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Severe Acute Respiratory Syndrome (SARS), Pediatric

Nicholas Tsarouhas, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • World Health Organization (WHO) clinical criteria (2003):

    • Suspect severe acute respiratory syndrome (SARS) case:

      • A person presenting after November 1, 2002, with high fever (>38°C),...

DIAGNOSIS

HISTORY

  • Recent travel

    • Travel (including transit in an airport) within 10 days of onset of symptoms to an area with recently documented or suspected transmission of SARS is an important epidemi...

TREATMENT

GENERAL MEASURES

  • It is paramount that strict infection control practices be maintained and monitored.

  • These are outlined in “General Prevention” above.

MEDICATION

  • There is no proven effective tr...

ONGOING CARE

PROGNOSIS

  • Patients 12 years of age and younger

    • Milder disease

    • Fewer ICU admits

    • Decreased need for supplemental oxygen

    • No reported pediatric deaths

  • Overall fatality rate: 9.5% (all adults)

    • Highes...

ADDITIONAL READING

  • Braden CR, Dowell SF, Jernigan DB, et al. Progress in global surveillance and response capacity 10 years after severe acute respiratory syndrome. Emerg Infect Dis.  2013;19(6):...

CODES

ICD9

  • 480.3 Pneumonia due to SARS-associated coronavirus

  • 079.82 SARS-associated coronavirus

ICD10

  • J12.81 Pneumonia due to SARS-associated coronavirus

  • B97.21 SARS-associated coronavirus causing disease...

FAQ

  • Q: Is the clinical presentation and course different in children?

  • A: Fortunately, younger children tend to have a shorter and milder course, consisting mainly of low-grade fever, cough, and rhinorr...

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