Saúde Pública em Pediatria

Perspectiva | Escolas começaram testagem em massa para COVID-19, mas obstáculos e incertezas permanecem.

17 Set, 2021 | 12:36h

Schools have begun mass testing for COVID-19. But hurdles and uncertainties remain – Science

Conteúdo relacionado: Cluster RCT: Daily contact testing of school-based contacts was non-inferior to self-isolation for control of COVID-19 transmission.

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Estudo randomizado por cluster | Teste diário dos contatos de pessoas infectadas foi não-inferior ao autoisolamento para controlar a transmissão da COVID-19 nas escolas.

17 Set, 2021 | 12:12h

Daily testing for contacts of individuals with SARS-CoV-2 infection and attendance and SARS-CoV-2 transmission in English secondary schools and colleges: an open-label, cluster-randomised trial – The Lancet

Comentário convidado: Daily antigen testing to reduce disruption when schools return – The Lancet

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Suplemento | Grupo de Trabalho FIGO para partos prematuros – Recomendações de boas práticas.

17 Set, 2021 | 11:57h

Página principal: FIGO Working Group for Preterm Birth – Good Practice Recommendations – International Journal of Gynecology & Obstetrics

Editorial: FIGO good practice recommendations for reducing preterm birth and improving child outcomes

FIGO good practice recommendations on the importance of registry data for monitoring rates and health systems performance in prevention and management of preterm birth

FIGO good practice recommendations on modifiable causes of iatrogenic preterm birth

FIGO good practice recommendations on reduction of preterm birth in pregnancies conceived by assisted reproductive technologies

FIGO good practice recommendations on progestogens for prevention of preterm delivery

FIGO good practice recommendations on cervical cerclage for prevention of preterm birth

FIGO good practice recommendations on the use of pessary for reducing the frequency and improving outcomes of preterm birth

FIGO good practice recommendations on the use of prenatal corticosteroids to improve outcomes and minimize harm in babies born preterm

FIGO good practice recommendations on magnesium sulfate administration for preterm fetal neuroprotection

FIGO good practice recommendations on delayed umbilical cord clamping

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A variante Delta da Covid e crianças: relatório mostra que a transmissão em crianças é baixa e somente 2% delas são hospitalizadas.

12 Set, 2021 | 22:16h

The Delta Covid variant and children: transmission in kids is low and only 2% hospitalised, report finds – The Guardian

Relatório: COVID-19 Delta variant in schools and early childhood education and care services in NSW, Australia: 16 June to 31 July 2021 – NCIRS

Comunicado de imprensa: COVID-19 Delta variant in schools and early childhood education and care services in NSW, Australia: 16 June to 31 July 2021

 

Comentário no Twitter (fio – clique para saber mais)

Amazing education settings outbreak data from the Delta #COVID19 outbreak in NSW 🇦🇺

Primary/Secondary schools mostly closed, so limited info to draw on (Attack rate v low, <2%)

BUT early years settings fully open with no masks!

What happened? 🧵https://t.co/mG05e5Mp3T

1/

— Alasdair Munro (@apsmunro) September 8, 2021

 

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Estudo mostra alta efetividade da vacina de mRNA da Pfizer contra a COVID-19 na gestação.

8 Set, 2021 | 15:22h

Effectiveness of the BNT162b2 mRNA COVID-19 vaccine in pregnancy – Nature Medicine

 

Comentários no Twitter

NEW: Estimated vaccine effectiveness in #pregnancy from 7 through to 56 d after second dose was 96% (95% CI; 89–100%) for any documented infection, 97% (91–100%) for infections with documented symptoms & 89% (43–100%) for #COVID19-related hospitalization. https://t.co/bm950wUWGL

— All Source Pregnancy (@PregnancyAll) September 7, 2021

The Pfizer-BioNTech mRNA COVID-19 vaccine was estimated to have high vaccine effectiveness in pregnant women, which is similar to the effectiveness estimated in the general population, according to a @NatureMedicine paper. https://t.co/oz5zn7zNdq pic.twitter.com/9IP5ocxzXs

— Nature Portfolio (@NaturePortfolio) September 7, 2021

 

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Chile autoriza o uso da vacina da Sinovac para crianças de 6 anos de idade ou mais.

8 Set, 2021 | 15:19h

Chile authorizes Sinovac vaccine for kids of 6 and older – Associated Press

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Novas recomendações da AAP sobre gripe autorizam que seja coadministrada com a vacina contra COVID-19.

