Impact of novel coronavirus Disease-19 (COVID-19) pandemic in Italian pediatric emergency departments: a national survey

Ital J Pediatr. 2021 Mar 3;47(1):47. doi: 10.1186/s13052-021-00996-8.

Abstract

Background: Coronavirus Disease-19 (COVID-19) has rapidly become a pandemic emergency, distressing health systems in each affected country. Preparation strategies for managing this pandemic have been keys to face the COVID-19 surge all over the world and all levels of care.

Materials and methods: During the epidemic, the Italian society of pediatric emergency-urgency (SIMEUP) promoted a national survey aiming to evaluate preparedness and response of pediatric emergency departments (PED) critical in ensuring optimal management of COVID-19 cases.

Results: Our results suggest that Italian PED have promptly set a proactive approach to the present emergency. 98.9% of the hospitals have defined special pathways and assistive protocols concerning the management of pediatric COVID-19 cases. The highest percentage of application of the measures for preventive and protective for COVID-19 concerned the use of personal protective equipments.

Conclusions: Results show that the following measures for pediatric patients, admitted in PED, have been promptly implemented throughout the whole country: eg. use of protective devices, pre-triage of patients accessing the hospital. Despite COVID-19 being a new threat, we have shown that by developing an easy-to-follow decision algorithm and clear plans for the interventional platform teams, we can ensure optimal health care workers and patients' safety.

Keywords: COVID-19; Healthcare workers; Pediatric emergency; Personal protective equipment.

Publication types

  • Observational Study

MeSH terms

  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • COVID-19 / transmission
  • Child
  • Clinical Protocols
  • Emergency Service, Hospital / organization & administration*
  • Hospitalization
  • Humans
  • Infection Control / organization & administration*
  • Italy
  • Pediatric Emergency Medicine / organization & administration*
  • Personal Protective Equipment
  • Surveys and Questionnaires
  • Triage / organization & administration