<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492022000301214</article-id>
<article-id pub-id-type="doi">10.31134/ap.93.s1.9</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infección por SARS-CoV-2 COVID-19: seguimiento de casos sospechosos y contactos en la población pediátrica de un hospital de tercer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[SARS-CoV-2 COVID 19 infection: follow-up of suspected cases and contacts in the pediatric population of a tertiary care hospital]]></article-title>
<article-title xml:lang="pt"><![CDATA[Infecção por SARS-CoV-2 COVID 19: monitoramento de casos suspeitos e contatos na população pediátrica de um hospital terciário]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cimarra]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montes de Oca]]></surname>
<given-names><![CDATA[Josefina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agorio]]></surname>
<given-names><![CDATA[Maite]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galíndez]]></surname>
<given-names><![CDATA[Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pujadas]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parodi]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Policial Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Policial  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Policial Servicio Policlínica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Policial Servicio Emergencia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Policial Depto. Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>93</volume>
<numero>nspe1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492022000301214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492022000301214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492022000301214&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[resumen está disponible en el texto completo]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction: the World Health Organization (WHO) declared the SARS-CoV2 COVID 19 pandemic on March 11, 2020. In Uruguay, on March 13, 2020, the first cases were reported, and a state of health emergency was set up. From the beginning of the epidemic until April 27, 2021, 22,718 cases were reported in children under 15 years of age. Given this epidemiological situation, the Department of Pediatrics implemented the telephone consultations and clinical follow-up of children and adolescents (CHA) who consulted in the Pediatric Emergency and became cases and/or contacts of coronavirus disease 2019 (COVID 19).  Objective:  to analyze the epidemiological and clinical characteristics of children under follow-up for suspected SARS-CoV-2 infection in a tertiary care hospital between March 1, 2020 and February 28, 2021.  Material and methods:  a retrospective descriptive observational study was carried out in the period mentioned above. Patients from 0 to 14 years old who consulted in the Pediatric Emergency Department with symptoms of COVID 19 or because of a contact with a confirmed case were included. Data sources: admission statistics, medical records and laboratory. Variables: consultation date, sex, age, origin, clinic, confirmed COVID 19 contact, comorbidity, PCR test result for SARS-CoV-2, follow-up and evolution. Statistical analysis frequency distribution, summary measures and significance tests, a value of p&#8804;0.05 was regarded as statistically significant. Ethical considerations: no specific intervention was performed, the privacy and anonymity of the people involved were guaranteed. 657 consultations were made. 455 (69.3%) by telephone, and 202 (30.7%) in person. 287 (43.7%) asymptomatic and 370 (56.3%) symptomatic: runny nose (27%), fever (23%), cough (22%), sore throat (14%), gastrointestinal (4.8%), respiratory distress (3.6%) among others. 394 patients (60%) were contacts, 254 (64.5%) intrafamily, 89 (22.6%) at school, among others. 467 (71.1%) had at least 1 follow-up, 451 (96.6%) by telephone and 16 (3.4%) in person. 78 (11.9%) were positive, 504 (76.7%) negative and 75 (11.4%) did not perform the test. 646 (98.3%) outpatients, 1 admitted to ICU. None died.  Conclusions: through telemedicine, we could implement an adequate follow-up of COVID 19 cases and contacts and identify situations that required in-person care. In most cases, the disease was resolved in an outpatient manner. Patients under 12 were more asymptomatic and the source of infection was a cohabitant more frequently than in those over 12 years of age, these differences being statistically significant (p=0.006 and p=0.005). The clinical presentation in this population was similar to reported data. The timely telephone follow-up and orientation contributed to the adoption of measures to reduce infections and viral circulation and enabled patients and families to feel physically and emotionally accompanied.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a Organização Mundial da Saúde (OMS) declarou a pandemia de SARS-CoV2 COVID 19 eno dia 11 de março de 2020. No Uruguai, em 13 de março de 2020, foram notificados os primeiros casos e foi declarado o estado de emergência sanitária. Desde o início da epidemia até 27 de abril de 2021, foram notificados 22.718 casos em menores de 15 anos. Perante esta situação epidemiológica, o Departamento de Pediatria implementou o diagnóstico telefónico e o acompanhamento clínico das crianças e adolescentes (CA) que consultaram na Emergência Pediátrica e constituíram casos e/ou contatos de doença por coronavírus 2019 (COVID 19).  Objetivo: analisar as características epidemiológicas e clínicas de crianças em acompanhamento por suspeita de infecção por SARS-CoV-2 em um hospital terciário entre 1º de março de 2020 e 28 de fevereiro de 2021.  Materiais e métodos: foi realizado um estudo observacional descritivo retrospectivo no período mencionado acima. Foram incluídos pacientes de 0 a 14 anos que consultaram no pronto-socorro pediátrico com sintomas sugestivos de COVID 19 ou devido ao contato com um caso confirmado. Fontes de dados: estatísticas de admissão, prontuários e laboratório. Variáveis: data da consulta, sexo, idade, procedência, clínica, contato confirmado de COVID 19, comorbidade, resultado do teste PCR para SARS-CoV-2, acompanhamento e evolução. Distribuição de frequência da análise estatística, medidas sumárias e testes de significância, considerando-se um valor de p&#8804;0,05 como estatisticamente significativo. Considerações éticas: não foi realizada nenhuma intervenção específica, foi garantida a privacidade e o anonimato das pessoas envolvidas. Foram feitas 657 consultas. 