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As Saulius Tvirbutas, representative of the LSMU Kaunas Hospital, told tv3.lt, this wave of COVID-19 is distinguished by the fact that more children have to be treated.
“We had another very difficult patient, others also needed resuscitation services because it was a difficult situation. We have 5-10 patients at any given time.
Not everyone needs a resuscitation service, but we do. We also had these patients in previous waves, but they were more isolated cases, and now there are constants, “he commented.
In the high-risk group, with comorbidities.
According to S. Tvirbutas, doctors are considering that, as predicted, a delta variety did its job here: it covered a broader age group.
“So we have more diverse patients, not just of honorable age. Clearly, those who are most at risk are the children with comorbidities such as diabetes, obesity who come to us. Particularly the group of children with Down syndrome at risk, they have more difficulties to increase COVID-19.
“Clearly, the children most at risk are the children with comorbidities such as diabetes and obesity who come to us.”
According to the doctors, his symptoms and the course of the disease are different, with diarrhea, vomiting, which do not seem to be the symptoms of COVID-19. There are different cases, but the fact that the disease manifests itself in different ways, ”said a representative from the Kaunas Hospital.
No exceptional effect is observed from the delta variety.
Although more and more reports have emerged recently of children and even babies with coronavirus being treated in resuscitation, the head of the Department of Pediatric Intensive Care at Kaunas Clinics, doc. Dr. Vaidotas Gurskis stated that this could not be attributed to some exceptional effect of the delta variety.
“All the Wuhan varieties were characterized by the fact that the infection affected children. They were just as sick now, but maybe we talk less about them and pay less attention to them, because children are still sometimes less likely to become severe. covid shapes.
All the more so since the population of children is smaller than that of adults, it can appear that children are becoming “invisible”. But the data from the literature shows that the delta variety is not unique to other children in terms of vulnerability, ”he said.
The doctor recalled that because the delta strain spreads faster and is more contagious, the virus simply spreads faster to all age groups.
“So the forms of the disease appear faster, there are many, because many people get sick at the same time. So we see that picture clearer and more remarkable because the strain is more contagious, but so far there is no evidence that the delta strain causes more severe forms of the disease. Most people get sick easily, “said V. Gurskis.
The disease manifests itself very differently.
According to the interviewee, a study published in the prestigious journal Nature this summer that summarizes all scientific articles on children and COVID-19 since the beginning of the pandemic shows that 21 percent of children have an asymptomatic form of the disease and only the 3.8 percent. They tend to suffer from the most severe forms of the disease, which leads them to intensive care units. They are then treated in the same way as adults.
“It just came to our knowledge then kovidu children of all ages, from newborn to 17-18 years old. At that time, the manifestations of the disease can range from a sore throat for a few days to very pronounced forms in which children develop pneumonia as severely as adults, “he said.
V. Gurskis also confirmed that one of the distinctive aspects of children with coronavirus is the nature of the symptoms.
“It just came to our knowledge then. The disease can show signs of a common cold: just runny nose, the smell does not have to go away, there may be a sore throat, it may be with or without a cough. Also, the temperature may or may not be. .
Sometimes kovidas mimics surgical abdominal diseases, appendicitis-like appearance of abdominal pain. It is no secret that during the first waves, some children were operated without denying appendicitis. They may have had little expression, but it has now become clear that there is sometimes a coincidence and sometimes a causal relationship in COVID-19 disease that infection can lead to acute surgical pathology. So we observe a wide variety of expressions, ”explained the doctor from the Kaunas clinics.
“Data from the literature show that the delta strain is not unique to other children in terms of vulnerability.”
He noted at the same time that kovidas the child may be “beaten” after a couple of weeks, when the rise in temperature indicates a multisystem inflammatory response syndrome, a condition somewhat reminiscent of sepsis, a cytokine storm.
“This inflammatory response occurs after COVID-19 infection or when a child doesn’t even know they’ve had it.” Then they start to have a fever, indicating inflammation that has already started, sometimes manifesting as skin rashes. and inflammation of the blood vessels, called Kawasaki disease, “said V. Gurskis.
Every infection is dangerous
Commenting on the morbidity of COVD-19 children Head of the Children’s Clinic of the Kaunas Clinics, Prof. Dr. Rimantas Kėvalas pointed out that in case of any viral infection, the scenarios of how the disease will develop are individual.
“Every virus, be it COVID-19 or another infection, is unique to a child. Let’s not take the SARS-CoV-2 virus, but the RS (respiratory syncytial) virus specifically for children, which appeared at least in the late summer of this year in England.
This RS virus can cause some common cold symptoms in some, others may even require artificial lung ventilation due to respiratory failure. So everything according to the situation. “This virus is especially dangerous for premature babies, for whom even the vaccine is special against this virus,” he said.
Does not prevent post-epidemic phenomena
Specialists also distinguish post-novitiate waste as a significant risk of coronavirus in children.
According to the head of the Department of Infectious Diseases of the VUL Santara Children’s Hospital Clinics dr. Inga Ivaškevičienė, there are currently a lot of data on post-ovid syndrome in children.
“Parents may know less about this or speak it less aloud, but by mid-age, some children feel that certain residual phenomena persist. For example, a common weakness, but it is not that you are lazy to do something, but that you are really weak and can not do anything.
There may be various muscle and joint pain, learning and concentration difficulties; that spectrum is very broad. And if the symptoms persist for 4-6 months in children, it is also a significant effect on their health, “explained the doctor.
He stressed that all of this also affects children’s communication, social skills, etc.
“We often have to consult patients who call after the disaster and are determined to do anything – get medicine from anywhere in the world just to somehow alleviate the symptoms of the disease. Today is the day to get vaccinated and not have than being in a situation where you are calling for something, doing, thinking, praying for some innovative medicine. This is now the time when it is possible to prevent it, “said I. Ivaškevičienė.
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