8 Set, 2021 | 15:16h

Comunicado de imprensa: AAP flu recommendations allow for coadministration with COVID-19 vaccine – American Academy of Pediatrics

Diretriz: Recommendations for Prevention and Control of Influenza in Children, 2021–2022 – American Academy of Pediatrics

Relatório técnico: Recommendations for Prevention and Control of Influenza in Children, 2021–2022 – American Academy of Pediatrics

Conteúdo relacionado: New CDC Guidance says influenza and Covid vaccines can be given together – “COVID-19 vaccines and other vaccines may now be administered without regard to timing”

 

Comentário no Twitter

The 2021-’22 @AmerAcadPeds flu policy emphasizes the importance of flu vaccination during the SARS-CoV-2 pandemic, allows for coadministration with COVID-19 vaccine. https://t.co/usLaO276Ku pic.twitter.com/EaL5vocxMm

— AAP News (@AAPNews) September 7, 2021

 

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Relatório CDC | Taxas de hospitalização por Covid-19 foram 10 vezes mais altas entre adolescentes não vacinados do que entre os vacinados.

7 Set, 2021 | 22:09h

Hospitalizations Associated with COVID-19 Among Children and Adolescents — COVID-NET, 14 States, March 1, 2020–August 14, 2021 – CDC Morbidity and Mortality Weekly Report

Comentários:

More kids hospitalized with Covid-19 in states with lower vaccination rates, CDC report finds – CNN

The hospitalization rate among teens who are unvaccinated is 10 times higher than teens who are vaccinated, new CDC data shows – Insider

Child COVID hospital cases up in low-vaccination states – CIDRAP

 

Comentário no Twitter

From late June to mid-August, there was a 10x increase in the rate of hospitalizations among children ages 0-4 with #COVID19 while the #DeltaVariant was widely circulating. It is critical for children to #maskup and get vaccinated if eligible. Learn more: https://t.co/aHC1vYdKVG. pic.twitter.com/uUeNPG6d5r

— CDC (@CDCgov) September 3, 2021

 

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Opinião | “Os problemas em indicar o uso de máscaras por jovens estudantes são reais.”

3 Set, 2021 | 12:48h

The Downsides of Masking Young Students Are Real – The Atlantic

 

Comentário com réplica no Twitter (fio – clique para saber mais)

I'm not greatly interested in the school/mask debate, but I must say this is pretty wild – the article leads with this statement and then proceeds to offer no evidence whatsoever of any harms except "subjective [sic] shortness of breath" https://t.co/JL1Iadt8fy pic.twitter.com/5bZmvOhWo7

— Health Nerd (@GidMK) September 2, 2021

 

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“Long COVID”: saúde física e mental de crianças e jovens não hospitalizados depois da infecção por SARS-CoV-2 – 1 em cada 7 crianças pode ainda ter sintomas 15 semanas depois da infecção.

3 Set, 2021 | 11:21h

Long COVID – the physical and mental health of children and non-hospitalised young people 3 months after SARS-CoV-2 infection; a national matched cohort study (The CLoCk) Study.

Comentários:

Long Covid in children ‘nowhere near scale feared’ – BBC

Long covid: One in seven children may still have symptoms 15 weeks after infection, data show – The BMJ

Conteúdos relacionados:

Do kids get long COVID? And how often? A pediatrician looks at the data – Children also get Long Covid, but much less often than adults.

Illness duration and symptom profile in symptomatic school-aged children tested for SARS-CoV-2 – “Only 25 (1.8%) of 1379 children experienced symptoms for at least 56 days.”

Long-term Symptoms After SARS-CoV-2 Infection in Children and Adolescents – “This study found a low prevalence of symptoms compatible with long COVID in a randomly selected cohort of children assessed 6 months after serologic testing”.

Study shows low incidence of post-acute COVID-19 symptoms (“Long Covid”) in children after mild disease

Cohort study: Risk factors for long covid in previously hospitalized children.

M-A: More than 50 long-term effects of COVID-19.

 

Comentário no Twitter (fio – clique para saber mais)

The worlds biggest study of post acute #COVID19 symptoms in children is out as a pre-print – the CLoCK study!

Fortunately results are very reassuring regarding symptom frequency and impact

Some important lessons, let's take a look 🧵

1/https://t.co/Z4t3M1V3cA

— Alasdair Munro (@apsmunro) September 1, 2021

 

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