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Abstract：
Since December 2019, coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has rapidly spread, becoming the first pandemic of the 21st century by number of deaths (over 2,000,000 worldwide). Many aspects of SARS-CoV-2 infection in children and adolescents remain unclear, and optimal treatment has not yet been defined. Therefore, our goal was to develop a consensus document, practically synthesizing the accumulated data and clinical experience of our expert group. Literature research was carried out using the keywords \"COVID-19\" or \"SARS-CoV-2\" and \"children\" or \"pediatrics\" and \"prevention\" or \"diagnosis\" or \"MIS-C\" or \"treatment\" in electronic databases (MEDLINE, PUBMED), existing guidelines and gray literature. The fact that the majority of the problems posed by SARS-CoV-2 infection in pediatric age do not need hospital care and that, therefore, infected children and adolescents can be managed at home highlights the need for a strengthening of territorial pediatric structures. The sharing of hospitalization and therapeutic management criteria for severe cases between professionals is essential to ensure a fair approach based on the best available knowledge. Moreover, the activity of social and health professionals must also include the description, management and limitation of psychophysical-relational damage resulting from the SARS-CoV-2 pandemic on the health of children and adolescents, whether or not affected by COVID-19. Due to the characteristics of COVID-19 pathology in pediatric age, the importance of strengthening the network between hospital and territorial pediatrics, school, educational, social and family personnel both for strictly clinical management and for the reduction in discomfort, with priority in children of more frail families, represents a priority.
摘要：
自2019年12月以来，由严重急性呼吸道综合症冠状病毒2（SARS-CoV-2）引起的冠状病毒病（COVID-19）迅速传播，成为21世纪的第一次大流行死亡人数（全球超过2,000,000）。儿童和青少年SARS-CoV-2感染的许多方面仍不清楚，最佳治疗方法尚未确定。因此,我们的目标是制定一份共识文件，实际综合我们专家组积累的数据和临床经验。使用电子数据库中的关键词“COVID-19”或“SARS-CoV-2”和“儿童”或“儿科”和“预防”或“诊断”或“MIS-C”或“治疗”进行了文献研究（MEDLINE，pubmed),现有的指导方针和灰色文献。事实上，在儿科年龄由SARS-CoV-2感染引起的大多数问题不需要住院治疗，因此,受感染的儿童和青少年可以在家中管理，这凸显了加强领土儿科结构的必要性。专业人员之间共享严重病例的住院和治疗管理标准对于确保基于现有最佳知识的公平方法至关重要。此外，社会和卫生专业人员的活动还必须包括描述，SARS-CoV-2大流行对儿童和青少年健康造成的心理生理关系损害的管理和限制，是否受COVID-19影响。由于儿童年龄的COVID-19病理特征，加强医院和地区儿科之间网络的重要性，学校,教育,社会和家庭人员既要严格临床管理，又要减少不适，优先考虑更脆弱家庭的孩子，代表一个优先级。
