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Title: Management strategies for children with COVID-19: ESPR practical recommendations
Authors: Raissaki, Maria
Shelmerdine, Susan C.
Damasio, Maria Beatrice
Toso, Seema
Kvist, Ola
Lovrenski, Jovan
Hirsch, Franz Wolfgang
Görkem, Süreyya Burcu
Paterson, Anne
Arthurs, Owen J.
Rossi, Andrea
van Schuppen, Joost
Petit, Philippe
Argyropoulou, Maria I.
Offiah, Amaka C.
Rosendahl, Karen
Caro-Domínguez, Pablo
metadata.dc.contributor.authoraffiliation: [Raissaki,M] Department of Radiology, University Hospital of Heraklion, University of Crete, Crete, Greece. [Shelmerdine,SC; Arthurs,OJ] Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK. [Shelmerdine,SC; Arthurs,OJ] UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK. [Shelmerdine,SC; Arthurs,OJ] NIHR Great Ormond Street Biomedical Research Centre, London, UK. [Damasio,MB] U.O.C. Radiologia, Istituto Giannina Gaslini, Genoa, Italy. [Toso,S] Department of Diagnostics, Geneva Children’s Hospitals, Geneva, Switzerland. [Kvist,O] Department of Pediatric Radiology, Karolinska University Hospital, Stockholm, Sweden. [Lovrenski,J] Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia. [Lovrenski,J] Institute for Children and Adolescent Health Care of Vojvodina, Novi Sad, Serbia. [Hirsch,FW] Department of Pediatric Radiology, University of Leipzig, Leipzig, Germany. [Görkem,SB] Paediatric Radiology Department, Erciyes University School of Medicine, Children’s Hospital, Kayseri, Turkey. [Paterson,A] Department of Radiology, Royal Belfast Hospital for Sick Children, Belfast, UK. [Rossi,A] Neuroradiology Unit, Istituto Giannina Gaslini, Genoa, Italy. [Rossi,A] Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy. [van Schuppen,J] Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands. [Petit,P] Service d’imagerie pédiatrique et prénatale, Aix Marseille University, Hôpital de La Timone-Enfants, Marseille, France. [Argyropoulou,MI] Department of Clinical Radiology and Imaging, Medical School, University Hospital of Ioannina, Ioannina, Greece. [Offiah,AC] Academic Unit of Child Health, University of Sheffield, Sheffield, UK. [Offiah,AC] Department of Radiology, Sheffield Children’s NHS Foundation Trust, Sheffield, UK. [Rosendahl,K] Department of Radiology, University Hospital of North Norway, Tromsø, Norway. [Rosendahl,K] Department of Clinical Medicine, UiT the Arctic University of Norway, Tromsø, Norway. [Caro-Domínguez,P] Unidad de Radiología Pediátrica, Servicio de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Keywords: Children;Coronavirus;COVID-19;Imaging protocol;Management;Radiology;Niños
metadata.dc.subject.mesh: Medical Subject Headings::Persons::Persons::Age Groups::Child
Medical Subject Headings::Diseases::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Radiology
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management
Medical Subject Headings::Persons::Persons::Age Groups::Adolescent
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Public Health Practice::Communicable Disease Control::Infection Control
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Pediatrics
Issue Date: 3-Jul-2020
Publisher: Springer Nature
Citation: Raissaki M, Shelmerdine SC, Damasio MB, Toso S, Kvist O, Lovrenski J, et al. Management strategies for children with COVID-19: ESPR practical recommendations. Pediatr Radiol. 2020 Aug;50(9):1313-1323.
Abstract: During the outbreak of the COVID-19 pandemic, guidelines have been issued by international, national and local authorities to address management and the need for preparedness. Children with COVID-19 differ from adults in that they are less often and less severely affected. Additional precautions required in the management of children address their increased radiosensitivity, need for accompanying carers, and methods for dealing with children in a mixed adult-paediatric institution. In this guidance document, our aim is to define a pragmatic strategy for imaging children with an emphasis on proven or suspected COVID-19 cases. Children suspected of COVID-19 should not be imaged routinely. Imaging should be performed only when expected to alter patient management, depending on symptoms, preexisting conditions and clinical evolution. In order to prevent disease transmission, it is important to manage the inpatient caseload effectively by triaging children and carers outside the hospital, re-scheduling nonurgent elective procedures and managing symptomatic children and carers as COVID-19 positive until proven otherwise. Within the imaging department one should consider conducting portable examinations with COVID-19 machines or arranging dedicated COVID-19 paediatric imaging sessions and performing routine nasopharyngeal swab testing before imaging under general anaesthesia. Finally, regular personal hygiene, appropriate usage of personal protective equipment, awareness of which procedures are considered aerosol generating and information on how to best disinfect imaging machinery after examinations should be highlighted to all staff members.
metadata.dc.identifier.doi: 10.1007/s00247-020-04749-3
ISSN: 0301-0449 (Print)
1432-1998 (Online)
Appears in Collections:01- Artículos - Hospital Virgen del Rocío

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