SARS-CoV-2 testing and outcomes in the first 30 days after the first case ofCOVID-19 at an Australian children's hospital
AuthorIbrahim, LF; Tosif, S; McNab, S; Hall, S; Lee, HJ; Lewena, S; Daley, AJ; Crawford, NW; Steer, AC; Bryant, PA; ...
Source TitleEmergency Medicine Australasia
University of Melbourne Author/sBabl, Franz; Lewena, Stuart; Steer, Andrew; Crawford, Nigel; Bryant, Penelope; Daley, Andrew; Ibrahim, Laila; McNab, Sarah; Tosif, Shidan; Hall, Samantha
Document TypeJournal Article
CitationsIbrahim, L. F., Tosif, S., McNab, S., Hall, S., Lee, H. J., Lewena, S., Daley, A. J., Crawford, N. W., Steer, A. C., Bryant, P. A. & Babl, F. E. (2020). SARS-CoV-2 testing and outcomes in the first 30 days after the first case ofCOVID-19 at an Australian children's hospital. EMERGENCY MEDICINE AUSTRALASIA, 32 (5), pp.801-808. https://doi.org/10.1111/1742-6723.13550.
Access StatusAccess this item via the Open Access location
Open Access URLhttps://europepmc.org/articles/PMC7273066?pdf=render
OBJECTIVE: International studies describing COVID-19 in children have shown low proportions of paediatric cases and generally a mild clinical course. We aimed to present early data on children tested for SARS-CoV-2 at a large Australian tertiary children's hospital according to the state health department guidelines, which varied over time. METHODS: We conducted a retrospective cohort study at The Royal Children's Hospital, Melbourne, Australia. It included all paediatric patients (aged 0-18 years) who presented to the ED or the Respiratory Infection Clinic (RIC) and were tested for SARS-CoV-2. The 30-day study period commenced after the first confirmed positive case was detected at the hospital on 21 March 2020, until 19 April 2020. We recorded epidemiological and clinical data. RESULTS: There were 433 patients in whom SARS-CoV-2 testing was performed in ED (331 [76%]) or RIC (102 [24%]). There were four (0.9%) who had positive SARS-CoV-2 detected, none of whom were admitted to hospital or developed severe disease. Of these SARS-CoV-2 positive patients, 1/4 (25%) had a comorbidity, which was asthma. Of the SARS-CoV-2 negative patients, 196/429 (46%) had comorbidities. Risk factors for COVID-19 were identified in 4/4 SARS-CoV-2 positive patients and 47/429 (11%) SARS-CoV-2 negative patients. CONCLUSION: Our study identified a very low rate of SARS-CoV-2 positive cases in children presenting to a tertiary ED or RIC, none of whom were admitted to hospital. A high proportion of patients who were SARS-CoV-2 negative had comorbidities.
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