Статья

New COVID-19 coronavirus infection in the practice of a neonatologist and pediatrician [Новая коронавирусная инфекция COVID-19 в практике неонатолога и педиатра]

A. Zaplatnikov, I. Osmanov, V. Gorev, A. Dmitriev, A. Mironova, A. Dementyev, Z. Chabaidze, E. Zhdakaeva,
2021

The article analyses the data published from January 2020 to April 25, 2020 in the print media or available on the official websites of peer-reviewed medical sources (pre print), international and national medical professional communities, and state regulatory authorities dedicated to the epidemiological and clinical laboratory features of the new coronavirus infection in newborns, infants and older children. The authors have concluded that currently there are no convincing data on vertical transmission of infection. At the same time, they have found that there is a risk of horizontal infection of a newborn child; therefore, there is the need for strict adherence to the recommended algorithms for monitoring children in the neonatal period born by the women with positive or presumably positive COVID-19 (Coronavirus disease 2019) status. The authors note that due to the limited quantity of observation cases, all existing recommendations are temporary and may be revised. The newborns from mothers with COVID-19 demonstrate the variability of clinical picture from asymptomatic course to severe respiratory failure. In the post-neonatal period children have asymptomatic or mild course of a new coronavirus infection. The authors note that some children with an asymptomatic course of the disease have pneumonia detectable during X-ray examination. Children with the manifest forms of COVID-19 do not have specific clinical symptoms; both children and adults have fever, cough and other catarrhal symptoms; tachypia, tachycardia and gastrointestinal symptoms are much less common. It has been found that children with COVID-19, unlike adults, are unlikely to develop severe pneumonia, as well as conditions requiring intensive care and mechanical ventilation. Changes in laboratory parameters in children also do not have a consistent pattern and they are less pronounced than in adults. The epidemiological data indicate that children are one of the main sources of the ongoing spread of infection in the human population. The authors present the first-ever data on the cases of 45 infants born from the mothers with positive COVID-19 status in Moscow. © 2020 National Academy of Pediatric Science and Innovation. All rights reserved.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • A. Zaplatnikov
    Russian Medical Academy of Continuing Professional Education, Moscow, Russian Federation
  • I. Osmanov
    Bashlyaeva Children's City Clinical Hospital, Moscow, Russian Federation
  • V. Gorev
    Vorokhobov City Clinical Hospital No. 67, Moscow, Russian Federation
  • A. Dmitriev
    Ryazan State Medical University, Ryazan, Russian Federation
  • A. Mironova
  • A. Dementyev
  • Z. Chabaidze
  • E. Zhdakaeva
Название журнала
  • Rossiyskiy Vestnik Perinatologii i Pediatrii
Том
  • 65
Выпуск
  • 3
Страницы
  • 11-17
Ключевые слова
  • algorithm; Article; artificial ventilation; asymptomatic infection; child; clinical feature; clinical practice; coronavirus disease 2019; coughing; disease course; disease severity; epidemiological data; fever; gastrointestinal symptom; human; infant; intensive care; laboratory diagnosis; mother; neonatologist; newborn; newborn period; patient monitoring; pediatrician; pneumonia; protocol compliance; radiodiagnosis; respiratory failure; Russian Federation; symptom; tachycardia; vertical transmission; virus transmission
Издатель
  • National Academy of Pediatric Science and Innovation
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus