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儿童感染 SARS-CoV-2 病毒和 COVID-19 疾病。

SARS-CoV-2 Infection and COVID-19 in Children.

机构信息

Department of Pediatrics, University of Washington, Fred Hutchinson Cancer Research Center Vaccine, 1100 Fairview Avenue North, Seattle, WA 98109, USA; Department of Infectious Diseases, Division Seattle Children's Hospital, Seattle, WA, USA.

St. Jude Children's Research Hospital, 262 Danny Thomas Place Mail Stop 230, Memphis, TN 38105, USA.

出版信息

Clin Chest Med. 2023 Jun;44(2):359-371. doi: 10.1016/j.ccm.2022.11.014. Epub 2022 Nov 22.

Abstract

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection is common in children, and clinical manifestations can vary depending on age, underlying disease, and vaccination status. Most children will have asymptomatic or mild infection, but certain baseline characteristics can increase the risk of moderate to severe disease. The following article will provide an overview of the clinical manifestations of coronavirus disease 2019 in children, including the post-infectious phenomenon called multisystem inflammatory syndrome in children. Currently available treatment and prophylaxis strategies will be outlined, with the caveat that new therapeutics and clinical efficacy data are constantly on the horizon.

摘要

严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)感染在儿童中很常见,临床表现因年龄、基础疾病和疫苗接种状态而异。大多数儿童会出现无症状或轻症感染,但某些基线特征会增加发展为中重度疾病的风险。本文将概述儿童 2019 冠状病毒病的临床表现,包括称为儿童多系统炎症综合征的感染后现象。目前可用的治疗和预防策略将被概述,但需要注意的是,新的治疗方法和临床疗效数据不断涌现。

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