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Parental Coronavirus Disease 2019 Testing of Hospitalized Children: Rethinking Infection Control in a Pandemic.
J Pediatric Infect Dis Soc. 2020 Nov 10; 9(5):564-565.JP

Abstract

BACKGROUND

Novel coronavirus disease 2019 (COVID-19) poses a challenge to infection control within hospital systems. Asymptomatic children and their caretakers carry the risk of silently spreading infection in pediatric emergency departments and hospital units. Our current knowledge is evolving, and infection control measures are frequently changing depending on new emerging data.

METHODS

We conducted a point-prevalence study to assess SARS-CoV-2 Real-Time Polymerase Chain Reaction (SARS-CoV-2 RT-PCR) results of hospitalized children, their asymptomatic caretakers, and caretaker-child test concordance at a major community hospital in New York City. We screened Children and caretakers with temperature measurements and the presence of COVID-19 symptoms before pediatric emergency department evaluation. Children requiring hospitalization and their caretakers had nasopharyngeal swabs for SARS-CoV-2 RT-PCR. The paired results are used to identify the infection control level at the appropriate pediatric unit.

RESULTS

Forty consecutive asymptomatic caretaker-child pairs had SARS-CoV-2 RT-PCR testing between May 28th to June 22nd, 2020. The rate of asymptomatic COVID-19 was 2.5% in hospitalized children and 7.5% in caretakers. The caretaker-child SARS-CoV-2 RT-PCR test concordance was evident in 95% of the cohort.

CONCLUSION

This cohort had a low asymptomatic SARS-CoV-2 PCR positive rate in children and their caretakers with a high concordance rate of paired test results. It suggests that children's SARS-CoV-2 PCR test result will likely correspond to their accompanying caretaker at healthcare facilities where admission screening is performed.

Authors+Show Affiliations

Department of Emergency Medicine, Division of Pediatric Emergency Medicine, New York-Presbyterian Queens Hospital, Flushing, New York, New York, USA.Department of Medicine, Dr. James J. Rahal Jr. Division of Infectious Diseases, New York-Presbyterian Queens Hospital, Flushing, New York, USA.Department of Emergency Medicine, Division of Pediatric Emergency Medicine, New York-Presbyterian Queens Hospital, Flushing, New York, New York, USA.Department of Emergency Medicine, Division of Pediatric Emergency Medicine, New York-Presbyterian Queens Hospital, Flushing, New York, New York, USA.Department of Pediatrics, New York-Presbyterian Queens Hospital, Flushing, New York, USA.Department of Emergency Medicine, Division of Pediatric Emergency Medicine, New York-Presbyterian Queens Hospital, Flushing, New York, New York, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32856705

Citation

Hassoun, Ameer, et al. "Parental Coronavirus Disease 2019 Testing of Hospitalized Children: Rethinking Infection Control in a Pandemic." Journal of the Pediatric Infectious Diseases Society, vol. 9, no. 5, 2020, pp. 564-565.
Hassoun A, Prasad N, Pugh S, et al. Parental Coronavirus Disease 2019 Testing of Hospitalized Children: Rethinking Infection Control in a Pandemic. J Pediatric Infect Dis Soc. 2020;9(5):564-565.
Hassoun, A., Prasad, N., Pugh, S., Merced, I., Abularrage, J., & Sharma, M. (2020). Parental Coronavirus Disease 2019 Testing of Hospitalized Children: Rethinking Infection Control in a Pandemic. Journal of the Pediatric Infectious Diseases Society, 9(5), 564-565. https://doi.org/10.1093/jpids/piaa103
Hassoun A, et al. Parental Coronavirus Disease 2019 Testing of Hospitalized Children: Rethinking Infection Control in a Pandemic. J Pediatric Infect Dis Soc. 2020 Nov 10;9(5):564-565. PubMed PMID: 32856705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parental Coronavirus Disease 2019 Testing of Hospitalized Children: Rethinking Infection Control in a Pandemic. AU - Hassoun,Ameer, AU - Prasad,Nishant, AU - Pugh,Suzanne, AU - Merced,Indira, AU - Abularrage,Joseph, AU - Sharma,Manish, PY - 2020/07/13/received PY - 2020/08/25/accepted PY - 2020/8/29/pubmed PY - 2020/11/18/medline PY - 2020/8/29/entrez KW - SARS-CoV-2 real-time polymerase chain reaction KW - asymptomatic COVID-19 KW - caretaker-child test concordance KW - children KW - novel coronavirus disease 2019 KW - parents SP - 564 EP - 565 JF - Journal of the Pediatric Infectious Diseases Society JO - J Pediatric Infect Dis Soc VL - 9 IS - 5 N2 - BACKGROUND: Novel coronavirus disease 2019 (COVID-19) poses a challenge to infection control within hospital systems. Asymptomatic children and their caretakers carry the risk of silently spreading infection in pediatric emergency departments and hospital units. Our current knowledge is evolving, and infection control measures are frequently changing depending on new emerging data. METHODS: We conducted a point-prevalence study to assess SARS-CoV-2 Real-Time Polymerase Chain Reaction (SARS-CoV-2 RT-PCR) results of hospitalized children, their asymptomatic caretakers, and caretaker-child test concordance at a major community hospital in New York City. We screened Children and caretakers with temperature measurements and the presence of COVID-19 symptoms before pediatric emergency department evaluation. Children requiring hospitalization and their caretakers had nasopharyngeal swabs for SARS-CoV-2 RT-PCR. The paired results are used to identify the infection control level at the appropriate pediatric unit. RESULTS: Forty consecutive asymptomatic caretaker-child pairs had SARS-CoV-2 RT-PCR testing between May 28th to June 22nd, 2020. The rate of asymptomatic COVID-19 was 2.5% in hospitalized children and 7.5% in caretakers. The caretaker-child SARS-CoV-2 RT-PCR test concordance was evident in 95% of the cohort. CONCLUSION: This cohort had a low asymptomatic SARS-CoV-2 PCR positive rate in children and their caretakers with a high concordance rate of paired test results. It suggests that children's SARS-CoV-2 PCR test result will likely correspond to their accompanying caretaker at healthcare facilities where admission screening is performed. SN - 2048-7207 UR - https://www.unboundmedicine.com/medline/citation/32856705/Parental_Coronavirus_Disease_2019_Testing_of_Hospitalized_Children:_Rethinking_Infection_Control_in_a_Pandemic_ L2 - https://academic.oup.com/jpids/article-lookup/doi/10.1093/jpids/piaa103 DB - PRIME DP - Unbound Medicine ER -