Instituto Nacional de Salud del Niño San Borja, Lima, Perú.
Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Rev Peru Med Exp Salud Publica. 2020 Oct-Dec;37(4):689-693. doi: 10.17843/rpmesp.2020.374.6198. Epub 2021 Feb 3.
The aim of the study was to describe the clinical and epidemiological characteristics of children with COVID-19. We analyzed the clinical records of inpatients and outpatients of the Instituto Nacional de Salud del Niño San Borja from the period between March and May, 2020. A total of 33 patients were registered, 57.6% were males with a median age of 4.8 years (range: 2 months - 17 years). We found that 81.8% of the children had contact with a positive COVID-19 case, 60.6% had concomitant diseases, 93.9% presented symptoms (mainly fever and cough) and the median incubation period was 7 days. The hemogram and acute-phase reactants were normal in most cases. Chest X-ray was abnormal in 11/16 patients. All patients received supportive treatment; 2 patients required supplemental oxygen. One patient died from complications associated with a terminal phase brain tumor. We report the clinical and epidemiological characteristics of children with COVID-19 during the first months of the pandemic in Peru.
本研究旨在描述 COVID-19 患儿的临床和流行病学特征。我们分析了 2020 年 3 月至 5 月期间,圣博尔哈国家儿童研究所的住院和门诊患者的临床记录。共登记了 33 例患者,其中 57.6%为男性,中位年龄为 4.8 岁(范围:2 个月-17 岁)。我们发现 81.8%的患儿与 COVID-19 确诊病例有接触,60.6%有合并症,93.9%出现症状(主要是发热和咳嗽),潜伏期中位数为 7 天。大多数情况下,血象和急性期反应物正常。16 例中有 11 例胸部 X 线异常。所有患者均接受支持治疗;2 例患者需要补充氧气。1 例患者因晚期脑瘤相关并发症死亡。我们报告了 COVID-19 患儿在秘鲁大流行的最初几个月的临床和流行病学特征。