COVID-19 clinical features in primary care: COVIDPAP study
Objectives: In Spain, the tools to diagnose COVID-19 were available in primary care from May 2020. Previously most studies described inpatients or patients in A&E departments, and fever and cough were the most frequent symptoms. This study aims to define the clinical picture of the pediatric COV...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Elsevier
2022-07-01
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| Series: | Anales de Pediatría (English Edition) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2341287922001375 |
| _version_ | 1811225857131282432 |
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| author | Marta Carballal-Mariño Josep Vicent Balaguer-Martínez César García-Vera Beatriz Morillo-Gutierrez Begoña Domínguez-Aurrecoechea Rafael Jimenez-Alés Ana Gallego-Iborra Cristina Cañavate-González Edurne Ciriza-Barea |
| author_facet | Marta Carballal-Mariño Josep Vicent Balaguer-Martínez César García-Vera Beatriz Morillo-Gutierrez Begoña Domínguez-Aurrecoechea Rafael Jimenez-Alés Ana Gallego-Iborra Cristina Cañavate-González Edurne Ciriza-Barea |
| author_sort | Marta Carballal-Mariño |
| collection | DOAJ |
| description | Objectives: In Spain, the tools to diagnose COVID-19 were available in primary care from May 2020. Previously most studies described inpatients or patients in A&E departments, and fever and cough were the most frequent symptoms. This study aims to define the clinical picture of the pediatric COVID-19 in the community. Methods: A descriptive and analytical observational study was performed including pediatric cases (0−14 years) from 255 pediatricians, proportionally distributed to its population, from primary health centers in Spain, from 12th May 2020 to 30th April 2021. Diagnostics were made by PCR detection of viral RNA, rapid antigen detection test or positive IgG serology. Results: There were 10,021 positive children included, 48.4% women, mean age 8,04 ± 4.17 years. Infection was detected due to contact tracing (70.9%), compatible symptoms (18.8%). Household was the main source of transmission (64.9%), followed by school setting (10%) or unknown (9.9%). We did not find any significant differences in the incidence between holidays and school terms. 43.2% of the children were asymptomatic. Most frequent symptoms are rhinorrhea in <2 years, fever in 3−8years and headache in >9 years. An exhaustive description of objective and subjective symptoms by age is made. 18 patients were hospitalized, one with multisystem inflammatory syndrome in children. There were no deaths. Conclusions: pediatric COVID-19 is a mild disease, with a large number of asymptomatic cases, with very few hospital admissions and deaths. The main setting for transmission is the household, and school closures should be a last resource measure during the COVID-19 pandemic. A specific clinical picture of pediatric COVID-19 was not found. Resumen: Objetivos: En España, las pruebas diagnósticas de COVID-19 en atención primaria estuvieron disponibles desde mayo de 2020. Previamente la mayoría de los estudios describían pacientes hospitalarios: la fiebre y la tos eran los síntomas más frecuentes. Interesaba conocer la expresión clínica de la COVID-19 pediátrica en la comunidad. Métodos: estudio descriptivo analítico observacional de casos pediátricos (0−14 años) de 255 pediatras de atención primaria españoles, del 12/5/2020 al 30/4/2021. Los diagnósticos se determinaron por PCR, test rápido de detección de antígeno o serología IgG positiva. Resultados: Se incluyeron 10 021 niños, 48,4% mujeres, con una edad media de 8,04 ± 4,17 años. Se detectó la infección por búsqueda de contactos (70,9%) o síntomas compatibles (18,8%). El hogar familiar fue la principal fuente de contagio (64,9%), seguido por los colegios (10%) o de origen desconocido (9,9%). No hubo diferencias significativas en la incidencia entre temporadas vacacionales o lectivas. El 43,2% fueron asintomáticos. Los síntomas más frecuentemente encontrados fueron rinorrea en menores de 2 años, fiebre entre 3 y 8 años y cefalea en mayores de 9 años. Se describen exhaustivamente los síntomas y signos observados por edad. Se hospitalizaron 18 pacientes, uno con un síndrome inflamatorio multisistémico. No hubo fallecimientos. Conclusiones: La COVID-19 es una enfermedad leve con un gran número de casos asintomáticos, con pocas hospitalizaciones y fallecimientos. El lugar principal de transmisión es el domicilio y el cierre de colegios debería ser el último recurso para controlar la pandemia. No se pudo describir un cuadro clínico característico de la enfermedad. |
| first_indexed | 2024-04-12T09:14:15Z |
| format | Article |
| id | doaj.art-d478b34bbecc4697a639d55a8dfebdb5 |
| institution | Directory Open Access Journal |
| issn | 2341-2879 |
| language | Spanish |
| last_indexed | 2024-04-12T09:14:15Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Anales de Pediatría (English Edition) |
