Surveillance of Close Contacts and Implications of Pediatric Patients with COVID-19–Experiences from a Single Residential Treatment Center
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Residential treatment centers (RTCs) are successful in isolating and closely monitoring adults confirmed with coronavirus disease2019 (COVID-19), but there are concerns for children who need care. This study was conducted as a retrospective analysis ofthe surveillance of guardians who entered an RTC with infected pediatric patients to identify the secondary attack rate of COVID-19 to close contacts in a single RTC and to provide directions for developing guidelines for caregivers who co-isolate with infectedchildren. When caregivers were admitted to this RTC, aside from negative confirmation before discharge, tests were additionallyperformed one or two times. There were 57 index children and adolescent patients who entered the RTC with theirparents as caregivers. The secondary attack rate by pediatric patients to close contacts outside their households was 25% (95%confidence interval, 10.0 to 40.0) (8 out of 32 contacts). The transmissibility of SARS-CoV-2 in children was close to zero at 6 daysafter the confirmation tests. It is reasonable to test the close contacts of pediatric patients after 7 days of isolation to identify infectionsamong caregivers.
Abstract
Residential treatment centers (RTCs) are successful in isolating and closely monitoring adults confirmed with coronavirus disease2019 (COVID-19), but there are concerns for children who need care. This study was conducted as a retrospective analysis ofthe surveillance of guardians who entered an RTC with infected pediatric patients to identify the secondary attack rate of COVID-19 to close contacts in a single RTC and to provide directions for developing guidelines for caregivers who co-isolate with infectedchildren. When caregivers were admitted to this RTC, aside from negative confirmation before discharge, tests were additionallyperformed one or two times. There were 57 index children and adolescent patients who entered the RTC with theirparents as caregivers. The secondary attack rate by pediatric patients to close contacts outside their households was 25% (95%confidence interval, 10.0 to 40.0) (8 out of 32 contacts). The transmissibility of SARS-CoV-2 in children was close to zero at 6 daysafter the confirmation tests. It is reasonable to test the close contacts of pediatric patients after 7 days of isolation to identify infectionsamong caregivers.
참고문헌 (12)
- Kim CS, "Role of hospitalists in an offsite alternate care center(ACC)for pandemic flu", J Hosp Med, 4, pp.546~549 (2009)
- Lam C, "The prospect of using alternative medical care facilities in an influenza pandemic", Biosecur Bioterror, 4, pp.384~390 (2006)
- Yang Yuseon, "Quarantine Facility for Patients with COVID-19 with Mild Symptoms in Korea: Experiences from Eighteen Residential Treatment Centers", Journal of Korean Medical Science, 35(49), pp.1~10 (2020), 대한의학회[DOI]
- Seon Jeong-Yeon, "Characteristics in Pediatric Patients with Coronavirus Disease 2019 in Korea", Journal of Korean Medical Science, 36(20), pp.1~13 (2021), 대한의학회[DOI]
- Yun Ki Wook, "Limited Benefit of Facility Isolation and the Rationale for Home Care in Children with Mild COVID-19", Journal of Korean Medical Science, 36(5), pp.1~6 (2021), 대한의학회[DOI]
- [URL]
- Chu VT, "Household transmission of SARS-CoV-2 from children and adolescents", N Engl J Med, 385, pp.954~956 (2021)
- Viner RM, "Susceptibility to SARS-CoV-2 infection among children and adolescents compared with adults : a systematic review and meta-analysis", JAMA Pediatr, 175, pp.143~156 (2021)
- Yung CF, "Novel coronavirus 2019 transmission risk in educational settings", Clin Infect Dis, 72, pp.1055~1058 (2021)
- Imamura T, "Roles of children and adolescents in COVID-19 transmission in the community : a retrospective analysis of nationwide data in Japan", Front Pediatr, 9, pp.705882~ (2021)
- Public Health England, "SARS-CoV-2 variants of concern and variants under investigation" (2021), Public Health England
- Esposito S, "Comprehensive and safe school strategy during COVID-19 pandemic", Ital J Pediatr, 47, pp.6~ (2021)