Pediatric COVID-19 in Southern California: clinical features and viral genetic diversity
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Abstract
As the pandemic enters its fifth month, information regarding COVID-19 in children is rapidly evolving. Here, we explore clinical features and SARS-CoV-2 genetic variation in children presenting with COVID-19. We observed diverse clinical presentations and identified association between disease severity, viral load and age. SARS-CoV-2 genomes from the patients showed limited number of variations and an evolutionary rate comparable to other RNA viruses. We did not identify correlation between disease severity and viral genetic variations. Epidemiological investigation revealed multiple introductions of virus into Southern California.
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SciScore for 10.1101/2020.05.28.20104539: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: Ethics approval: Study design conducted at Children’s Hospital Los Angeles was approved by the Institutional Review Board under IRB CHLA-16-00429. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. Table 2: Resources
Software and Algorithms Sentences Resources Viral genome library construction and sequencing: WGS from extracted RNA was performed as previously described using Paragon Genomics CleanPlex SARS-CoV-2 Research and Surveillance NGS Panel18. WGSsuggested: NoneSample performance was selected based on the following metrics: average depth ≥ 1000x, percent bases covered at 10x ≥ 80% Consensus … SciScore for 10.1101/2020.05.28.20104539: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: Ethics approval: Study design conducted at Children’s Hospital Los Angeles was approved by the Institutional Review Board under IRB CHLA-16-00429. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. Table 2: Resources
Software and Algorithms Sentences Resources Viral genome library construction and sequencing: WGS from extracted RNA was performed as previously described using Paragon Genomics CleanPlex SARS-CoV-2 Research and Surveillance NGS Panel18. WGSsuggested: NoneSample performance was selected based on the following metrics: average depth ≥ 1000x, percent bases covered at 10x ≥ 80% Consensus genome assembly: Nucleotide sequences were aligned with NovoAlign. NovoAlignsuggested: (NovoAlign, RRID:SCR_014818)Variants were called, and the profile was compared against the global collection of about 30,000 available virus sequences in CARD. CARDsuggested: (CARD, RRID:SCR_016602)Missing bases “N” were trimmed off from the 5’ and 3’ end, and the genomes were aligned to generate a multiple sequence alignment (MSA) with MAFFT (version 7.460) using speed-oriented option - FFT-NS-i (iterative refinement method, two cycles) optimized for large datasets19. MAFFTsuggested: (MAFFT, RRID:SCR_011811)The phylogenetic tree was visualized in FigTree v1.4.421. FigTreesuggested: (FigTree, RRID:SCR_008515)A Maximum likelihood tree using Bayesian information criteria was generated with IQ-TREE (version 1.15.0)22 using GTR substitution model. IQ-TREEsuggested: (IQ-TREE, RRID:SCR_017254)P-value for selection was calculated using Fisher’s exact test for selection in MEGA. MEGAsuggested: (Mega BLAST, RRID:SCR_011920)Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
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