The COVID-19 pandemic is an unprecedented challenge for all health care systems worldwide. The experience of NICU and pediatric clinicians in Italy, one of the countries hardest hit by the pandemic, can provide valuable insight for hospitals and clinicians.
Dr. Paolo Manzoni shares his perspectives and research for COVID-19 in infants and children comparing latest data and studies in China, Italy, and the United States. For newborns, data show there is no vertical transmission to date. Neonates, however, can experience mild-to-moderate forms of the disease. Dr. Manzoni further discusses the peculiar presentations in children, including gastrointestinal and peripheral vasculitis. While current data suggest children may be less severely affected and may experience different symptoms than adults, it is vital to understand the epidemiological and clinical characteristics of COVID-19 pediatric cases, because less seriously ill and asymptomatic children may be carriers of the virus.