| spelling | doaj.art-d478b34bbecc4697a639d55a8dfebdb52022-12-22T03:38:53ZspaElsevierAnales de Pediatría (English Edition)2341-28792022-07-019714858COVID-19 clinical features in primary care: COVIDPAP studyMarta Carballal-Mariño0Josep Vicent Balaguer-Martínez1César García-Vera2Beatriz Morillo-Gutierrez3Begoña Domínguez-Aurrecoechea4Rafael Jimenez-Alés5Ana Gallego-Iborra6Cristina Cañavate-González7Edurne Ciriza-Barea8Centro de Atención Primaria “Cerceda-Culleredo”, A Coruña, Spain; Corresponding author.Centro de Atención Primaria “Sant Ildefons”, Cornellà de Llobregat, Barcelona, SpainCentro de Atención Primaria “Jose Ramón Muñoz Fernández”, Zaragoza, SpainCentro de Atención Primaria “Aracena”, Huelva, SpainInstituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, SpainCentro de Atención Primaria “La Roda de Andalucía”, Sevilla, SpainUnidad de Atención Temprana, Distrito Sanitario Málaga-Guadalhorce, Málaga, SpainCentro de Atención Primaria “San José de la Vega”, Murcia, SpainCentro de Atención Primaria “Ansoáin”, Navarra, SpainObjectives: In Spain, the tools to diagnose COVID-19 were available in primary care from May 2020. Previously most studies described inpatients or patients in A&E departments, and fever and cough were the most frequent symptoms. This study aims to define the clinical picture of the pediatric COVID-19 in the community. Methods: A descriptive and analytical observational study was performed including pediatric cases (0−14 years) from 255 pediatricians, proportionally distributed to its population, from primary health centers in Spain, from 12th May 2020 to 30th April 2021. Diagnostics were made by PCR detection of viral RNA, rapid antigen detection test or positive IgG serology. Results: There were 10,021 positive children included, 48.4% women, mean age 8,04 ± 4.17 years. Infection was detected due to contact tracing (70.9%), compatible symptoms (18.8%). Household was the main source of transmission (64.9%), followed by school setting (10%) or unknown (9.9%). We did not find any significant differences in the incidence between holidays and school terms. 43.2% of the children were asymptomatic. Most frequent symptoms are rhinorrhea in <2 years, fever in 3−8years and headache in >9 years. An exhaustive description of objective and subjective symptoms by age is made. 18 patients were hospitalized, one with multisystem inflammatory syndrome in children. There were no deaths. Conclusions: pediatric COVID-19 is a mild disease, with a large number of asymptomatic cases, with very few hospital admissions and deaths. The main setting for transmission is the household, and school closures should be a last resource measure during the COVID-19 pandemic. A specific clinical picture of pediatric COVID-19 was not found. Resumen: Objetivos: En España, las pruebas diagnósticas de COVID-19 en atención primaria estuvieron disponibles desde mayo de 2020. Previamente la mayoría de los estudios describían pacientes hospitalarios: la fiebre y la tos eran los síntomas más frecuentes. Interesaba conocer la expresión clínica de la COVID-19 pediátrica en la comunidad. Métodos: estudio descriptivo analítico observacional de casos pediátricos (0−14 años) de 255 pediatras de atención primaria españoles, del 12/5/2020 al 30/4/2021. Los diagnósticos se determinaron por PCR, test rápido de detección de antígeno o serología IgG positiva. Resultados: Se incluyeron 10 021 niños, 48,4% mujeres, con una edad media de 8,04 ± 4,17 años. Se detectó la infección por búsqueda de contactos (70,9%) o síntomas compatibles (18,8%). El hogar familiar fue la principal fuente de contagio (64,9%), seguido por los colegios (10%) o de origen desconocido (9,9%). No hubo diferencias significativas en la incidencia entre temporadas vacacionales o lectivas. El 43,2% fueron asintomáticos. Los síntomas más frecuentemente encontrados fueron rinorrea en menores de 2 años, fiebre entre 3 y 8 años y cefalea en mayores de 9 años. Se describen exhaustivamente los síntomas y signos observados por edad. Se hospitalizaron 18 pacientes, uno con un síndrome inflamatorio multisistémico. No hubo fallecimientos. Conclusiones: La COVID-19 es una enfermedad leve con un gran número de casos asintomáticos, con pocas hospitalizaciones y fallecimientos. El lugar principal de transmisión es el domicilio y el cierre de colegios debería ser el último recurso para controlar la pandemia. No se pudo describir un cuadro clínico característico de la enfermedad.http://www.sciencedirect.com/science/article/pii/S2341287922001375Atención primariaSARS-CoV-2Infancia |
| spellingShingle | Marta Carballal-Mariño Josep Vicent Balaguer-Martínez César García-Vera Beatriz Morillo-Gutierrez Begoña Domínguez-Aurrecoechea Rafael Jimenez-Alés Ana Gallego-Iborra Cristina Cañavate-González Edurne Ciriza-Barea COVID-19 clinical features in primary care: COVIDPAP study Anales de Pediatría (English Edition) Atención primaria SARS-CoV-2 Infancia |
| title | COVID-19 clinical features in primary care: COVIDPAP study |
| title_full | COVID-19 clinical features in primary care: COVIDPAP study |
| title_fullStr | COVID-19 clinical features in primary care: COVIDPAP study |
| title_full_unstemmed | COVID-19 clinical features in primary care: COVIDPAP study |
| title_short | COVID-19 clinical features in primary care: COVIDPAP study |
| title_sort | covid 19 clinical features in primary care covidpap study |
| topic | Atención primaria SARS-CoV-2 Infancia |
| url | http://www.sciencedirect.com/science/article/pii/S2341287922001375 |
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