Clinical Characteristics of Children With COVID-19: A Multicenter Study
in the United Arab Emirates
Abstract
Background Coronavirus disease-2019 (COVID-19) has infected over 20
million people globally. The first confirmed case in the United Arab
Emirates (UAE) was reported on 29th January 2020. To date there is
no published data about COVID-19 infection among children in the
Arabian region. Objective To describe the epidemiologic, clinical and
laboratory characteristics of children hospitalized with COVID-19
infection in Dubai, UAE Methods A cross-sectional multicentre study of
children with confirmed COVID-19 infection admitted between March 1st
and June 15th, 2020 to three large hospitals in Dubai, UAE. Their
demographics, clinical characteristics and inpatient hospital course
were investigated. Results 111 children were included in our study and
represented 22 nationalities. Fifty-nine (53.2%) were boys. The mean
age was 7 years, with 15.3% younger than 1 year. At presentation 43
(38.7%) were asymptomatic, 68 (61.2%) had mild or moderate symptoms
and none had severe symptoms. Fever, cough and rhinorrhoea were common
presenting symptoms and resolved by day 5 of hospitalization. Most of
our patients had no abnormality on chest x-ray. The most common
laboratory abnormalities on admission included variations in neutrophil
count (24.7%), aspartate transaminase (22.5%), alkaline phosphatase
(36.7%) and lactate dehydrogenase (42.5%). COVID-19 PCR turned
negative at a median of 10 days after first positive. There was no
significant difference to time of negative PCR between symptomatic and
asymptomatic children. Conclusion A large percentage of children with
COVID19 experience no symptoms, and severe disease is uncommon in the
UAE. Ongoing surveillance and contact tracing will be important to
contain future outbreaks.