1. The low contagiousness and new A958D mutation of SARS-CoV-2 in children: An observational cohort study
- Author
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Xiangyun Lu, Wei Li, Qingyi Cao, Shibo Li, Jishan Zheng, Junsong Chen, Qiang Shu, Yan Ni, Xiaohui Cang, Liang Hong, Jianbing Wang, Qi Zhang, Lingyan Fan, Zhi-Min Chen, Hangping Yao, Sheng Ye, Yinghu Chen, Wei Wang, Weize Xu, Junfen Fu, Nanping Wu, and Shiqiang Shang
- Subjects
Adult ,Microbiology (medical) ,China ,medicine.medical_specialty ,Contagiousness ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,New A958D mutation ,Infectious and parasitic diseases ,RC109-216 ,Pediatrics ,Article ,Cohort Studies ,Internal medicine ,Throat ,Epidemiology ,medicine ,Humans ,Transmission risks and rates ,Child ,Feces ,SARS-CoV-2 ,business.industry ,Incidence ,Incidence (epidemiology) ,COVID-19 ,Infant ,Evolutionary tree ,General Medicine ,Infectious Diseases ,medicine.anatomical_structure ,Mutation ,Spike Glycoprotein, Coronavirus ,Mutation (genetic algorithm) ,business ,Cohort study - Abstract
AIMS: To explore the contagiousness and new SARS-CoV-2 mutations in pediatric COVID-19. METHODS: This cohort study enrolled all pediatric patients admitted to 8 hospitals in Zhejiang Province of China between 21 January and 29 February 2020, their family members and close-contact classmates. Epidemiological, demographic, clinical and laboratory data were collected. Bioinformatics was used to analyze the features of SARS-CoV-2. Individuals were divided into 3 groups by the first-generation case: Groups 1 (unclear), 2 (adult), and 3 (child). The secondary attack rate (SAR) and R0 were compared among the groups. RESULTS: The infection rate among 211 individuals was 64% (135/211). The SAR in Groups 2 and 3 was 71% (73/103) and 3% (1/30), respectively; the median R0 in Groups 2 and 3 was 2 (range: 1-8) and 0 (range: 0-1), respectively. Compared with adult cases, the SAR and R0 of pediatric cases were significantly lower (p
- Published
- 2021