Incidence and Prevalence of Multisystem Inflammatory Syndrome in Children (MIS-C) in Southern Italy

被引:9
作者
La Torre, Francesco [1 ]
Elicio, Maria Pia [1 ]
Monno, Viviana Anna [1 ]
Chironna, Maria [2 ]
Moramarco, Fulvio [3 ]
Campanozzi, Angelo [4 ]
Civino, Adele [5 ]
Cecinati, Valerio [6 ]
Vairo, Ugo [7 ]
Giordano, Mario [8 ]
Milella, Leonardo [9 ]
Loconsole, Daniela [2 ]
Cardinale, Fabio [1 ]
机构
[1] Univ Bari, Giovanni XXIII Pediat Hosp, Dept Pediat, I-70126 Bari, Italy
[2] Univ Bari, Dept Interdisciplinary Med, Hyg Sect, I-70123 Bari, Italy
[3] Antonio Perrino Hosp, Dept Pediat, I-72100 Brindisi, Italy
[4] Univ Foggia, Dept Med & Surg Sci, Pediat Sect, I-71122 Foggia, Italy
[5] Vito Fazzi Hosp, Div Pediat Rheumatol & Immunol, I-73100 Lecce, Italy
[6] SS Annunziata Hosp, Dept Pediat, I-74100 Taranto, Italy
[7] Giovanni XXIII Pediat Hosp, Div Pediat Cardiol, I-70126 Bari, Italy
[8] Giovanni XXIII Pediat Hosp, Div Pediat Nephrol & Dialysis, I-70126 Bari, Italy
[9] Giovanni XXIII Pediat Hosp, Div Intens Care, I-70126 Bari, Italy
来源
CHILDREN-BASEL | 2023年 / 10卷 / 05期
关键词
children; MIS-C; COVID-19; incidence; epidemiology;
D O I
10.3390/children10050766
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Multisystem inflammatory syndrome in children (MIS-C) is a pediatric hyperinflammatory syndrome related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection whose epidemiology is not very well known at present. The objective of the study was to better understand the incidence of MIS-C in the Apulia region in southern Italy. Our primary goal was to estimate the incidence of newly identified cases of MIS-C in children aged 0-18 years, during a period of six months, encompassing the second pandemic wave. We also analyzed the characteristics of our cohort in terms of clinical features, treatment, and outcomes. The cumulative incidence of MIS-C was 3.27 per 100,000 residents between 0 and 18 years of age. In our cohort, gastrointestinal, mucocutaneous, and cardiac involvement were the most common clinical features. With our step-up approach to therapy, no patients required intensive care unit (ICU) admission and no cardiac sequelae after 6 months of onset were found in echocardiograms. Conclusion: Our epidemiological study of MIS-C in southern Italy showed unexpectedly overlapping figures with other US studies.
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页数:12
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