Paediatrics

MERS- CoV

Promed as of 9/7/13

• Since the last update - 20 Jun 2013• 16 new lab-confirmed cases – Saudi Arabia• 8 of the new cases were asymptomatic• 4 were female health care workers• 4 were children aged 7 to 15 years • had contact with confirmed cases

WHO 20/6/13

• the index case, adult Italian , travelled to Jordan • mild respiratory symptoms one day before returning home • admitted with pneumonia 3 days after returning home. • positive for MERS-CoV.• Contact monitoring - two contacts developed respiratory

symptoms: a 42-year-old co-worker and a 14-month-old close relative.

• Both tested positive for MERS-CoV. • exposed to the index patient for a single day• Both had mild illnesses and recovered uneventfully

CDC 14/6/13

• 55 laboratory-confirmed cases have been reported • All reported cases were directly or indirectly linked to

one of four countries: Saudi Arabia, Qatar, Jordan, and the United Arab Emirates

• median age of patients is 56 years (range: 2–94 years)• male-to-female ratio of 2.6 to 1.0• All patients were aged ≥24 years, except for two

children, one aged 2 years and one aged 14 years. • had respiratory symptoms - severe acute respiratory

disease requiring hospitalization.

Clinical Assessment Tool For Moderate To Severe Symptoms

• severe respiratory distress • increased respiratory rate• oxygen saturation ≤92%• respiratory exhaustion or apnoeic episode • severe clinical dehydration or clinical shock • altered conscious level

List Of Co-morbidities In Paediatric Patients

• Cardiac disease • Chronic respiratory disease• Other chronic diseases (DM, Metabolic, Thal)

• Chronic neurological disorders• Impaired immunity• Malnourished or obesity

Summary

• limited information• range of severity• lower attack rates • same case definition