COVID-19: Four Paediatric Cases in Malaysia
COVID-19: Four Paediatric Cases in Malaysia
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DOI：
10.1016/j.ijid.2020.03.049
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发表时间：
2020-05-01
影响因子：
8.4
通讯作者：
Ibrahim, H.
中科院分区：
文献类型：
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作者：
See, K. C.;Liew, S. M.;Ibrahim, H.
目的：这是马来西亚4例COVID-19感染儿童病例的简要报告背景：COVID-19是一种冠状病毒，首先在中国武汉发现，目前已迅速蔓延到全球60多个国家和地区，感染人数超过85000人。由于儿童病例数较低，因此需要报告儿童COVID-19，以更好地了解病毒和疾病。病例：截至2020年2月底，马来西亚有4例COVID-19儿科病例，年龄从20个月至11岁不等。所有四例病例都可能在中国感染了病毒。孩子们没有症状或轻微的流感样疾病。这些病例均采用外科治疗。没有需要抗病毒治疗。讨论：有2个主要问题，关于感染儿童的护理。首先，将受感染的儿童与检测呈阴性的父母隔离是一个道德困境。其次，儿童的口咽和鼻拭子存在假阴性结果的风险。这些问题对感染控制有影响。因此，在儿童COVID-19管理中，需要更明确的儿童检疫和检测方法指南。(C)2020作者（S）由爱思唯尔有限公司代表国际传染病学会出版。
Objective: This is a brief report of 4 paediatric cases of COVID-19 infection in MalaysiaBackground: COVID-19, a coronavirus, first detected in Wuhan, China has now spread rapidly to over 60 countries and territories around the world, infecting more than 85000 individuals. As the case count amongst children is low, there is need to report COVID-19 in children to better understand the virus and the disease.Cases: In Malaysia, until end of February 2020, there were four COVID-19 paediatric cases with ages ranging from 20 months to 11 years. All four cases were likely to have contracted the virus in China. The children had no symptoms or mild flu-like illness. The cases were managed symptomatically. None required antiviral therapy.Discussion: There were 2 major issues regarding the care of infected children. Firstly, the quarantine of an infected child with a parent who tested negative was an ethical dilemma. Secondly, oropharyngeal and nasal swabs in children were at risk of false negative results. These issues have implications for infection control. Consequently, there is a need for clearer guidelines for child quarantine and testing methods in the management of COVID-19 in children. (C) 2020 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.