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Limited Benefit of Facility Isolation and the Rationale for Home Care in Children with Mild COVID-19

Journal of Korean Medical Science 2021년 36권 5호 p.45 ~ 45
윤기욱, 김경민, 김예경, 김민선, 권혁태, 한미선, 이현주, 최은화,
소속 상세정보
윤기욱 ( Yun Ki-Wook ) - Seoul National University College of Medicine Department of Pediatrics
김경민 ( Kim Kyung-Min ) - Seoul Metropolitan Government-Seoul National University Boramae Medical Center Department of Pediatrics
김예경 ( Kim Ye-Kyung ) - Seoul National University College of Medicine Department of Pediatrics
김민선 ( Kim Min-Sun ) - Seoul National University Children’s Hospital Department of Pediatrics
권혁태 ( Kwon Hyuk-Tae ) - Seoul National University Hospital Department of Family Medicine
한미선 ( Han Mi-Seon ) - Seoul Metropolitan Government-Seoul National University Boramae Medical Center Department of Pediatrics
이현주 ( Lee Hyun-Ju ) - Seoul National University College of Medicine Department of Pediatrics
최은화 ( Choi Eun-Hwa ) - Seoul National University College of Medicine Department of Pediatrics

Abstract


Considering the mild degree of coronavirus disease 2019 (COVID-19) in children and the enormous stress caused by isolation in unfamiliar places, policies requiring mandatory isolation at medical facilities should be reevaluated especially given the impact of the pandemic on the availability of hospital beds. In this study, we assessed the usefulness of facility isolation and the transmissibility of severe acute respiratory syndrome coronavirus 2 by infected children to uninfected caregivers in isolation units at a hospital and a residential treatment center in Seoul during August-November 2020. Fifty-three children were included and median age was 4 years (range, 0?18). All were mildly ill or asymptomatic and isolated for a median duration of 12 days. Thirty percent stayed home longer than 2 days before entering isolation units from symptom onset. Among 15 uninfected caregivers, none became infected when they used facemasks and practiced hand hygiene. The results suggest children with mild COVID-19 may be cared safely at home by a caregiver in conditions with adherence to the preventive measures of wearing facemasks and practicing hand hygiene.

키워드

COVID-19; SARS-CoV-2; Children; Isolation

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