COVID-19 in children during the first and the second pandemic outbreak in the Czech Republic in the year 2020
Abstract
In the first months of the year 2020 the COVID 19 disease have spread worldwide. Children suffer from that disease significantly less frequently than the adults, nevertheless they cause quite large consequences for paediatric health care providers.
Although children with symptoms of COVID-19 disease are quite rare, we suppose, that children are an important vector of viruses spreading. The goal of the highest priority is protection of the emergency medical staff and the staff of a paediatric departements from infection transmission from paediatric patients symptomatic for COVID-19 or more often of children requiring urgent health care for another reason - severe trauma, poisoning or acute abdomen etc.
Rare, but serious disease of paediatric age, related to pandemia of COVID-19, is so called "Paediatric Inflammatory Multisystemic Syndrome, Temporally-associated with SARS-CoV-2", shortened to acronym as PIMS-TS. This unit may present from 2 to 8 weeks after the new coronavirus exposition.
There are some signs very simmilar to Kawasaki disease and the disease may run very dramaticaly or even fatal. The main complication, that may lead to death, is a circulation shock.
Till the half of November there were few cases of this disease reported in the Czech Republic, including sudden deaths.