Screening of SARS-CoV-2 in 299 Hospitalized Children with Hemato-oncological Diseases: A Multicenter Survey in Hubei, China

Curr Med Sci. 2020 Aug;40(4):642-645. doi: 10.1007/s11596-020-2228-7. Epub 2020 Aug 29.

Abstract

The SARS-CoV-2 infection status of hospitalized children was surveyed in the department of pediatric hematology and oncology in three different hospitals of epidemic areas in Hubei, China. A cross-sectional study was performed to investigate the clinical characteristics, lung CT scan, SARS-CoV-2 nucleic acid test and serum antibodies of hospitalized children with hemato-oncological diseases from January 23 to April 24, 2020. 299 children were enrolled in this study, including 176 males (58.9%) and 123 females (41.1%), aged from 2 months to 16 years. 255 cases (85.3%) received chemotherapy or other immunosuppressive therapies, and there were 44 cases (14.7%) of other benign diseases. Nucleic acid test was performed on 258 children (86.3%) and one case was positive. 163 cases (54.5%) were tested for serum antibodies, and all of them were negative. Lung CT scan was performed on 247 children (82.6%), and 107 of them showed infectious changes. Only one case (0.33%) of COVID-19 was diagnosed in the group. The prevalence rate of COVID-19 in enrolled children with hemato-oncological diseases in Hubei was 0.33%. Immunosuppressed patients are not prone to produce related antibodies. Comprehensive protective measures and ward management can reduce the risk of SARS-CoV-2 infection in the group patients.

Keywords: COVID-19; SARS-CoV-2; children; hemato-oncological diseases.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Betacoronavirus*
  • COVID-19
  • COVID-19 Testing
  • Child
  • Child, Hospitalized
  • Child, Preschool
  • China / epidemiology
  • Clinical Laboratory Techniques / methods
  • Comorbidity
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Cross-Sectional Studies
  • Female
  • Hematologic Diseases / epidemiology*
  • Humans
  • Infant
  • Infection Control
  • Male
  • Mass Screening
  • Neoplasms / epidemiology*
  • Pandemics* / prevention & control
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Prevalence
  • Risk Factors
  • SARS-CoV-2
  • Surveys and Questionnaires