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Background: To understand the gastrointestinal symptoms of COVID-19 in children, gastrointestinal infection and shedding of SARS-CoV-2 and the risk of fecal transmission to better prevent and treat COVID-19 in children. Results: Studies have confirmed that SARS-CoV-2 can survive and replicate in the feces of some patients. As the clearance time in the digestive tract is longer in children than in adults, children with COVID-19 have a higher risk of fecal-oral transmission. Conclusion: The gastrointestinal symptoms of children with COVID-19 are related to infection of the digestive tract by the novel coronavirus, which proves that the virus can survive and replicate in the stool of patients. The role of fecal-oral transmission should be emphasized in the screening and prevention of COVID-19 and nucleic acid detection of the virus in the respiratory tract and digestive tract should be performed at the same time. This information will help prevent fecaloral transmission from becoming a hidden route of viral spread in kindergartens, schools and families.

SARS-CoV-2 Gastrointestinal Shedding in Children with COVID-19 and the Risk of Fecal-oral Transmission: A Review