Clinical evolution of cases of COVID-19 infection in neopediatrics: a scoping review.

Costa, Thatiane Monick de Souza; Santos, Kauanny Vitoria Gurgel do; Rocha, Rodrigo Rhuan Andrade; Oliveira, Eloysa Dos Santos; Dantas, Rodrigo Assis Neves; Dantas, Daniele Vieira

OBJECTIVE to map the knowledge about the clinical findings, treatment and outcome of newborns and children infected with COVID-19. METHODS a scoping review with search of eight databases and electronic search engine in April 2020. RESULTS the 12 studies analyzed showed that the main clinical findings in this population were nasal congestion, fever, respiratory distress, diarrhea, fatigue, dry cough, increased C-reactive protein, leukopenia, lymphopenia, thrombocytopenia, elevated procalcitonin, bilateral ground-glass opacity, pulmonary consolidation, and pneumonia. Antivirals, respiratory support, immunomodulatory therapy, glucocorticoids, antibiotics and alpha interferon were used as treatment. The presence of a cure with hospital discharge is present in most cases. FINAL CONSIDERATIONS most patients required hospitalization, but it evolved to cure. This study provided a greater scientific basis by showing clinical findings, treatment, and outcomes in neopediatric patients with COVID-19.