View source for COVID-19 (peds)

{{Peds top}} [[COVID-19]]. For transmission precautions see: [[Prevention of COVID-19 transmission in the healthcare setting]].
==Background==
*No data currently exists to determine if children with underlying medical conditions (asthma, or special healthcare needs) at increased risk

=== Epidemiology among Children ===
*2% of cases amongst < 2 years of age (NOTE: 13% in only one major city in China)
*Mostly because of household exposures (from adults)
*Vast majority of cases in US are in adults
*Transmission in pediatrics
**Shedding for longer than adults (up to 22 days, some up to 30 days)
**Mostly goes from adults to children (not the other way around)

==Clinical Features==
===Acute Pediatric Presentation===
*Fever (50-80%), cough, congestion, rhinorrhea, sore throat 
*GI in some cases (at least one case with GI sx first then respiratory symptoms after)
*50% of peds cases with fever, 30% with cough

===Pediatric Disease Course===
*Mostly mild (for unclear reasons) except for only 2 cases:
**13 month developed ARDS and ICU care
**3 year old needed ICU
*No deaths in children under 10 (from china so far)
*Radiographic: same as adults (bilateral, pulmonary lesions, GGO; some with unilateral).
*Can rarely develop Multisystem inflammatory syndrome([[Multisystem inflammatory syndrome in children|MIS-C]])

==Differential Diagnosis==
{{Pediatric fever DDX}}

==Evaluation==
===Workup===

===Diagnostic Findings===
*Mild CRP or AST elevations
*No consistency on WBC (mild leukocytosis, leukopenia)
*Few coinfections have been reported (with RSV, Influenza, mycoplasma).
**Coinfection unlikely (but possible) at this time

==Management==
''See [[prevention of COVID-19 transmission in the healthcare setting]] for PPE recommendations''
*Supportive care, isolation at home best unless needing hospitalisation
*Infection prevention and support!!! handwashing and PPE
*No [[remdesavir]] trials in children

==Disposition==


==See Also==
{{Special:Prefixindex/COVID-19 |hideredirects=1}}

==External Links==


==References==
<references/>

[[Category:ID]]
[[Category:Pediatrics]]