Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami

Abstract Coronavirus disease 2019 (COVID-19) affects all components of the respiratory system, including the neuromuscular breathing apparatus, conducting and respiratory airways, pulmonary vascular endothelium, and pulmonary blood flow. In contrast to other respiratory viruses, children have less s...

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Autores principales:	Maria Di Cicco, Maria Giulia Tozzi, Vincenzo Ragazzo, Diego Peroni, Ahmad Kantar
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Children SARS-Cov-2 Telemedicine Pediatric respiratory diseases ACE-2 Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/1e7b1ea414734f9c92296fa94a60f1ef
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spelling	oai:doaj.org-article:1e7b1ea414734f9c92296fa94a60f1ef2021-11-08T11:17:48ZChronic respiratory diseases other than asthma in children: the COVID-19 tsunami10.1186/s13052-021-01155-91824-7288https://doaj.org/article/1e7b1ea414734f9c92296fa94a60f1ef2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13052-021-01155-9https://doaj.org/toc/1824-7288Abstract Coronavirus disease 2019 (COVID-19) affects all components of the respiratory system, including the neuromuscular breathing apparatus, conducting and respiratory airways, pulmonary vascular endothelium, and pulmonary blood flow. In contrast to other respiratory viruses, children have less severe symptoms when infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A minority of children experience a post-infectious inflammatory syndrome, the pathology and long-term outcomes of which are poorly understood. The reason for the lower burden of symptomatic disease in children is not yet clear, but several pathophysiological characteristics are postulated. The SARS-CoV-2 pandemic has brought distinct challenges to the care of children globally. Proper recommendations have been proposed for a range of non-asthmatic respiratory disorders in children, including primary ciliary dyskinesia and cystic fibrosis. These recommendations involve the continuation of the treatment during this period and ways to maintain stability. School closures, loss of follow-up visit attendance, and loss of other protective systems for children are the indirect outcomes of measures to mitigate the COVID-19 pandemic. Moreover, COVID-19 has reshaped the delivery of respiratory care in children, with non-urgent and elective procedures being postponed, and distancing imperatives have led to rapid scaling of telemedicine. The pandemic has seen an unprecedented reorientation in clinical trial research towards COVID-19 and a disruption in other trials worldwide, which will have long-lasting effects on medical science. In this narrative review, we sought to outline the most recent findings on the direct and indirect effects of SARS-CoV-2 pandemic on pediatric respiratory chronic diseases other than asthma, by critically revising the most recent literature on the subject.Maria Di CiccoMaria Giulia TozziVincenzo RagazzoDiego PeroniAhmad KantarBMCarticleChildrenSARS-Cov-2TelemedicinePediatric respiratory diseasesACE-2PediatricsRJ1-570ENItalian Journal of Pediatrics, Vol 47, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Children SARS-Cov-2 Telemedicine Pediatric respiratory diseases ACE-2 Pediatrics RJ1-570
spellingShingle	Children SARS-Cov-2 Telemedicine Pediatric respiratory diseases ACE-2 Pediatrics RJ1-570 Maria Di Cicco Maria Giulia Tozzi Vincenzo Ragazzo Diego Peroni Ahmad Kantar Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami
description	Abstract Coronavirus disease 2019 (COVID-19) affects all components of the respiratory system, including the neuromuscular breathing apparatus, conducting and respiratory airways, pulmonary vascular endothelium, and pulmonary blood flow. In contrast to other respiratory viruses, children have less severe symptoms when infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A minority of children experience a post-infectious inflammatory syndrome, the pathology and long-term outcomes of which are poorly understood. The reason for the lower burden of symptomatic disease in children is not yet clear, but several pathophysiological characteristics are postulated. The SARS-CoV-2 pandemic has brought distinct challenges to the care of children globally. Proper recommendations have been proposed for a range of non-asthmatic respiratory disorders in children, including primary ciliary dyskinesia and cystic fibrosis. These recommendations involve the continuation of the treatment during this period and ways to maintain stability. School closures, loss of follow-up visit attendance, and loss of other protective systems for children are the indirect outcomes of measures to mitigate the COVID-19 pandemic. Moreover, COVID-19 has reshaped the delivery of respiratory care in children, with non-urgent and elective procedures being postponed, and distancing imperatives have led to rapid scaling of telemedicine. The pandemic has seen an unprecedented reorientation in clinical trial research towards COVID-19 and a disruption in other trials worldwide, which will have long-lasting effects on medical science. In this narrative review, we sought to outline the most recent findings on the direct and indirect effects of SARS-CoV-2 pandemic on pediatric respiratory chronic diseases other than asthma, by critically revising the most recent literature on the subject.
format	article
author	Maria Di Cicco Maria Giulia Tozzi Vincenzo Ragazzo Diego Peroni Ahmad Kantar
author_facet	Maria Di Cicco Maria Giulia Tozzi Vincenzo Ragazzo Diego Peroni Ahmad Kantar
author_sort	Maria Di Cicco
title	Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami
title_short	Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami
title_full	Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami
title_fullStr	Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami
title_full_unstemmed	Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami
title_sort	chronic respiratory diseases other than asthma in children: the covid-19 tsunami
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1e7b1ea414734f9c92296fa94a60f1ef
work_keys_str_mv	AT mariadicicco chronicrespiratorydiseasesotherthanasthmainchildrenthecovid19tsunami AT mariagiuliatozzi chronicrespiratorydiseasesotherthanasthmainchildrenthecovid19tsunami AT vincenzoragazzo chronicrespiratorydiseasesotherthanasthmainchildrenthecovid19tsunami AT diegoperoni chronicrespiratorydiseasesotherthanasthmainchildrenthecovid19tsunami AT ahmadkantar chronicrespiratorydiseasesotherthanasthmainchildrenthecovid19tsunami
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Chronic respiratory diseases other than asthma in children: the COVID-19 tsunami

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