Creation of a specific and separated pediatric intra-hospital pathway in primary level hospitals during the era of COVID-19 (original) (raw)
Related papers
Pediatric Reports, 2020
During the coronavirus disease of 2019 (COVID-19) emergency, in the pediatric surgical setting, it has been essential to avoid and contain infections as well as to protect both the patients and the surgical team. During this emergency, procedures and workflow were adapted to provide the safest possible environment for both the surgical team and the patients. Pediatric surgical activities were reorganized during the COVID-19 pandemic at the “Vittore Buzzi” Children’s Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), Italy. Resources were optimized in order to maintain high levels of care and quality of assistance. During the COVID-19 emergency, the pediatric surgical department at the “Vittore Buzzi” Children’s Hospital became an acute care surgical service. For the reorganization of surgical activities, institutional protocols were adapted in order to preserve the pediatric-specific characteristics of our service; five crucial points were specifica...
Changes in pediatric hospital care during the COVID-19 pandemic: a national qualitative study
BMC Health Services Research, 2021
Background The COVID-19 pandemic has necessitated rapid changes in healthcare delivery in the United States, including changes in the care of hospitalized children. The objectives of this study were to identify major changes in healthcare delivery for hospitalized children during the COVID-19 pandemic, identify lessons learned from these changes, and compare and contrast the experiences of children’s and community hospitals. Methods We purposefully sampled participants from both community and children’s hospitals serving pediatric patients in the six U.S. states with the highest COVID-19 hospitalization rates at the onset of the pandemic. We recruited 2–3 participants from each hospital (mix of administrators, front-line physicians, nurses, and parents/caregivers) for semi-structured interviews. We analyzed interview data using constant comparative methods to identify major themes. Results We interviewed 30 participants from 12 hospitals. Participants described how leaders rapidly d...
How pediatric resident’s life has changed during the COVID-19 pandemic
Italian Journal of Pediatrics, 2020
Since the World Health Organization declared Coronavirus Disease 2019 (COVID-19) a global pandemic, a few articles were published on the working experience of pediatric residents, especially from the most exposed countries worldwide. Pediatric residents continue to be essential pillars in managing and treating pediatric diseases and are currently fundamental health care providers for every ill patient, including children and adolescents with COVID-19. Although severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection is changing everyone’s life, this previously unknown disease can represent a training tool and a hard challenge for pediatric residents to improve their skills and take part in an ongoing process of knowledge.
European Journal of Preventive Medicine, 2020
The challenges of diagnosis of SARS-CoV2 infection in the paediatric population includes not only the mild nature of the disease, but the similarity in the symptomatology of the COVID-19 disease to common childhood illness, and the possibility that the infected children could be "silent transmitters" to the family members and health care workers [HCW]. The challenge raises the doubt on the level of preparedness, awareness of the child health facilities [HCF], and HCW in adopting measures at combatting the Coronavirus disease 2019 (COVID-19) pandemic. This study evaluated the preparedness and response of HCF and HCW in paediatric settings to the 2019-novel coronavirus pandemic. A cross-sectional study involving child HCF and HCW. An online tool was used to evaluate preparedness for the management of infectious disease outbreaks as typified by the COVID-19 Outbreak. The information collected included demographic characteristics of the health personnel providing care for children, infection control practices, knowledge, and preparedness for prevention of COVID-19. Data generated were analyzed using the SPSS version 23.0. A majority of respondents were medical doctors (89%), practicing for >5years (75%), and in public health care facilities (69%). A significant proportion of the health facilities had an infectious disease unit (68%) and policy on disease outbreak (60%) in place. 144 (96%) respondents knew SARS-CoV-2 was responsible for COVID-19 and the incubation period was an average of 2-14 days. Most of the respondents were aware that the disease could be with or without symptoms (86%), as well as mimic other childhood illnesses (93%). Most of the centres (55%) had fair policy strength towards combating the disease. IPC policies have been established in most paediatric facilities to combat the recurring threat of communicable disease outbreaks. There is a need for further scaling up of resources to address the COVID-19 pandemic.
BMJ Open
IntroductionThe emergence of COVID-19 has had a significant impact on hospital services, particularly care delivered to those in intensive care units (ICUs) and paediatric ICUs (PICUs) across the world. Although much has been written about healthcare delivery and the healthcare setting since COVID-19 began, to the authors’ knowledge, this is the first scoping review to investigate the organisation of care and changes implemented in PICUs during the COVID-19 pandemic. The aim is to conduct a scoping review of the literature to map out the existing studies about care delivery in PICUs during the COVID-19 pandemic and the changes made to the organisation of care in these units during the first 18 months of the pandemic. This review will also identify gaps in current knowledge in this area.Methods and analysisThis study will be guided by the Joanna Briggs Institute’s methodology for scoping reviews, using Arksey and O’Malley’s six-stage scoping review framework: (1) identifying the rese...
Nurse-led Field Hospital: A Novel Nursing Innovation During Covid-19 Pandemic
Acta Scientific Women's Health, 2022
The aim of the study: Description of the severe and critical clinical course of COVID-19 in children. Material and methods: There is descriptive, single-centered, cross sectional study with recruited of 16 children of severe and critical COVID-19 aged from 1 month till 17 years with hypoxic respiratory failure (8) and multisystem inflammatory syndrome in children (8). The study included of detailed information in period from the manifestation of the disease and hospitalization, the main clinical manifestations at admission to PICU, length of stay, comorbidity and outcomes. Results: Severe course and complications of SARS-CoV-2 infection among 16 children for the one year cross period were reported. Comorbid conditions were noted in 62.5% children. The two deceased children had only anemia, which was not diagnosed before admission. The underlying conditions were: mental retardation, epilepsy, severe obesity, congenital brain malformations, cerebral palsy, congenital heart diseases, anemic, bronchopulmonary dysplasia, adrenoleukodystrophy, Down syndrome and subinfections such as acute herpetic encephalitis, salmonellosis, chronic hepatitis B. Four children have died due to acute respiratory failure (3) and pulmonary thrombosis (1). Indicators of activity of inflammation and coagulopathy did not differ in them from children who survived. Conclusions: Different comorbid states are associated with severe COVID-19 in children, but the data on specific conditions is limited. Knowledge of comorbid conditions in children that increase the risk of severe or critical course of COVID-19 allows to define the optimum measures of epidemiological control in such children and to modulate the therapy from the onset of the infectious disease. Children without underlying medical conditions may develop severe and critical COVID-19 and require additional supervision or medical attention. More clinical research should be done on pediatric population with critical and severe SARS-CoV-2 infection in other countries.
Journal of Pediatric Infection
Objective: In the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and Methods: A survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: Among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n= 4457) received education on...