Zurl Christoph, Eber Ernst, Siegl Anna, Loeffler Sabine, Stelzl Evelyn, Kessler Harald H, Egger Markus, Schweintzger Nina A, Zenz Werner, Strenger Volker
Division of General Pediatrics, Department of Pediatrics and Adolescent Medicine, Medical University Graz, Graz, Austria.
Section of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Medical University Graz, Graz, Austria.
Front Pediatr. 2021 Apr 9;9:637167. doi: 10.3389/fped.2021.637167. eCollection 2021.
Children and adolescents seem to be at lower risk of developing clinical symptoms of COVID-19. We analyzed the rate of SARS-CoV-2 infections among 3,605 symptomatic children and adolescents at 4,402 outpatient visits presenting to a pediatric emergency department. In a total of 1,105 (32.6%) episodes, the patients fulfilled clinical case definitions for SARS-CoV-2 infection and were tested by nucleic acid testing. A SARS-CoV-2 infection was diagnosed in 10/1,100 episodes (0.3% of analyzed episodes, 0.91% of validly tested patients). Symptoms at presentation did not differ between patients with and without SARS-CoV-2 infection, apart from the frequency of measured temperature ≥37.5°C at presentation. Three percent of analyzed children reported disturbances of olfactory or gustatory senses, but none of them was infected with SARS-CoV-2. The rate of SARS-CoV-2 infections among symptomatic children and adolescents was low and SARS-CoV-2 infections could not reliably be differentiated from other infections without nucleic acid testing.
儿童和青少年出现新冠病毒病临床症状的风险似乎较低。我们分析了在一家儿科急诊科就诊的4402人次门诊中，3605名有症状儿童和青少年的新冠病毒感染率。在总共1105例（32.6%）病例中，患者符合新冠病毒感染的临床病例定义并接受了核酸检测。在1100例病例中有10例被诊断为新冠病毒感染（占分析病例的0.3%，有效检测患者的0.91%）。除了就诊时测量体温≥37.5°C的频率外，有和没有新冠病毒感染的患者就诊时的症状没有差异。3%的分析儿童报告有嗅觉或味觉障碍，但他们中没有人感染新冠病毒。有症状儿童和青少年中的新冠病毒感染率较低，在没有核酸检测的情况下，无法可靠地将新冠病毒感染与其他感染区分开来。
