past SARS and MERS coronavirus outbreaks. Relevant cumulating experiences from physicians managing adult patients, expedited reports on clinical and scientific COVID-19 and SARS-CoV-2 data, and the National Health Committee guidelines on COVID-19 management were integrated into this proposal.
自2019年底严重急性呼吸综合征冠状病毒2（SARS-CoV-2）开始感染人类以来，部分感染者发展为重症肺炎（约5%），甚至可能死亡（病死率约3.5%），新型冠状病毒肺炎（COVID-19）疫情的规模和传播速度堪称惊人。在2.5个月内（截至2020年3月18日），161个国家已确诊超过191,127例COVID-19患者。彼时，中国确诊700余例儿童COVID-19患者，其他地区确诊约58例。目前，已有数千名儿童和青少年感染。中国儿科医生希望分享在中国对这些患者的管理经验以及应对不断变化的挑战时指导他们的关键建议。中华医学会儿科学分会和《中华儿科杂志》编辑委员会召集了一批专家，从一项针对中国确诊COVID-19儿童患者的调查中提取有用数据。基于对这些数据的分析以及从过去的严重急性呼吸综合征（SARS）和中东呼吸综合征（MERS）冠状病毒疫情中获得的见解，就儿童COVID-19的诊断、管理和预防达成了共识。成人患者管理医生的相关累积经验、COVID-19和SARS-CoV-2临床及科学数据的快速报告以及国家卫生健康委员会的COVID-19管理指南都被纳入了本建议。
