Pediatric Inpatients with Coronavirus Disease 2019 in Chiba Prefecture
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- HOSHINO Tadashi
- Division of Infectious Diseases, Chiba Children's Hospital Chiba Pediatric Disaster network (CPD-net)
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- ISHIHARA Tadashi
- Department of Emergency and Critical Care Medicine/ Children's Emergency Center, Juntendo University, Urayasu Hospital Chiba Pediatric Disaster network (CPD-net)
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- OKADA Hiroshi
- Department of Pediatrics, Matsudo City General Hospital Children's Medical Centre Chiba Pediatric Disaster network (CPD-net)
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- MATSUNAGA Ayako
- Department of Pediatrics, St. Mariannna University School of Medicine Chiba Pediatric Disaster network (CPD-net)
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- TSUBURA Masahiro
- Division of Critical Care Medicine, Chiba Children's Hospital Chiba Pediatric Disaster network (CPD-net)
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- TANABE Ryo
- Department of Child Neurology, Chiba Rehabilitation Center Chiba Pediatric Disaster network (CPD-net)
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- KIMURA Sho
- Department of Pediatrics, Tokyo Woman's Medical University, Yachiyo Medical Center Chiba Pediatric Disaster network (CPD-net)
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- ISHIWADA Naruhiko
- Department of Infectious Diseases, Medical Mycology Research Center, Chiba University Chiba Pediatric Disaster network (CPD-net)
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- NAKAJIMA Hiromichi
- Chiba Children's Hospital Chiba Pediatric Disaster network (CPD-net)
Bibliographic Information
- Other Title
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- 千葉県における小児新型コロナウイルス感染症入院例に関する検討
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Abstract
<p>We conducted a retrospective study of pediatric inpatients with coronavirus disease 2019 (COVID-19) in 38 medical facilities, including in all secondary medical care areas in Chiba Prefecture affiliated to the Chiba Pediatric Disaster Network. The first five waves of the pandemic (between March 2020 and December 2021) included 155 cases (median age, 6 years 10 months) and were noted in the observational study, and the sixth wave (between January 2022 and May 2022) included 354 cases (median age; 3 years) were noted on the mailing list. Comparison of the peak months showed that there were five times as many inpatients in the sixth wave as in the first to fifth waves. In the first to five waves, 90% of the cases showed mild symptoms (fever, upper respiratory tract infection, asymptomatic), and there was only one case of severe pneumonia. On the other hand, in the sixth wave, there was a higher number of cases hospitalized with convulsions (19.5%) or croup (4.5%). Status epilepticus and cluster cases accounted for 42% and 30.4% of the patients with seizures, respectively, and three cases were diagnosed as having encephalitis/encephalopathy. A total of 13 cases (3.7%), including the three cases, required intensive care or equivalent treatment. In the sixth wave, only 2.6% of patients aged 5-11 years and 40% of patients aged ≥12 years had received both primary doses of the vaccine against COVID-19. Therefore, during the Omicron wave, the symptoms of pediatric inpatients with COVID-19 changed as compared with those during the previous waves. The vaccine coverage among hospitalized cases was low, suggesting the importance of promoting vaccination of children to prevent severe COVID-19.</p>
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 97 (1), 18-25, 2023-01-20
The Japanese Association for Infectious Diseases
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Details 詳細情報について
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- CRID
- 1390294827851269760
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- ISSN
- 1884569X
- 03875911
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed