Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Apr 17;75:e1894.
doi: 10.6061/clinics/2020/e1894. eCollection 2020.

COVID-19 Diagnostic and Management Protocol for Pediatric Patients

Affiliations
Free PMC article
Review

COVID-19 Diagnostic and Management Protocol for Pediatric Patients

Ana Paula de Carvalho Panzeri Carlotti et al. Clinics (Sao Paulo). .
Free PMC article

Abstract

This review aims to verify the main epidemiologic, clinical, laboratory-related, and therapeutic aspects of coronavirus disease 2019 (COVID-19) in critically ill pediatric patients. An extensive review of the medical literature on COVID-19 was performed, mainly focusing on the critical care of pediatric patients, considering expert opinions and recent reports related to this new disease. Experts from a large Brazilian public university analyzed all recently published material to produce a report aiming to standardize the care of critically ill children and adolescents. The report emphasizes on the clinical presentations of the disease and ventilatory support in pediatric patients with COVID-19. It establishes a flowchart to guide health practitioners on triaging critical cases. COVID-19 is essentially an unknown clinical condition for the majority of pediatric intensive care professionals. Guidelines developed by experts can help all practitioners standardize their attitudes and improve the treatment of COVID-19.

Conflict of interest statement

No potential conflict of interest was reported.

Figures

Figure 1
Figure 1
Clinical Presentation of COVID-19.
Figure 2
Figure 2
Flu-like syndrome flowchart.

Similar articles

  • Our recommendations for acute management of COVID-19.
    Mojoli F, Mongodi S, Orlando A, Arisi E, Pozzi M, Civardi L, Tavazzi G, Baldanti F, Bruno R, Iotti GA; COVID-19 Pavia Crisis Unit. Mojoli F, et al. Version 2. Crit Care. 2020 May 8;24(1):207. doi: 10.1186/s13054-020-02930-6. Crit Care. 2020. PMID: 32384909 Free PMC article. No abstract available.
  • [Recommendations for critically ill patients with COVID-19].
    Kluge S, Janssens U, Welte T, Weber-Carstens S, Marx G, Karagiannidis C. Kluge S, et al. Med Klin Intensivmed Notfmed. 2020 Apr;115(3):175-177. doi: 10.1007/s00063-020-00674-3. Med Klin Intensivmed Notfmed. 2020. PMID: 32166350 Free PMC article. Review. German. No abstract available.
  • COVID-19 in Children: Clinical Approach and Management.
    Sankar J, Dhochak N, Kabra SK, Lodha R. Sankar J, et al. Indian J Pediatr. 2020 Jun;87(6):433-442. doi: 10.1007/s12098-020-03292-1. Epub 2020 Apr 27. Indian J Pediatr. 2020. PMID: 32338347 Free PMC article. Review.
  • Novel coronavirus disease (COVID-19) in children.
    Tezer H, Bedir Demirdağ T. Tezer H, et al. Turk J Med Sci. 2020 Apr 21;50(SI-1):592-603. doi: 10.3906/sag-2004-174. Turk J Med Sci. 2020. PMID: 32304191 Free PMC article. Review.
  • Guidelines for Laboratory Diagnosis of Coronavirus Disease 2019 (COVID-19) in Korea.
    Hong KH, Lee SW, Kim TS, Huh HJ, Lee J, Kim SY, Park JS, Kim GJ, Sung H, Roh KH, Kim JS, Kim HS, Lee ST, Seong MW, Ryoo N, Lee H, Kwon KC, Yoo CK. Hong KH, et al. Ann Lab Med. 2020 Sep;40(5):351-360. doi: 10.3343/alm.2020.40.5.351. Ann Lab Med. 2020. PMID: 32237288 Review.
See all similar articles

References

    1. He F, Deng Y, Li W. Coronavirus disease 2019: What we know? J Med Virol. 2020 doi: 10.1002/jmv.25766. - DOI - PMC - PubMed
    1. Chen ZM, Fu JF, Shu Q, Chen YH, Hua CZ, Li FB, et al. Diagnosis and treatment recommendations for pediatric respiratory infection caused by the 2019 novel coronavirus. World J Pediatr. 2020 doi: 10.1007/s12519-020-00345-5. - DOI - PMC - PubMed
    1. Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, et al. Epidemiological Characteristics of 2143 Pediatric Patients With 2019 Coronavirus Disease in China. Pediatrics. 2020:pii e20200702. doi: 10.1542/peds.2020-0702. - DOI
    1. Lu X, Zhang L, Du H, Zhang J, Li YY, Qu J, et al. SARS-CoV-2 Infection in Children. N Engl J Med. 2020 doi: 10.1056/NEJMc2005073. - DOI - PMC - PubMed
    1. Recalcati S. Cutaneous manifestations in COVID-19: a first perspective. J Eur Acad Dermatol Venereol. 2020 doi: 10.1111/jdv.16387. - DOI - PubMed

MeSH terms

Supplementary concepts

Feedback