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  • Low transmission of SARS-Co...
    Mele-Casas, Maria; Launes, Cristian; de Sevilla, Mariona F; Hernandez-Garcia, Maria; Pons-Tomas, Gemma; Bassat, Quique; Fumado, Victoria; Fortuny, Claudia; Garcia-Miquel, Aleix; Bonet-Carne, Elisenda; Prats, Clara; Ajanovic, Sara; Cubells, Marta; Claverol, Joana; Penela-Sanchez, Daniel; Jou, Cristina; Arias, Sara; Balanza, Nuria; Baro, Barbara; Millat-Martinez, Pere; Alonso, Sergio; Alvarez-Lacalle, Enric; Catala, Marti; Cuadras, Daniel; Muñoz-Almagro, Carmen; Gratacos, Eduard; Jordan, Iolanda; Garcia-Garcia, Juan Jose

    PloS one, 11/2022, Letnik: 17, Številka: 11
    Journal Article

    Family clusters offer a good opportunity to study viral transmission in a stable setting. We aimed to analyze the specific role of children in transmission of SARS-CoV-2 within households. A prospective, longitudinal, observational study, including children with documented acute SARS-CoV-2 infection attending 22 summer-schools in Barcelona, Spain, was performed. Moreover, other patients and families coming from other school-like environments that voluntarily accessed the study were also studied. A longitudinal follow-up (5 weeks) of the family clusters was conducted to determine whether the children considered to be primary cases were able to transmit the virus to other family members. The household reproduction number (Re*) and the secondary attack rate (SAR) were calculated. 1905 children from the summer schools were screened for SARS-CoV-2 infection and 22 (1.15%) tested positive. Moreover, 32 additional children accessed the study voluntarily. Of these, 37 children and their 26 households were studied completely. In half of the cases (13/26), the primary case was considered to be a child and secondary transmission to other members of the household was observed in 3/13, with a SAR of 14.2% and a Re* of 0.46. Conversely, the SAR of adult primary cases was 72.2% including the kids that gave rise to the contact tracing study, and 61.5% without them, and the estimated Re* was 2.6. In 4/13 of the paediatric primary cases (30.0%), nasopharyngeal PCR was persistently positive > 1 week after diagnosis, and 3/4 of these children infected another family member (p<0.01). Children may not be the main drivers of the infection in household transmission clusters in the study population. A prolonged positive PCR could be associated with higher transmissibility.