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SARS-CoV-2 molecular testing in Greek hospital paediatric departments: a nationwide study.
Michos, Athanasios; Savvidou, Parthena; Syridou, Garyfallia; Eleftheriou, Eirini; Iosifidis, Elias; Grivea, Ioanna; Spoulou, Vana; Galanakis, Emmanouil; Syrogiannopoulos, George; Tsolia, Maria; Roilides, Emmanuel; Papaevangelou, Vassiliki.
  • Michos A; 1st Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
  • Savvidou P; 3rd Department of Pediatrics, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
  • Syridou G; 3rd Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
  • Eleftheriou E; 2nd Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
  • Iosifidis E; 3rd Department of Pediatrics, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
  • Grivea I; Department of Pediatrics, School of Medicine, University of Thessaly, Larissa, Greece.
  • Spoulou V; 1st Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
  • Galanakis E; Department of Pediatrics, School of Medicine, University of Crete, Heraklion, Greece.
  • Syrogiannopoulos G; Department of Pediatrics, School of Medicine, University of Thessaly, Larissa, Greece.
  • Tsolia M; 2nd Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
  • Roilides E; 3rd Department of Pediatrics, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
  • Papaevangelou V; 3rd Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Epidemiol Infect ; 149: e70, 2021 02 24.
Article in English | MEDLINE | ID: covidwho-1142396
ABSTRACT
As most children infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) present with mild symptoms or they are asymptomatic, the optimal strategy for molecular testing it is not well defined. The aim of the study was to determine the extent and aetiology of molecular testing for SARS-CoV-2 in Greek paediatric departments during the first phase of the pandemic and identify possible differences in incidence, depending on the age group and geographical area. We conducted a nationwide study of molecular testing for SARS-CoV-2 of children in paediatric departments between March and June 2020. A total of 65 paediatric departments participated in the study, representing 4901 children who were tested for SARS-CoV-2 and 90 (1.8%) were positive. Most paediatric cases were associated with topical outbreaks. Adolescents 11-16 years had the highest positivity rate (3.6%) followed by children 6-10 years (1.9%). However, since the testing rate significantly differed between age groups, the modified incidence of SARS-CoV-2 infection per age group was highest in infants <1 year (19.25/105 population). Most children tested presented with fever (70.9%), respiratory (50.1%) or gastrointestinal symptoms (28.1%). Significant differences were detected between public and private hospitals regarding the positivity rate (2.34% vs. 0.39%, P-value <0.001). Significant variation in SARS-CoV-2 molecular testing positivity rate and incidence between age groups indicate discrepancies in risk factors among different age groups that shall be considered when ordering molecular testing.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pediatrics / COVID-19 / Hospital Departments Type of study: Diagnostic study / Etiology study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Country/Region as subject: Europa Language: English Journal: Epidemiol Infect Journal subject: Communicable Diseases / Epidemiology Year: 2021 Document Type: Article Affiliation country: S0950268821000455

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pediatrics / COVID-19 / Hospital Departments Type of study: Diagnostic study / Etiology study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Country/Region as subject: Europa Language: English Journal: Epidemiol Infect Journal subject: Communicable Diseases / Epidemiology Year: 2021 Document Type: Article Affiliation country: S0950268821000455