<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312021000100010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y epidemiológicas de la COVID-19 en pediatría en República Dominicana]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and epidemiological characteristics of COVID-19 in Pediatrics in Dominican Republic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Morban]]></surname>
<given-names><![CDATA[Demian Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colomé Hidalgo]]></surname>
<given-names><![CDATA[Manuel Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez Jorge]]></surname>
<given-names><![CDATA[Massiel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Antonio]]></surname>
<given-names><![CDATA[Eladio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico &#8220;Dr. Hugo Mendoza&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>República Dominicana</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Tecnológico de Santo Domingo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>República Dominicana</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>93</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312021000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312021000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312021000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En marzo del 2020 se detectó un brote de la enfermedad por nuevo coronavirus en La Romana, República Dominicana, desde entonces la enfermedad se ha esparcido rápidamente a nivel nacional.  Objetivos:  Describir la manifestaciones clínicas y epidemiológicas de la COVID-19 en menores de 18 años.  Métodos: Se analizaron los datos extraídos del Sistema Nacional de Vigilancia Epidemiológica. Los análisis incluyen las características sociodemográficas, manifestaciones clínicas, tasas de letalidad y mortalidad, análisis geoespacial de diseminación viral y curva epidémica.  Resultados:  Hasta el 13 de julio de 2020 se registró un total de 46 301 casos, 3009 fueron pediátricos (6,4 %) y de estos 2992 se confirmaron con la enfermedad (99,4 %). La curva epidémica mostró un patrón de transmisión continua y de fuente común, con un pico de incidencia en la semana epidemiológica 27. La mayoría de los casos confirmados (50,7 %) eran de sexo femenino, con un promedio de 9 años (rango 0-17, rango intercuartílico 4-14 años) y el 74,0 % sintomático. La sintomatología más frecuente fue la fiebre (80,3 %), cefalea (74,5 %), mialgia (37,1 %) y dificultad respiratoria (7,1%). La tasa de admisión a unidades de cuidado intensivo fue &lt; 1 % y la letalidad de 0,2.  Conclusiones:  La COVID-19 se ha diseminado rápidamente en niños de todo el país. A pesar de su baja letalidad, se deben fortalecer las estrategias de prevención para aplanar la curva de contagios y disminuir el impacto en grupos de mayor riesgo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In March, 2020 it was detected an outbreak of the disease caused by the new coronavirus in La Romana, Dominican Republic, from that moment the disease has spreaded quickly trough all the country.  Objectives:  Describe the clinical and epidemiological manifestations of COVID-19 in patients under 18 years.  Methods: There were analyzed the data from the National System of Epidemiological Surveillance. The analysis included the sociodemographic characteristics, clinical manifestations, lethality and mortality rates, geospatial analysis of viral spreading, and epidemic curve.  Results: Until July 13th, 2020, it was registered a total of 46 301 cases, 3 009 were pediatric patients (6.4 %) and of these 2 992 were confirmed with the disease (99.4 %). The epidemic curve showed a continued transmission pattern and with a common source, with an incidence peak in the epidemiological week number 27. Most of the confirmed cases (50. 7%) were females, with a predominance of the one of 9 years old (range 0-17, intercuartilic range 4-14 years) and the 74.0 % were symptomatic. The most common symptomatology was fever (80,3%), cephalalgia (74.5 %), myalgia (37.1 %) and respiratory difficulty (7.1 %). The admittion rate in intensive care units was of &lt; 1 % and the lethality of 0.2.  Conclusions:  COVID-19 has spreaded quickly in children of all the country. Although the low lethality, the prevention strategies to flat the contagions curve must be strengthening and in that way it will be possible to decrease the impact in the groups of higher risk.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[pandemias]]></kwd>
<kwd lng="es"><![CDATA[epidemiologia]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[infections by coronavirus]]></kwd>
<kwd lng="en"><![CDATA[pandemics]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
</kwd-group>
</article-meta>
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