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Multidisciplinary Guidance Regarding the Use of Immunomodulatory Therapies for Acute Coronavirus Disease 2019 in Pediatric Patients
Author(s) -
Daniel E. Dulek,
Robert C. Fuhlbrigge,
Alison C. Tribble,
James A. Connelly,
Michele Loi,
Hassan El Chebib,
Shanmuganathan Chandrakasan,
W Otto,
Caroline Diorio,
Garrett Keim,
Kelly Walkovich,
Preeti Jaggi,
Jennifer E Girotto,
April Yarbrough,
Edward M. Behrens,
Randy Q. Cron,
Hamid Bassiri
Publication year - 2020
Publication title -
journal of the pediatric infectious diseases society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.269
H-Index - 31
eISSN - 2048-7207
pISSN - 2048-7193
DOI - 10.1093/jpids/piaa098
Subject(s) - medicine , covid-19 , coronavirus , multidisciplinary approach , intensive care medicine , disease , pandemic , medline , virology , infectious disease (medical specialty) , outbreak , social science , sociology , political science , law
Immune-mediated lung injury and systemic hyperinflammation are characteristic of severe and critical coronavirus disease 2019 (COVID-19) in adults. Although the majority of severe acute respiratory syndrome coronavirus 2 infections in pediatric populations result in minimal or mild COVID-19 in the acute phase of infection, a small subset of children develop severe and even critical disease in this phase with concomitant inflammation that may benefit from immunomodulation. Therefore, guidance is needed regarding immunomodulatory therapies in the setting of acute pediatric COVID-19. This document does not provide guidance regarding the recently emergent multisystem inflammatory syndrome in children (MIS-C).

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