Inflammatory syndrome in pediatric patients in the context of the COVID-19 pandemic
Keywords:
COVID-19, SARS-CoV-2, Kawasaki disease, inflammatory syndrome, children.Abstract
Introduction: In the context of the COVID-19 pandemic, the increase of information on children severely affected by a new form of disease similar to Kawasaki syndrome set off alarms worldwide.
Objective: Analyze the available evidence and describe the presentation, symptoms and treatments of the disease called new Kawasaki associated with COVID-19 in the pediatric population.
Methods: A systematic review of studies published in scientific search engines like PubMed, Cochrane, ScienceDirect, Medline was carried out, between December 2019 and September 2020, which included the pediatric population between 0-18 years.
Analysis and integration of information: After the application of the inclusion and exclusion criteria, 15 articles remained for analysis, with a total sample of 932 patients, who presented the disease associated with COVID-19. A high percentage of signs of severity such as cardiac complications are found. In the studies that recorded these signs, the prevalence varies between 60-100% of patients and between 50-100% in the shock associated with increased inflammatory parameters. In general terms, the prognosis was favorable in most of the patients. There were only 9 deaths (0.97 %) of the total sample.
Conclusions: Timely treatment is associated with a good prognosis in these patients, with a low mortality rate. Therefore, it is essential that both the medical community and the general population are properly informed about this condition and its clinical presentation.
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