Asymptomatic COVID-19 infection in a child with nasal foreign body

Asymptomatic COVID-19 infection in a child with nasal foreign body
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DOI:
10.1016/j.ijporl.2020.110092
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发表时间:
2020-08-01
影响因子:
1.5
通讯作者:
Kwolek, Christopher J.
Kwolek, Christopher J.
中科院分区:
医学4区
文献类型:
--
作者:
Diercks, Gillian R.;Park, Brian J.;Kwolek, Christopher J.

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虽然儿童,特别是婴儿,容易患上严重和危重的新冠肺炎病,但超过55%的儿科病例出现在无症状或轻度症状的儿童中。雾化SARS-CoV-2病毒颗粒可在长达3小时的时间内存活,这引发了人们对医护人员在呼吸道和鼻咽部气溶胶生成程序(APG)过程中面临风险的担忧。在此,我们描述了第一例无症状的SARS-CoV-2感染儿童的鼻异物。我们讨论了这个孩子的管理,并强调了在新冠肺炎时代规划呼吸道操作时考虑无症状感染和术前检查的重要性。
While children, particularly infants, are susceptible to severe and critical COVID-19 disease, over 55% of pediatric cases are present in asymptomatic or mildly symptomatic children. Aerosolized SARS-CoV-2 viral particles remain viable for up to 3 hours, raising concern about risk to healthcare workers during aerosol generating procedures (APGs) in the airway and nasopharynx. Herein we describe the first case of a nasal foreign body in an asymptomatic child with SARS-CoV-2 infection. We discuss management of this child and highlight the importance of considering asymptomatic infection and preoperative testing when planning procedures of the airway in the COVID-19 era.