Autism and COVID-19: A Case Series in a Neurodevelopmental Unit.
Identifieur interne : 001646 ( Main/Exploration ); précédent : 001645; suivant : 001647Autism and COVID-19: A Case Series in a Neurodevelopmental Unit.
Auteurs : Leslie Nollace [France] ; Cora Cravero [France] ; Alice Abbou [France] ; Brice Mazda-Walter [France] ; Alexandre Bleibtreu [France] ; Nathalie Pereirra [France] ; Myriam Sainte-Marie [France] ; David Cohen [France] ; Marianna Giannitelli [France]Source :
- Journal of clinical medicine [ 2077-0383 ] ; 2020.
Abstract
BACKGROUND
COVID-19 has become pandemic and can impact individuals with autism as well. Here, we report a case series admitted to a neurobehavioral unit dedicated to challenging behaviors in patients with autism.
METHODS
We describe 16 patients (mean age 20.8 years; range 12-43 years; 76% male) with autism hospitalized between March 2020 and mid-April 2020 for challenging behaviors, for which COVID-19 disease has been suspected and who needed both psychiatric and medical care. A close cooperation with the Infectious and Tropical Diseases Department was organized to limit viral spread and training sessions (e.g., hygiene, clinical COVID-19 monitoring, virus testing) were given to staff members.
RESULTS
Most patients had severe autism and severe/moderate intellectual disability. Eleven patients were already in the unit when it was hit by the pandemic, and five were admitted from the community. Based on a virus search via reverse transcriptase polymerase chain reaction (RT-PCR) or serology at the 2-month follow-up, we had 11 confirmed COVID-19 cases. The main COVID-19 symptoms included benign upper respiratory infection signs (
CONCLUSIONS
Organizing a COVID+ unit for patients with autism is realistic and requires close collaboration with infectologists. We believe that this initiative should be promoted to limit both the spread of the virus and the ostracism of patients with autism and challenging behaviors.
DOI: 10.3390/jcm9092937
PubMed: 32932951
Affiliations:
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Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut des Systèmes Intelligents et Robotiques (ISIR), CNRS UMR 7222, Sorbonne Université, 75005 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut des Systèmes Intelligents et Robotiques (ISIR), CNRS UMR 7222, Sorbonne Université, 75005 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Giannitelli, Marianna" sort="Giannitelli, Marianna" uniqKey="Giannitelli M" first="Marianna" last="Giannitelli">Marianna Giannitelli</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. 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Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Cravero, Cora" sort="Cravero, Cora" uniqKey="Cravero C" first="Cora" last="Cravero">Cora Cravero</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Interdepartmental Mobile Unit for Complex Situations in Autism (UMI 75-92), Elan Retrouvé Foundation, 75009 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Interdepartmental Mobile Unit for Complex Situations in Autism (UMI 75-92), Elan Retrouvé Foundation, 75009 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Abbou, Alice" sort="Abbou, Alice" uniqKey="Abbou A" first="Alice" last="Abbou">Alice Abbou</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Mazda Walter, Brice" sort="Mazda Walter, Brice" uniqKey="Mazda Walter B" first="Brice" last="Mazda-Walter">Brice Mazda-Walter</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Bleibtreu, Alexandre" sort="Bleibtreu, Alexandre" uniqKey="Bleibtreu A" first="Alexandre" last="Bleibtreu">Alexandre Bleibtreu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Infectious Diseases, Pitié-Salpêtrière Hospital, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Infectious Diseases, Pitié-Salpêtrière Hospital, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Pereirra, Nathalie" sort="Pereirra, Nathalie" uniqKey="Pereirra N" first="Nathalie" last="Pereirra">Nathalie Pereirra</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Sainte Marie, Myriam" sort="Sainte Marie, Myriam" uniqKey="Sainte Marie M" first="Myriam" last="Sainte-Marie">Myriam Sainte-Marie</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Cohen, David" sort="Cohen, David" uniqKey="Cohen D" first="David" last="Cohen">David Cohen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut des Systèmes Intelligents et Robotiques (ISIR), CNRS UMR 7222, Sorbonne Université, 75005 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut des Systèmes Intelligents et Robotiques (ISIR), CNRS UMR 7222, Sorbonne Université, 75005 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Giannitelli, Marianna" sort="Giannitelli, Marianna" uniqKey="Giannitelli M" first="Marianna" last="Giannitelli">Marianna Giannitelli</name><affiliation wicri:level="3"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of clinical medicine</title><idno type="ISSN">2077-0383</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>COVID-19 has become pandemic and can impact individuals with autism as well. Here, we report a case series admitted to a neurobehavioral unit dedicated to challenging behaviors in patients with autism.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We describe 16 patients (mean age 20.8 years; range 12-43 years; 76% male) with autism hospitalized between March 2020 and mid-April 2020 for challenging behaviors, for which COVID-19 disease has been suspected and who needed both psychiatric and medical care. A close cooperation with the Infectious and Tropical Diseases Department was organized to limit viral spread and training sessions (e.g., hygiene, clinical COVID-19 monitoring, virus testing) were given to staff members.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Most patients had severe autism and severe/moderate intellectual disability. Eleven patients were already in the unit when it was hit by the pandemic, and five were admitted from the community. Based on a virus search via reverse transcriptase polymerase chain reaction (RT-PCR) or serology at the 2-month follow-up, we had 11 confirmed COVID-19 cases. The main COVID-19 symptoms included benign upper respiratory infection signs (</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Organizing a COVID+ unit for patients with autism is realistic and requires close collaboration with infectologists. We believe that this initiative should be promoted to limit both the spread of the virus and the ostracism of patients with autism and challenging behaviors.