CC BY 2.0
Guidance for paediatric emergency departments/rooms and departments of paediatrics on the management of a child suspected of or diagnosed with COVID-19
1
National Consultant in the field of Paediatrics, Polish Paediatric Society, Department of Paediatrics, Medical Centre
of Postgraduate Education, Warsaw, Poland
2
President of the Expert Advisory Panel for Children Suspected or Infected with SARS-CoV-2 of the National Consultant
in the field of Infectious Diseases, Department of Paediatric Infectious Diseases, Medical University of Warsaw, Warsaw,
Poland
3
President of the Polish Paediatric Society, Department of Paediatrics, Paediatric Oncology, and Immunology, Pomeranian
Medical University, Szczecin, Poland
Submission date: 2020-06-02
Acceptance date: 2020-06-16
Publication date: 2020-07-10
Pediatr Pol 2020;95(2):65-72
KEYWORDS
TOPICS
ABSTRACT
The presented guidance describes the basic principles of the management of children admitted to the emergency department (ED), emergency room (ER), or hospital diagnosed or not with COVID-19. This guidance is based on the literature review conducted and is valid at the date of issue. It may evolve over time as our knowledge about the infection increases. The majority of children will develop mild symptoms from the infection. In addition, the majority of children will not have any breathing problems.
Current experience suggests that the department of paediatrics will not be involved in the frontline fight against coronavirus. However, we will play a crucial role in that fight, and so we should remember and plan our actions well.
Current experience suggests that the department of paediatrics will not be involved in the frontline fight against coronavirus. However, we will play a crucial role in that fight, and so we should remember and plan our actions well.
REFERENCES (23)
1.
Lu H, Stratton CW, Tang YW. Outbreak of Pneumonia of Unknown Etiology in Wuhan China: The Mystery and the Miracle. J Med Virol 2020; 92: 401-402.
2.
Du Z, Wang L, Cauchemez S, et al. Risk for transportation of 2019 novel coronavirus disease from Wuhan to other cities in China. Emerg Infect Dis 2020; 26: 1049-1052.
3.
Kupferschmidt K, Cohen J. Can China’s COVID-19 strategy work elsewhere? Science 2020; 367: 1061-1062.
5.
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497-506.
6.
Xu Z, Shi L, Wang Y, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 2020; 8: 420-422.
7.
Chan JFW, Yuan S, Kok KH, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020; 395: 514-523.
8.
Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020; 382: 1199-1207.
9.
Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalised patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA 2020; 323: 1061-106.
10.
Xu Y, Li X, Zhu B, et al. Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding. Nat Med 2020; 26: 502-505.
11.
Wei M, Yuan J, Liu Y, et al. Novel Coronavirus Infection in Hospitalised Infants Under 1 Year of Age in China. JAMA 2020; 323: 1313-1314.
12.
Xia W, Shao J, Guo Y, et al. Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatr Pulmonol 2020; 55: 1169-1174.
13.
Chang D, Lin M, Wei L et al. Epidemiologic and Clinical Characteristics of Novel Coronavirus Infections Involving 13 Patients Outside Wuhan, China. JAMA 2020; 323: 1092-1093.
14.
Wei WE, Li Z, Chiew CJ, at al. Presymptomatic Transmission of SARS-CoV-2 – Singapore, 23 January–16 March 2020. MMWR Morb Mortal Wkly Rep 2020; 69: 411-415.
15.
Sohrabi C, Alsafi Z, O’Neill N, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg 2020; 76: 71-76.
16.
Rozporządzenie Ministra Zdrowia z dnia 13 marca 2020 r. w sprawie ogłoszenia na obszarze Rzeczypospolitej Polskiej stanu zagrożenia epidemicznego (Dz.U. z 2020 r. poz. 433).
17.
Rozporządzenie Ministra Zdrowia z dnia 20 marca 2020 r. w sprawie ogłoszenia na obszarze Rzeczypospolitej Polskiej stanu epidemii (Dz.U. z 2020 r. poz. 491).
18.
Sinha I, Alder Hey Children’s Hospital. Guidance for the clinical management of children admitted to hospital with proven COVID-19. https://alderhey.nhs.uk/applic..._ GUIDANCE_v1.pdf. (access: 28.03–1.04.2020).
19.
Clinical guide for the management of paediatric patients during the coronavirus pandemic. 16 March 2020, Version 1. https://www.england.nhs.uk/cor... (access: 28.03–1.04.2020).
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
