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Immunocompromised children and young people are at no increased risk of severe COVID-19.


ABSTRACT:

Objectives

We aimed to prospectively describe the incidence and clinical spectrum of SARS-CoV-2 infection in immunocompromised paediatric patients in the UK.

Methods

From March 2020 - 2021 weekly questionnaires were sent to immunocompromised paediatric patients or their parents. Information, including symptom presentation and SARS-CoV-2 PCR test results, was collected from 1527 participants from 46 hospitals. Cross-sectional serology was investigated in February and March 2021.

Results

Until the end of September 2020 no cases were reported. From September 28th 2020 through March 2021 a total of 38 PCR-detected SARS-CoV-2 infections were reported. Of these, four children were admitted to hospital but none had acute severe COVID-19. Increasing age in association with immunodeficiency increased reporting of SARS-CoV-2 infection. Worsening of fever, cough, and sore throat were associated with participants reporting SARS-CoV-2 infection. Serology data included 452 unvaccinated participants. In those reporting prior positive SARS-CoV-2 PCR, there were detectable antibodies in 9 of 18 (50%). In those with no prior report of infection, antibodies were detected in 32 of 434 (7•4%).

Conclusions

This study shows SARS-CoV-2 infections have occurred in immunocompromised children and young people with no increased risk of severe disease. No children died.

SUBMITTER: Chappell H 

PROVIDER: S-EPMC8590622 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Publications

Immunocompromised children and young people are at no increased risk of severe COVID-19.

Chappell H H   Patel R R   Driessens C C   Tarr A W AW   Irving W L WL   Tighe P J PJ   Jackson H J HJ   Harvey-Cowlishaw T T   Mills L L   Shaunak M M   Gbesemete D D   Leahy A A   Lucas J S JS   Faust S N SN   de Graaf H H  

The Journal of infection 20211114 1


<h4>Objectives</h4>We aimed to prospectively describe the incidence and clinical spectrum of SARS-CoV-2 infection in immunocompromised paediatric patients in the UK.<h4>Methods</h4>From March 2020 to 2021 weekly questionnaires were sent to immunocompromised paediatric patients or their parents. Information, including symptom presentation and SARS-CoV-2 PCR test results, was collected from 1527 participants from 46 hospitals. Cross-sectional serology was investigated in February and March 2021.<h  ...[more]

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