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ABSTRACT Introduction: The epidemiological and clinical patterns of COVID-19 infection remain unclear, especially among children Objective: To describe epidemiological and clinical aspects of COVID-19 cases treated in a Pediatric Emergency Department between March and September 2020 Materials and Methods: This was an observational, descriptive and retrospective study of a series of consecutive cases Patients aged 0-18 years were included in a non-probability sampling The variables analyzed were: demographic data, pediatric evaluation triangle, contact situation, symptoms, clinical picture, hospitalization, nutritional status, laboratory analysis and images Data were analyzed in SPSS V21 using descriptive statistics Results: 56 patients were admitted 37 5% were under 2 years old and 32% had comorbid conditions 51 8% were hospitalized The median time of hospitalization was 48 (P25 6- P75 90) hours The predominant clinical picture was lower airway infection 9% presented severe or critical symptoms, and 5 4% were admitted to intensive care There was 1 deceased patient, who had severe comorbidities The PCR was performed with a median of 4 days (min 0 max 10) of symptom onset Conclusion: More than a third of the patients with Covid -19 were under 2 years of age and 32% had a comorbidity The clinical picture was mild in 70% of the cases, although more than half were hospitalized and 5 4% were admitted to intensive care The most frequent clinical presentation was upper airway involvement followed by pneumonia One patient with severe comorbidities died
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