Evidence map›Paper›PMID 32910943›Full record

SynthesisThe Journal of pediatrics2021

Community-Onset Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Young Infants: A Systematic Review.

Elyse G Mark, W Christopher Golden, Maureen M Gilmore, Anna Sick-Samuels, Melanie S Curless, Lawrence M Nogee, Aaron M Milstone, Julia Johnson

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Clinical Epidemiology of Pediatric Coronavirus Disease 2019 and its Postacute Sequelae.Seminars in respiratory and critical care medicine · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Clinical features and outcomes of coronavirus disease 2019 in early infants in Japan: A case series and literature review.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Risk factors for severe COVID-19 infection in Brazilian children.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Elyse G MarkDivision of Neonatology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
W Christopher GoldenDivision of Neonatology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Maureen M GilmoreDivision of Neonatology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Anna Sick-SamuelsDivision of Infectious Diseases, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Melanie S CurlessDepartment of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, MD.
Lawrence M NogeeDivision of Neonatology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Aaron M MilstoneDivision of Infectious Diseases, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Julia JohnsonDivision of Neonatology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD. Electronic address: jjohn245@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Hospital · US

Funding

Institutional Career Development CoreKL2TR003099 · NCATS · JOHNS HOPKINS UNIVERSITY · PI GEBO, KELLY A · 2019 to 2023
$7.9M
Mentoring in prevention of hospital-acquired infections and antibiotic resistanceK24AI141580 · NIAID · JOHNS HOPKINS UNIVERSITY · PI AARON M MILSTONE · 2019 to 2026
$1.4M
Preventing antimicrobial resistance and infections in hospitalized neonates in low resource settingsK23HD100594 · NICHD · JOHNS HOPKINS UNIVERSITY · PI JOHNSON, JULIA · 2020 to 2024
$857k
NCATS NIH HHS KL2 TR003099NIAID NIH HHS K24 AI141580NICHD NIH HHS K23 HD100594
6 · The paper itself

Abstract

objectiveTo summarize and evaluate current reports on community-onset severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in young infants. STUDY

designWe performed a systematic review to identify reports published from November 1, 2019, until June 15, 2020, on laboratory-confirmed community-onset SARS-CoV-2 infection in infants younger than 3 months of age. We excluded studies reporting neonates with perinatal coronavirus disease 2019 (COVID-19) exposure and diagnosis before hospital discharge and hospital-onset disease, as well as clinically diagnosed cases without confirmation. Two independent reviewers performed study screening, data abstraction, and risk of bias assessment. Variables of interest included patient age, exposure to COVID-19, medical history, clinical symptoms, SARS-CoV-2 testing, laboratory findings, clinical course, and disposition.

resultsIn total, 38 publications met inclusion criteria, including 23 single case reports, 14 case series, and 1 cohort study, describing 63 infants younger than 3 months of age with laboratory-confirmed SARS-CoV-2 infection. Most cases were mild to moderate. Fever, respiratory, gastrointestinal, cardiac, and neurologic findings were reported. Laboratory abnormalities included neutropenia, lymphopenia, and elevated serum levels of inflammatory markers and aminotransferases. Fifty-eight (92%) infants were hospitalized, 13 (21%) were admitted to the intensive care unit, and 2 (3%) required mechanical ventilation. No death was reported.

conclusionsAmong young infants with laboratory-confirmed SARS-CoV-2 infection, most cases were mild to moderate and improved with supportive care. Our results demonstrate a need for a high index of suspicion for SARS-CoV-2 infection in young infants presenting with generalized symptoms such as fever or decreased feeding, even in the absence of respiratory symptoms.

Indexed as

COVID-19 Nucleic Acid TestingCOVID-19Critical CareCritical IllnessFemaleHospitalizationHumansInfantInfant, NewbornInflammationMalePatient DischargePerinatal CarePublic HealthRespiration, Artificialneonatepediatricsevere acute respiratory syndrome coronavirus 2

Identifiers

PMID32910943
PMCPMC7477627
OpenAlexW3083961471

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.