COVID-19 pandemic. What have we learned?

Since the COVID-19 pandemic was declared in March 2020, we have learned a lot about the SARS-CoV-2 coronavirus, and its role in pediatric pathology.Children are infected in a rate quite similar to adults, although in most cases they suffer mild or asymptomatic symptoms. Around 1% of those infected r...

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Autores principales:	Cristina Calvo, Alfredo Tagarro, Ana Méndez Echevarría, Belén Fernández Colomer, M. Rosa Albañil Ballesteros, Quique Bassat, M. José Mellado Peña
Formato:	article
Lenguaje:	ES
Publicado:	Elsevier 2021
Materias:	COVID-19 SARS-CoV-2 Colegios Neonatos Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/44b4c5a050b74e65a262410ee2e259f4
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spelling	oai:doaj.org-article:44b4c5a050b74e65a262410ee2e259f42021-11-12T04:36:54ZCOVID-19 pandemic. What have we learned?2341-287910.1016/j.anpede.2021.10.002https://doaj.org/article/44b4c5a050b74e65a262410ee2e259f42021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2341287921001733https://doaj.org/toc/2341-2879Since the COVID-19 pandemic was declared in March 2020, we have learned a lot about the SARS-CoV-2 coronavirus, and its role in pediatric pathology.Children are infected in a rate quite similar to adults, although in most cases they suffer mild or asymptomatic symptoms. Around 1% of those infected require hospitalization, less than 0.02% require intensive care, and mortality is very low and generally in children with comorbidities. The most common clinical diagnoses are upper or lower respiratory infections, gastrointestinal infection and, more seriously, multisystemic inflammatory syndrome (MIS-C). Most episodes do not require treatment, except for MIS-C. Remdesivir has been widely used as a compassionate treatment and its role has yet to be defined.The newborn can become infected, although vertical transmission is very low (<1%) and it has been shown that the baby can safely cohabit with its mother and be breastfed. In general, neonatal infections have been mild.Primary care has supported a very important part of the management of the pandemic in pediatrics. There has been numerous collateral damage derived from the difficulty of access to care and the isolation suffered by children. The mental health of the pediatric population has been seriously affected. Although it has been shown that schooling has not led to an increase in infections, but rather the opposite. It is essential to continue maintaining the security measures that make schools a safe place, so necessary not only for children's education, but for their health in general. Resumen: Desde que en marzo de 2020 se declarara la pandemia COVID-19 hemos aprendido muchas cosas del coronavirus SARS-CoV-2, y de su papel en la enfermedad pediátrica.Los niños se infectan en un porcentaje bastante similar a los adultos, si bien en la mayoría de las ocasiones sufren cuadros leves o asintomáticos. Alrededor de un 1% de infectados precisan hospitalización, menos de un 0,02% precisan cuidados intensivos, y la mortalidad es muy baja y generalmente en niños con comorbilidades. Los cuadros clínicos más habituales son infecciones respiratorias de vías altas o bajas, cuadros gastrointestinales y con mayor gravedad el síndrome inflamatorio multisistémico (MIS-C). La mayoría de los episodios no precisan tratamiento, salvo el MIS-C. El remdesivir se ha empleado generalmente como tratamiento compasivo y aún está por definir su papel.El recién nacido puede infectarse, si bien la transmisión vertical es muy baja (< 1%), y se ha demostrado que el bebé puede cohabitar de manera segura con su madre y recibir lactancia materna. En general las infecciones neonatales han sido leves.La atención primaria ha soportado una parte muy importante del manejo de la pandemia en pediatría. Se han producido numerosos daños colaterales derivados de la dificultad de acceso a la asistencia y del aislamiento que han sufrido los niños. La salud mental de la población pediátrica se ha visto seriamente afectada. A pesar de que se ha demostrado que la escolarización no ha supuesto un incremento de los contagios, sino más bien todo lo contrario. Es fundamental seguir manteniendo las medidas de seguridad que permitan hacer de las escuelas un lugar seguro, tan necesario no solo para la educación infantil, sino para su salud en general.Cristina CalvoAlfredo TagarroAna Méndez EchevarríaBelén Fernández ColomerM. Rosa Albañil BallesterosQuique BassatM. José Mellado PeñaElsevierarticleCOVID-19SARS-CoV-2ColegiosNeonatosPediatricsRJ1-570ESAnales de Pediatría (English Edition), Vol 95, Iss 5, Pp 382.e1-382.e8 (2021)
