Program in Pediatric Pulmonary Medicine, Division of Pulmonology, Department of Pediatrics, University of Tennessee Health Science Center, LeBonheur Children's Hospital, Faculty Office Building, Room 224, 49 North Dunlap Street, Memphis, TN, 38105, USA.
Dysphagia. 2023 Feb;38(1):122-126. doi: 10.1007/s00455-022-10475-9. Epub 2022 Jun 24.
Coronavirus (COVID-19) infection usually causes mild symptoms in children. However, serious complications may occur as a result of both acute infection or in association with the multisystem inflammatory syndrome (MIS-C). Dysphagia may develop as a sequela of COVID-19. We review the limited data on dysphagia associated with COVID-19 infection in children. Children can develop acute respiratory distress syndrome (ARDS) due to severe COVID-19 infection leading to endotracheal intubation and mechanical ventilation. These children can possibly develop post-intubation dysphagia. Screening for the presence of dysphagia, in an effort to minimize aspiration, in children with active COVID-19 infection must be done carefully to reduce the risk of transmission of the virus. Those children diagnosed with persistent dysphagia after COVID-19 infection has resolved will need further evaluation and management by pediatric subspecialists experienced in treating children with this condition. We recommend, this evaluation and treatment be done by a pediatric aerodigestive team.
新型冠状病毒（COVID-19）感染通常在儿童中引起轻症。然而，急性感染或与多系统炎症综合征（MIS-C）相关，可能会出现严重并发症。吞咽困难可能是 COVID-19 的后遗症。我们回顾了 COVID-19 感染与儿童相关的吞咽困难的有限数据。儿童可能会因严重 COVID-19 感染而发展为急性呼吸窘迫综合征（ARDS），导致气管插管和机械通气。这些儿童可能会出现气管插管后吞咽困难。在积极治疗 COVID-19 感染的儿童中，必须仔细筛查吞咽困难的存在，以尽量减少误吸的风险，从而降低病毒传播的风险。对于那些在 COVID-19 感染后仍存在持续性吞咽困难的儿童，需要由经验丰富的儿科专家进行进一步评估和管理。我们建议，由儿科呼吸道团队进行这项评估和治疗。
