Epidemiological and clinical characteristics of novel coronavirus infection in children: Thoughts on the diagnostic criteria of suspected cases outside Hubei Province/ 中国小儿急救医学

Jian-qun Jiang, Ling Duan, Daoxue Xiong, Feng Yan, Xiangjun Liu, Jie Yu, Zhe Peng, Chunhui Lang
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引用次数: 9

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. Key words: Novel coronavirus; Diagnostic criteria for suspected cases; Children
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儿童新型冠状病毒感染的流行病学和临床特征——对湖北省外疑似病例诊断标准的思考中国小儿急救医学
目的通过调查儿童新型冠状病毒感染确诊病例的流行病学和临床表现,提高疑似病例的诊断标准。方法回顾性分析2020年2月3日至2月15日在重庆三峡中心医院确诊的6例新型冠状病毒感染儿童的流行病学和临床表现。与疑似病例的诊断标准相比,我们总结了该标准在临床工作中应用时遇到的问题,并试图提出改进建议。结果6例确诊患儿中:男5例,女1例;湖北3例,万州3例;家族聚集性发病6例;就诊性质:3例疑似病例收入,3例社区或门诊筛查。3例出现发烧和/或呼吸道症状,其中1例出现腹泻症状;儿童血常规及淋巴细胞计数均在正常范围内;除1号和5号病例外,胸部CT均符合典型的新型冠状病毒肺炎体征。此外,其余3例患者影像学异常但不具有新型冠状病毒肺炎特征,1例正常。比较结果:所有病例中只有病例1完全符合诊断标准,其余病例不符合早期疑似病例的诊断标准。结论为了提高儿童疑似病例诊断的准确性和实用性,建议对部分疑似病例的诊断标准进行细化和规范。关键词:新型冠状病毒;疑似病例的诊断标准;儿童
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期刊介绍: Chinese Journal of Neurology was established in 1955, the predecessor of which is Chinese Journal of Neurology and Psychiatry. Chinese Journal of Neurology and Psychiatry has been indexed by MEDLINE until 1996, when it was divided into two journals, Chinese Journal of Neurology, and Chinese Journal of Psychiatry. Chinese Journal of Neurology is now indexed by EM, SCOPUS, AJ, WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 2.755 in 2017, ranking the first among all neurological and psychological journals in China and among all the 142 medical journals published by the Chinese Medical Association. The journal is available both in print and online.
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