institution	DOAJ
collection	DOAJ
language	ES
topic	COVID-19 SARS-CoV-2 Colegios Neonatos Pediatrics RJ1-570
spellingShingle	COVID-19 SARS-CoV-2 Colegios Neonatos Pediatrics RJ1-570 Cristina Calvo Alfredo Tagarro Ana Méndez Echevarría Belén Fernández Colomer M. Rosa Albañil Ballesteros Quique Bassat M. José Mellado Peña COVID-19 pandemic. What have we learned?
description	Since the COVID-19 pandemic was declared in March 2020, we have learned a lot about the SARS-CoV-2 coronavirus, and its role in pediatric pathology.Children are infected in a rate quite similar to adults, although in most cases they suffer mild or asymptomatic symptoms. Around 1% of those infected require hospitalization, less than 0.02% require intensive care, and mortality is very low and generally in children with comorbidities. The most common clinical diagnoses are upper or lower respiratory infections, gastrointestinal infection and, more seriously, multisystemic inflammatory syndrome (MIS-C). Most episodes do not require treatment, except for MIS-C. Remdesivir has been widely used as a compassionate treatment and its role has yet to be defined.The newborn can become infected, although vertical transmission is very low (<1%) and it has been shown that the baby can safely cohabit with its mother and be breastfed. In general, neonatal infections have been mild.Primary care has supported a very important part of the management of the pandemic in pediatrics. There has been numerous collateral damage derived from the difficulty of access to care and the isolation suffered by children. The mental health of the pediatric population has been seriously affected. Although it has been shown that schooling has not led to an increase in infections, but rather the opposite. It is essential to continue maintaining the security measures that make schools a safe place, so necessary not only for children's education, but for their health in general. Resumen: Desde que en marzo de 2020 se declarara la pandemia COVID-19 hemos aprendido muchas cosas del coronavirus SARS-CoV-2, y de su papel en la enfermedad pediátrica.Los niños se infectan en un porcentaje bastante similar a los adultos, si bien en la mayoría de las ocasiones sufren cuadros leves o asintomáticos. Alrededor de un 1% de infectados precisan hospitalización, menos de un 0,02% precisan cuidados intensivos, y la mortalidad es muy baja y generalmente en niños con comorbilidades. Los cuadros clínicos más habituales son infecciones respiratorias de vías altas o bajas, cuadros gastrointestinales y con mayor gravedad el síndrome inflamatorio multisistémico (MIS-C). La mayoría de los episodios no precisan tratamiento, salvo el MIS-C. El remdesivir se ha empleado generalmente como tratamiento compasivo y aún está por definir su papel.El recién nacido puede infectarse, si bien la transmisión vertical es muy baja (< 1%), y se ha demostrado que el bebé puede cohabitar de manera segura con su madre y recibir lactancia materna. En general las infecciones neonatales han sido leves.La atención primaria ha soportado una parte muy importante del manejo de la pandemia en pediatría. Se han producido numerosos daños colaterales derivados de la dificultad de acceso a la asistencia y del aislamiento que han sufrido los niños. La salud mental de la población pediátrica se ha visto seriamente afectada. A pesar de que se ha demostrado que la escolarización no ha supuesto un incremento de los contagios, sino más bien todo lo contrario. Es fundamental seguir manteniendo las medidas de seguridad que permitan hacer de las escuelas un lugar seguro, tan necesario no solo para la educación infantil, sino para su salud en general.
format	article
author	Cristina Calvo Alfredo Tagarro Ana Méndez Echevarría Belén Fernández Colomer M. Rosa Albañil Ballesteros Quique Bassat M. José Mellado Peña
author_facet	Cristina Calvo Alfredo Tagarro Ana Méndez Echevarría Belén Fernández Colomer M. Rosa Albañil Ballesteros Quique Bassat M. José Mellado Peña
author_sort	Cristina Calvo
title	COVID-19 pandemic. What have we learned?
title_short	COVID-19 pandemic. What have we learned?
title_full	COVID-19 pandemic. What have we learned?
title_fullStr	COVID-19 pandemic. What have we learned?
title_full_unstemmed	COVID-19 pandemic. What have we learned?
title_sort	covid-19 pandemic. what have we learned?
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/44b4c5a050b74e65a262410ee2e259f4
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COVID-19 pandemic. What have we learned?

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