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  • Covid: A new study supports that children spread little coronavirus

The cases of

children

infected with

SARS-CoV-2

in Spain barely represented 1% of the total in the first wave of

Covid-19

.

With the second wave, however, the proportion has been completely different.

At the end of August, it was already 6% of the total and at the end of September,

66,000 cases

of infected children

had already been registered

, 12% of the total cases reported by the Ministry of Health.

In the first wave, 1,400 cases were diagnosed in small ones, of which 20% or 25% required hospitalization and only 52 cases were admitted to the ICU.

This was stressed this Monday by the Spanish Society of Pulmonology and Thoracic Surgery (Separ), which has also pointed out that these data agree with the

epidemiological evolution

of other countries, such as the United States, where cases of coronavirus in children are between 12 % and 15% of the total.

In this case, then, the increase in the percentage of pediatric cases of

Covid-19 is

due to the fact that more and

more diagnostic tests

are carried out

on the entire population, while in the first wave children with significant symptoms were studied.

"It should be noted that currently most cases correspond to asymptomatic children or with milder symptoms than those of adults, who have a good evolution and of which

only 1% require hospitalization

. Despite this, inflammatory syndromes have arisen. more serious but very infrequent, in slightly older children, which should be investigated ", the pulmonologists have assured.

This is the balance of the impact of Covid-19 in pediatrics presented in the presentation 'Clinic and epidemiology of Covid-19 in children', presented by Dr. Cristina Calvo Rey, head of the Department of Pediatrics and Tropical Diseases at Hospital Universitario La Paz de Madrid and member of the Pediatric Pulmonology area of ​​Separ, at the 53 virtual congress of the aforementioned society.

"There are many children with nonspecific symptoms of COVID-19. Now, as the number of diagnostic tests increases, many more cases are being detected in children who are asymptomatic and who were not diagnosed in the first wave, because not so many tests were done ", explains Dr. Calvo.

LIGHTER PICTURES of coronavirus

Children who are infected with the

SARS-CoV-2

coronavirus

have milder symptoms than adults, of shorter duration, with fewer symptoms and less probability of infecting other people.

The symptoms they have are feverish, catarrhal or gastrointestinal pictures.

Some also evolve into

pneumonia

, although they are usually less severe than those of adults.

Covid-19 that evolves into pneumonia can appear in all ages.

Unfocused

fever

can be one of the symptoms of SARS-CoV-2 in children under 90 days, according to a study being completed by Dr. Calvo along with other authors.

In older children, from the age of

10 or 11

, the

most serious pictures

appear

, which are more similar to those of adults.

In general, in pediatric ages, the symptoms of Covid-19 that predominate are headache, vomiting, lymphopenia and pneumonia, which have somewhat different characteristics than other bacterial or viral agents.

At the end of April and in the month of May, with the advance of the pandemic, cases were also detected in children with multisystemic inflammatory syndromes associated with the infection of SARS-CoV-2 (MIS-C), more serious, and that they required

ICU admissions

.

So far,

no

well-defined

risk factors

, signs or symptoms

have been identified

that suggest that a pediatric Covid-19 will evolve towards these serious MIS-C.

They have been detected in pediatric patients in the United States and England;

Cases have also been detected in France, Italy and Spain.

This syndrome shares features of Kawasaki disease, toxic shock syndrome, and macrophage activation syndrome.

According to the criteria of The Trust Project

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