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32932951</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>16</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">2077-0383</ISSN><JournalIssue CitedMedium="Print"><Volume>9</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>Sep</Month><Day>11</Day></PubDate></JournalIssue><Title>Journal of clinical medicine</Title><ISOAbbreviation>J Clin Med</ISOAbbreviation></Journal><ArticleTitle>Autism and COVID-19: A Case Series in a Neurodevelopmental Unit.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">E2937</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.3390/jcm9092937</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">COVID-19 has become pandemic and can impact individuals with autism as well. Here, we report a case series admitted to a neurobehavioral unit dedicated to challenging behaviors in patients with autism.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We describe 16 patients (mean age 20.8 years; range 12-43 years; 76% male) with autism hospitalized between March 2020 and mid-April 2020 for challenging behaviors, for which COVID-19 disease has been suspected and who needed both psychiatric and medical care. A close cooperation with the Infectious and Tropical Diseases Department was organized to limit viral spread and training sessions (e.g., hygiene, clinical COVID-19 monitoring, virus testing) were given to staff members.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Most patients had severe autism and severe/moderate intellectual disability. Eleven patients were already in the unit when it was hit by the pandemic, and five were admitted from the community. Based on a virus search via reverse transcriptase polymerase chain reaction (RT-PCR) or serology at the 2-month follow-up, we had 11 confirmed COVID-19 cases. The main COVID-19 symptoms included benign upper respiratory infection signs (<i>N</i> = 9, 81.8%), diarrhea (<i>N</i> = 7, 63.6%), fatigue (<i>N</i> = 7, 63.6%), and respiratory signs (<i>N</i> = 5, 45.5%), including one patient who needed oxygen therapy. Three patients remained asymptomatic and COVID-19-free (including two under immunosuppressive treatments). Among the symptomatic patients, five showed atypical behaviors that we understood as idiosyncratic manifestations (e.g., irrepressible licking behavior). On day 14, only one patient with respiratory dysfunction still had a positive RT-PCR SARS-CoV-2 test.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Organizing a COVID+ unit for patients with autism is realistic and requires close collaboration with infectologists. We believe that this initiative should be promoted to limit both the spread of the virus and the ostracism of patients with autism and challenging behaviors.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nollace</LastName><ForeName>Leslie</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cravero</LastName><ForeName>Cora</ForeName><Initials>C</Initials><Identifier Source="ORCID">0000-0002-8345-079X</Identifier><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Interdepartmental Mobile Unit for Complex Situations in Autism (UMI 75-92), Elan Retrouvé Foundation, 75009 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abbou</LastName><ForeName>Alice</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazda-Walter</LastName><ForeName>Brice</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bleibtreu</LastName><ForeName>Alexandre</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0001-5145-4174</Identifier><AffiliationInfo><Affiliation>Department of Infectious Diseases, Pitié-Salpêtrière Hospital, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pereirra</LastName><ForeName>Nathalie</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sainte-Marie</LastName><ForeName>Myriam</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cohen</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut des Systèmes Intelligents et Robotiques (ISIR), CNRS UMR 7222, Sorbonne Université, 75005 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giannitelli</LastName><ForeName>Marianna</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, APHP. Sorbonne Université, 75013 Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>J Clin Med</MedlineTA><NlmUniqueID>101606588</NlmUniqueID><ISSNLinking>2077-0383</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">autism</Keyword><Keyword MajorTopicYN="N">challenging behaviors</Keyword><Keyword MajorTopicYN="N">intellectual disability</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>08</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>09</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>16</Day><Hour>1</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32932951</ArticleId><ArticleId IdType="pii">jcm9092937</ArticleId><ArticleId IdType="doi">10.3390/jcm9092937</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Nollace, Leslie" sort="Nollace, Leslie" uniqKey="Nollace L" first="Leslie" last="Nollace">Leslie Nollace</name></region><name sortKey="Abbou, Alice" sort="Abbou, Alice" uniqKey="Abbou A" first="Alice" last="Abbou">Alice Abbou</name><name sortKey="Bleibtreu, Alexandre" sort="Bleibtreu, Alexandre" uniqKey="Bleibtreu A" first="Alexandre" last="Bleibtreu">Alexandre Bleibtreu</name><name sortKey="Cohen, David" sort="Cohen, David" uniqKey="Cohen D" first="David" last="Cohen">David Cohen</name><name sortKey="Cohen, David" sort="Cohen, David" uniqKey="Cohen D" first="David" last="Cohen">David Cohen</name><name sortKey="Cravero, Cora" sort="Cravero, Cora" uniqKey="Cravero C" first="Cora" last="Cravero">Cora Cravero</name><name sortKey="Cravero, Cora" sort="Cravero, Cora" uniqKey="Cravero C" first="Cora" last="Cravero">Cora Cravero</name><name sortKey="Giannitelli, Marianna" sort="Giannitelli, Marianna" uniqKey="Giannitelli M" first="Marianna" last="Giannitelli">Marianna Giannitelli</name><name sortKey="Mazda Walter, Brice" sort="Mazda Walter, Brice" uniqKey="Mazda Walter B" first="Brice" last="Mazda-Walter">Brice Mazda-Walter</name><name sortKey="Pereirra, Nathalie" sort="Pereirra, Nathalie" uniqKey="Pereirra N" first="Nathalie" last="Pereirra">Nathalie Pereirra</name><name sortKey="Sainte Marie, Myriam" sort="Sainte Marie, Myriam" uniqKey="Sainte Marie M" first="Myriam" last="Sainte-Marie">Myriam Sainte-Marie</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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