Педиатрические вопросы о новой коронавирусной инфекции – есть ли на них сегодня ответы?

Заплатников А.Л., Горев В.В., Дмитриев А.В. и др. Педиатрические вопросы о новой коронавирусной инфекции – есть ли на них сегодня ответы? Педиатрия. Consilium Medicum. 2020; 1: 16–19. DOI: 10.26442/26586630.2020.1.200122

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Zaplatnikov A.L., Gorev V.V., Dmitriev A.V. et al. Pediatric questions about a new coronavirus infection – are there any answers today? Pediatrics. Consilium Medicum. 2020; 1: 16–19. DOI: 10.26442/26586630.2020.1.200122

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Аннотация

Представлен обзор литературы, посвященный основным особенностям новой коронавирусной инфекции у детей. Отмечено, что до настоящего времени нет убедительных данных в пользу вертикального инфицирования, в то время как показана возможность горизонтальной передачи инфекции от матери ее новорожденному ребенку. Приводятся основные положения согласованных рекомендаций международных и национальных профессиональных медицинских сообществ по тактике ведения новорожденных детей от матерей с COVID-19 (Coronavirus disease 2019). Показано, что в структуре пациентов с тяжелым течением COVID-19 на долю детей приходится не более 5%. Установлено, что у детей новая коронавирусная инфекция в подавляющем большинстве случаев протекает бессимптомно или в легкой форме. Представлены основные гипотезы более легкого течения COVID-19 у педиатрических пациентов. При этом особо подчеркивается, что дети с бессимптомным и легким течением заболевания составляют основной трансмиссивный потенциал для продолжения пандемии.

Ключевые слова: дети, новая коронавирусная инфекция, новорожденные дети, COVID-19.

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A review of the literature on the main features of the new coronavirus infection in children is presented. It is noted that to date there is no convincing evidence in favor of vertical infection, while the possibility of horizontal transmission of the infection from mother to her newborn child has been shown. The main provisions of the agreed recommendations of international and national professional medical communities on tactics of managing newborn babies from mothers with COVID-19 (Coronavirus disease 2019) are presented. It was shown that in the structure of patients with severe COVID-19, the share of children is no more than 5%. It has been established that in children the new coronavirus infection in the vast majority of cases is asymptomatic or mild. The main hypotheses of a milder course of COVID-19 in pediatric patients are presented. Moreover, it is emphasized that children with asymptomatic and mild disease constitute the main vector-borne potential for the continuation of the pandemic.

Key words: children, new coronavirus infection, newborns, COVID-19.

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Авторы

А.Л. Заплатников*1, В.В. Горев1,2, А.В. Дмитриев1,3, А.А. Дементьев1, Ж.Л. Чабаидзе1, В.И. Свинцицкая1

1 ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России, Москва, Россия;
2 Департамент здравоохранения г. Москвы, Москва, Россия;
3 ФГБОУ ВО «Рязанский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России, Рязань, Россия
*zaplatnikov@mail.ru

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Andrei L. Zaplatnikov*1, Valerii V. Gorev1,2, Andrei V. Dmitriev1,3, Aleksandr A. Dement'ev1, Zhuzhuna L. Chabaidze1, Viktoriia I. Svintsitskaia1

1 Russian Medical Academy of Continuous Professional Education, Moscow, Russia;
2 Department of Health of Moscow, Moscow, Russia;
3 Pavlov Ryazan State Medical University, Ryazan, Russia
*zaplatnikov@mail.ru

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