Journal
JOURNAL OF HEART AND LUNG TRANSPLANTATION
Volume 40, Issue 9, Pages 897-899Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.healun.2021.06.009
Keywords
COVID-19; SARS-CoV2; Pediatric Heart Transplant; Infection
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Pediatric heart transplant recipients have a high rate of COVID-19 infection at 21%, with 55% being asymptomatic. Despite the high infection rate, they have good tolerance to COVID-19, with only 5% requiring hospitalization and no mortality cases.
Pediatric heart transplant recipients have been expected to be at higher risk of adverse events from developing COVID-19 infection. COVID-19 RNA PCR and antibody testing has been performed in our cohort of patients since March 15, 2020 and outcomes were reviewed. COVID-19 infection in our population of pediatric heart transplant recipients is common (21%), despite recommendations to avoid contact with others. Asymptomatic COVID-19 infection is common as well (55%). Despite the frequency of infection, COVID-19 is well tolerated in this population (5% admission from home; 0% mortality). A suppressed immune system does not significantly inhibit an antibody response in pediatric heart transplant recipients (>70% antibody seroconversion) and appears to persist, similar to those without transplantation (>90 days). Routine testing for COVID-19 via PCR and antibody testing enhances the ability to detect COVID-19 infection in asymptomatic patients and may help reduce unintended transmission to more susceptible individuals. J Heart Lung Transplant 2021;40:897-899 (c) 2021 International Society for Heart and Lung Transplantation. All rights reserved.
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