NEW CORONAVIRUS INFECTION WITH POST-COVID DISORDERS IN CHILDREN

Abstract

The COVID-19 pandemic has had a negative impact on public health and is becoming an increasingly common and dangerous cause of acute respiratory infections, particularly in children and adolescents. Purpose of the work: analysis of clinical manifestations of the acute period of a new coronavirus infection and variants of the course of post-Covid syndrome in children according to foreign and domestic studies. Material and methods: publications on the selected topic were studied in the Pubmed, Medline, and elibrary databases. Results and discussion: Retrospective studies of the course of coronavirus infection in children aged 1 to 18 years conducted in our republic showed that severe and extremely severe course of COVID-19 was observed in frequently ill children and children with concomitant diseases such as allergic dermatitis, diabetes mellitus , perinatal damage to the central nervous system. In severe cases, damage was observed not only to the respiratory system, but also to the cardiovascular system, gastrointestinal tract, central nervous system and other systems. In 70.8%, pathological lesions were accompanied by a violation of the blood coagulation system. It has been found that most children recover completely from this infection, but some have a wide range of symptoms for a long time. A special feature of COVID-19 is that it affects several vital organs (for example, lungs and heart, central nervous system and gastrointestinal tract), which can have long-term consequences in the form of the formation of chronic pathology in children. This condition, referred to as post-Covid syndrome, requires the full attention of a family doctor and specialized specialists, as well as rehabilitation measures. Conclusions: Children are characterized by prolonged release of SARS-CoV-2 RNA in various environments of the body after normalization of health. In some cases, a severe clinical picture of the so-called late covid disease may develop in the form of a multisystem inflammatory syndrome and other complications. All this indicates the need for dynamic monitoring of children who have intra-family contact with a patient with COVID-19, using not only general clinical and instrumental examination methods, but also organizing effective identification, treatment tactics and rehabilitation of this category of children.