A comparative study of SARS-CoV-2 and common human coronavirus infections among children presenting to tertiary care in Oman

Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved..

OBJECTIVES: To compare clinical manifestations, laboratory characteristics, and outcomes of children presenting to tertiary care with SARS-CoV-2 or common human coronavirus (HCoV) infection.

METHODS: Children 13 years of age or younger presenting in 2020 with SARS-CoV-2 and those presenting with HCoV between 2017 and 2019 were included. Clinical and laboratory features were compared using appropriate statistical tests. The study was conducted at the two main tertiary hospitals in Muscat, Oman.

RESULTS: The study included 255 cases (131 SARS-CoV-2 and 124 HCoV). Median age was 1.7 years (interquartile range 0.5-5.6), and 140 patients (55%) were males. Among children with HCoV infection, diarrhea was less common compared to children with SARS-CoV-2 (4% vs 23%, P <0.001), while respiratory symptoms such as cough were more common (74% vs 31%, P <0.001). Intensive care admission was more frequent with SARS-CoV-2 infection compared to HCoV (22% vs 11%, P = 0.039). Three virus-related deaths were recorded, all of which occurred among patients with SARS-CoV-2 and multisystem inflammatory syndrome in children.

CONCLUSION: Lower respiratory tract disease is more frequent among children with HCoV infection compared to SARS-CoV-2, while gastrointestinal symptoms are more frequent with SARS-CoV-2. Critical illness is more likely with SARS-CoV-2 infection, driven mostly by multisystem inflammatory syndrome in children.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:139

Enthalten in:

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 139(2024) vom: 12. Jan., Seite 195-201

Sprache:

Englisch

Beteiligte Personen:

Waili, Badria Al [VerfasserIn]
Yazidi, Laila Al [VerfasserIn]
Hashami, Hilal Al [VerfasserIn]
Gheilani, Maryam Al [VerfasserIn]
Muharrami, Fatema Al [VerfasserIn]
Jadder, Rafal Al [VerfasserIn]
Hashami, Gulnar Al [VerfasserIn]
Alawi, Fatma Ba [VerfasserIn]
Maamari, Khuloud Al [VerfasserIn]
Mamari, Ahmed Al [VerfasserIn]
Khatri, Hanan Al [VerfasserIn]
Alhinai, Zaid [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Human coronavirus
Journal Article
Pediatric
SARS-CoV-2

Anmerkungen:

Date Completed 15.01.2024

Date Revised 15.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2023.08.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360670598