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The inhabitants of the planet in the XXI century are experiencing a second pandemic. The new coronavirus SARSCoV-2 is distinguished not only by its ubiquitous spread, but also by the possibility of developing adverse outcomes, which does not cause anyone doubts today. Aim . To present the dynamic characteristics of children’s health depending on the form of severity of the new coronavirus infection (COVID-19). Material and methods . A prospective single-center clinical study of the complex state of health of children hospitalized in a monoinfective hospital on the basis of the GUZ “City Clinical Hospital” was conducted. The observation included 86 convalescents of a new coronavirus infection aged 7 to 14 years. Dynamic monitoring was carried out for children for 1.5 years from the moment of infection with SARSCoV-2, control visits were performed 1, 6 and 18 months after the disease. Results and discussion . According to the results of a comprehensive assessment of the health status of children after COVID-19, an increase in the number of registrations of recurrent upper and lower respiratory tract infections in convalescents of a moderate form of a new coronavirus infection was found. In 35 (41%) children after infection with SARSCoV-2, concomitant diseases were recorded, in contrast to 23 (26.7%) cases recorded before the pandemic. The structure of concomitant pathology in COVID-19 convalescents is represented by endocrine pathology in 30.2% of cases, in patients after moderate forms of the disease, the frequency of eating disorders (19.8%) increased by 2 times relative to the period before COVID-19, type 1 diabetes mellitus was first detected in 1 (1.2%) child. Diseases of the nervous system (20.9%) were 1.9 times more likely to be diagnosed after COVID-19. Diseases of the eye and its accessory apparatus were registered in 16.3% of children, more often after a moderate form of the disease. The number of cases of gastrointestinal pathology has not changed. Diseases of the respiratory system were recorded in 4.7% of patients, skin and subcutaneous tissue – 3.5% of the examined. Conclusion . A comprehensive assessment of the health status of children after COVID-19 for 1.5 years allows us to establish a decrease in the response of the child’s macroorganism to acute respiratory infections, an increase in the number of registered comorbidities, the relationship between the severity of COVID-19 and its consequences for children.
Bogomolova et al. (Fri,) studied this question.