Características clínicas y epidemiológicas de niños con infección por SARS-CoV-2 internados en un hospital peruano

Ricardo Rodriguez-Portilla; Patricia Llaque-Quiroz; Claudia Guerra-Ríos; Liliana Paola Cieza-Yamunaqué; Edgar Juan Coila-Paricahua; Pedro Michael Baique-Sánchez; Isabel Pinedo-Torres

doi:10.17843/rpmesp.2021.382.6719

Authors

Ricardo Rodriguez-Portilla Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico(a) pediatra intensivista https://orcid.org/0000-0002-5905-1297
Patricia Llaque-Quiroz Instituto Nacional de Salud del Niño San Borja, Lima, Perú.Universidad Peruana de Ciencias Aplicadas, Lima, Perú.médica pediatra neumóloga, magíster en ciencias de investigación epidemiológica https://orcid.org/0000-0001-5694-2716
Claudia Guerra-Ríos Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.médica pediatra https://orcid.org/0000-0002-8009-5569
Liliana Paola Cieza-Yamunaqué Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico/a pediatra intensivista https://orcid.org/0000-0002-7038-8261
Edgar Juan Coila-Paricahua Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico/a pediatra intensivista https://orcid.org/0000-0001-5372-6110
Pedro Michael Baique-Sánchez Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico/a pediatra intensivista https://orcid.org/0000-0003-2125-8791
Isabel Pinedo-Torres Facultad de Ciencias de la Salud, Universidad Cientifica del Sur, Lima, Perú.médica endocrinóloga https://orcid.org/0000-0003-4618-5103

DOI:

https://doi.org/10.17843/rpmesp.2021.382.6719

Keywords:

SARS-CoV-2, Mucocutaneous Lymph Node Syndrome, Critical Illness, Epidemiology, Signs and Symptoms, Children

Abstract

We carried out an observational, retrospective and descriptive study in order to identify the clinical and epidemiological characteristics of children with SARS-CoV-2 infection admitted to a Peruvian national referral hospital. We included patients from one month old to fourteen years old hospitalized between March and August 2020. A total of 125 patients with SARS-CoV-2 infection were admitted, 18.4% (n = 23) had critical illness and 16.8% (n = 21) had multisystem inflammatory syndrome (MIS-C). The absence of comorbidities and previous history of epidemiological contact were more frequent in patients with MIS-C. Patients in critical condition and patients with MIS-C had lower lymphocyte and platelet counts, and higher C-reactive protein, ferritin and D-dimer values than patients who did not have said conditions. Six (4.8%) out of 125 children died, as well as 3 (13%) children from the group of patients in critical condition. None of the children with MIS-C died.