455 (69,3%) por telefone e 202 (30,7%) pessoalmente. 287 (43.7%) assintomáticos y 370 (56.3%) sintomáticos: rinorreia (27%), febre(23%), tosse(22%), odinofagia (14%), gastrointestinal (4.8%), dificuldade respiratória (3.6%) entre outros. 394 pacientes (60%) foram contatos, 254 (64,5%) intrafamiliares, 89 (22,6%) na escola, entre outros. 467 (71,1%) tiveram pelo menos 1 acompanhamento, 451 (96,6%) por telefone e 16 (3,4%) pessoalmente. 78 (11,9%) foram positivos, 504 (76,7%) negativos e 75 (11,4%) não realizaram o teste. 646 (98,3%) pacientes ambulatoriais, 1 internado na UTI. Nenhum deles morreu.  Conclusões: por meio da telemedicina, foi possível implementar um acompanhamento adequado dos casos e contatos da COVID 19 e identificar situações que exigiram atendimento presencial. A maioria atendeu sua doença de forma ambulatorial. Nos menores de 12 anos houve mais infecções assintomáticas e a fonte de infecção foi um coabitante mais do que nos maiores de 12 anos, sendo essas diferenças estatisticamente significativas (p=0,006 p=0,005). Essa população foi semelhante aos dados registrados. O acompanhamento e orientação oportuna por telefone contribuíram para a adoção de medidas de redução de infecções e circulação viral e permitiram que o paciente e sua família se sentissem acompanhados física e emocionalmente.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[Niño]]></kwd>
<kwd lng="es"><![CDATA[Adolescente]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Coronavirus infections]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Contágio do coronavírus]]></kwd>
<kwd lng="pt"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
<kwd lng="pt"><![CDATA[Adolescente]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[La OMS caracteriza a COVID-19 como una pandemia.]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[Alertas y actualizaciones epidemiológicas.]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<collab>Corporación de Radio y Televisión Española</collab>
<source><![CDATA[COVID-19. Mapa del coronavirus en el mundo: casos, muertes y los últimos datos de su evolución]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[Informes de situación de la COVID-19.]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[WHO Coronavirus (COVID-19) Dashboard]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[WHO Coronavirus (COVID-19): Uruguay]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Comunicado sobre COVID-19 en menores de 15años - 3 de mayo 2021]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[MSP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[V'kovski]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Kratzel]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Steiner]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Stalder]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Thiel]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coronavirus biology and replication implications for SARS-CoV-2]]></article-title>
<source><![CDATA[Nat Rev Microbiol]]></source>
<year>2021</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>155-70</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gao]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Gao]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cao]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[SARS-CoV-2 Structure, Biology, and Structure-Based Therapeutics Development]]></article-title>
<source><![CDATA[Front Cell Infect Microbiol]]></source>
<year>2020</year>
<volume>10</volume>
<page-range>587269</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>Asociación Española de Pediatría</collab>
<collab>COMITÉ de Pediatría Basada en la Evidencia</collab>
<source><![CDATA[COVID-19 en Pediatría: valoración crítica de la evidencia]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[AEP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<collab>Asociación Española de Pediatría</collab>
<collab>Sociedad Española de Cardiología Pediátrica y Cardiopatías Congénitas</collab>
<collab>Sociedad Española de Cuidados Intensivos Pediátricos</collab>
<collab>Sociedad Española de Infectología Pediátrica</collab>
<collab>Sociedad Española de Pediatría Hospitalaria</collab>
<collab>Sociedad Española de Reumatología Pediátrica</collab>
<collab>Sociedad Española de Urgencias de Pediatría</collab>
<source><![CDATA[Consenso nacional sobre diagnóstico, estabilización y tratamiento del Síndrome Inflamatorio Multisistémico Pediátrico vinculado a SARS-CoV-2 (SIM-PedS)]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[AEP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Guo]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Shi]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Characteristics of SARS-CoV-2 and COVID-19]]></article-title>
<source><![CDATA[Nat Rev Microbiol]]></source>
<year>2021</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>141-54</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gao]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Quan]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current status of diagnostic testing for SARS-CoV-2 infection and future developments a review]]></article-title>
<source><![CDATA[Med Sci Monit]]></source>
<year>2020</year>
<volume>26</volume>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Belete]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review on promising vaccine development progress for COVID-19 disease]]></article-title>
<source><![CDATA[Vacunas]]></source>
<year>2020</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>121-8</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<collab>Sociedad Argentina de Pediatría</collab>
<article-title xml:lang=""><![CDATA[Recomendaciones para efectuar una videoconsulta. Definiciones]]></article-title>
<source><![CDATA[Arch Argent Pediatr]]></source>
<year>2020</year>
<numero>^sSupl COVID-19</numero>
<issue>^sSupl COVID-19</issue>
<supplement>Supl COVID-19</supplement>
<page-range>c137-8</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Grasa]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ots]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Falces]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Seguimiento telemático de COVID-19: experiencia de un hospital terciario]]></article-title>
<source><![CDATA[An Pediatr (Barc)]]></source>
<year>2021</year>
<volume>95</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>336-44</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
