The Role of Contact Tracing in the Management of SARS-cov 2 Infection in Childhood: a Retrospective Analysis

Abstract

Background Individuation and management of the contacts of confirmed COVID-19 infection cases allows to quickly identify and isolate any secondary cases and interrupt the chain of transmission of the infection. Contact tracing is unquestionably very useful in stemming the spread of the pandemic from SARS-Cov 2 however there are no pediatric data that have measured the effectiveness of this method.MethodsFrom 30 October 2020 to 30 April 2021 ,during the second wave of the Covid pandemic, 19 primary care pediatricians reported suspected cases of SAR Cov 2 to the Public Health Service of the Piacenza district via a digital platform relating to a total pediatric population of about 17,500 children. All reported cases underwent a molecular PCR test as soon as possible and in any case within 48 hours. At the same time Public Hygiene Service implemented contact tracing in the same pediatric population in all children who were in close contact with positive cases .Results On the basis of clinical suspicion 1306 subjects underwent a molecular PCR nose pharyngeal swab for Covid -19, 107 of them tested positive (8,2% of reports-0.6% of the monitored population). In the same period, the Public Hygiene Service, through contact-tracing, identified another 1244 positive subjects in the same population of 17,500 children (7,1% of the monitored population).ConclusionsOur experience confirm that contact tracing is strongly raccomended for the managment of the SAR Cov 2 pandemic .It was about eleven times more sensitive than the clinical criteria for identifying positive subjects in pediatric age, often asymptomatic, during the second wave of the Covid pandemic.