A Preliminary Report of COVID-19 in Children in India
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A Preliminary Report of COVID-19 in Children in India
Six (15%) patients required intensive care. Of the study population, only 63.4% had a positive contact history. One child died in this series due to type II respiratory failure with septic shock in a case of post adenoviral bronchiolitis obliterans and hypoxic brain injury.
We describe the profile of COVID-19 in children from India in this multicentre observational study from tertiary care hospitals in West Bengal. Data of children up to 12 years presenting with positive results on SARS-CoV-2 RT-PCR test were included. The median (IQR) age of the 41 patients included was 1 (0.42-5.0) year. Eleven (26.8%) patients, including 6 neonates, never showed any symptoms. Fever was seen in only 9 patients (21%), and co-morbities were found in 61% of patients. There was one death.
Our study found that the clinical course of COVID-19 in children appeared to be less severe than that reported in adults, which is consistent with other reports published on COVID-19 in children. We also found that co-morbidities were more prevalent (61%) in the 41 children hospitalized with COVID19 [2]. Comorbidities among children with COVID-19 were reported in all patients from China [3] but in 83% of those in US and Canadian intensive care units [4].
Keywords: Co-morbidities, Course, Management, Outcome.
Some studies [5] have raised concerns about the appearance of a novel severe Kawasaki-like disease in children in association with SARS-CoV-2 infection [6]. Our study also
T
he clinical profile of Corona Virus Disease 2019 (COVID-19) infection in children is variable, and information from developing countries is not readily available, except for China [1]. We report a series of pediatric cases of COVID-19 from eastern India.
Table I Characteristics of Children With COVID-19 (N=41) Characteristics
We collected data of children younger than 12 years admitted in tertiary care institutes, including COVID designated hospitals, of West Bengal. The children were included after obtaining parental consent, if they had a positive RT-PCR test report for SARS-CoV-2. The study was conducted from March, 2020 to June, 2020. Ethical permission was sought from the institutional ethics committee.
Age group
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