Epidemiological and clinical characteristics of novel coronavirus infection in children: Thoughts on the diagnostic criteria of suspected cases outside Hubei Province.
10.3760/cma.j.issn.1673-4912.2020.0003
- VernacularTitle: 儿童新型冠状病毒感染流行病学与临床特点分析——对儿童疑似病例诊断标准的思考
- Author:
Jianyu JIANG
1
;
Ling DUAN
1
;
Daoxue XIONG
1
;
Yan FENG
1
;
Xiangjun LIU
1
;
Jie YU
1
;
Zhe PENG
1
;
Chunhui LANG
1
Author Information
1. Three Gorges Hospital Affiliated to Chongqing University ,Chongqing Three Gorges Central Hospital, Chongqing 404000,China
- Publication Type:Journal Article
- Keywords:
Novel coronavirus;
Diagnostic criteria for suspected cases;
Children
- From:
Chinese Pediatric Emergency Medicine
2020;27(0):E003-E003
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the diagnostic criteria of suspected cases through investigating the epidemiological and clinical manifestations of confirmed cases of new-type coronavirus infection in children.
Methods:We retrospective analyzed the epidemiological and clinical manifestations of 6 children with new coronavirus infection diagnosed in Chongqing Three Gorges Central Hospital from February 3, 2020 to February 15, 2020 . Compared with the diagnostic criteria of suspected cases,we summarized the problems encountered in the application of this standard in clinical work and try to put forward Suggestions for improvement.
Results:Among the 6 children with confirmed cases: 5 males and 1 female; 3 from Hubei Province and 3 from Wanzhou ; 6 cases of clustered onset of the family; Visiting nature: 3 cases of suspected case income, 3 cases of community or outpatient screening . Three cases with fever and / or respiratory symptoms, one of which had symptoms of diarrhea; all children's blood routine and lymphocyte counts were within the normal range; chest CT imaging except for cases No. 1 and No. 5 were in line with typical new coronavirus pneumonia signs. In addition, the remaining 3 patients had abnormal imaging but did not have the characteristics of new coronavirus pneumonia, and 1 case was normal. Comparison results:Only case 1 of all cases fully met the diagnostic criteria, and the remaining cases did not meet the diagnostic criteria of early suspected cases.
Conclusion:In order to improve the accuracy and practicality of the diagnosis of suspected cases in children, it is recommended to refine and standardize the diagnostic criteria of some suspected cases.
