Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic

Introduction: The novel coronavirus pandemic poses a challenge to healthcare systems’ balance. Since children apparently have milder disease courses, COVID-19 guidelines were not easily adapted to pediatrics. We intend to characterize how the national departments of pediatrics adapted to the pandemi...

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Autores principales:	Beatriz Simões Vala, Mariana Lopes Costa, Joana Aquino, Bilhota Xavier
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	child covid-19 health planning pandemic portugal quality in healthcare Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e88cb29cd440402ca81284da715998fd
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spelling	oai:doaj.org-article:e88cb29cd440402ca81284da715998fd2021-11-25T07:47:21ZDepartments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic2504-31372504-314510.1159/000519499https://doaj.org/article/e88cb29cd440402ca81284da715998fd2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519499https://doaj.org/toc/2504-3137https://doaj.org/toc/2504-3145Introduction: The novel coronavirus pandemic poses a challenge to healthcare systems’ balance. Since children apparently have milder disease courses, COVID-19 guidelines were not easily adapted to pediatrics. We intend to characterize how the national departments of pediatrics adapted to the pandemic at the beginning and describe the measures that were taken to protect healthcare workers. Methods: An unvalidated online questionnaire was sent to all departments of pediatrics directors of Portuguese public health system hospitals regarding course of actions taken between April and May 2020 to face the new coronavirus pandemic. Neonatology units were excluded. Results: Thirty-eight questionnaires were included (93% of public health system departments). All departments divided the pediatric emergency unit into non-COVID-19 and COVID-19 areas: 68% in different areas, 47% divided the same space with a physical barrier and 16% with a line on the floor. Healthcare workers were divided into non-COVID-19 and COVID-19 teams in 71% of the departments. Personal protective equipment mostly used in COVID-19 areas consisted of face shield/goggles (97%) and respirators (95%). Others wore surgical masks (8%). The main clinical criteria for testing were Direção-Geral da Saúde criteria (84%). Presential appointments were maintained in 68% of departments with selected follow-up (81%) and priority-first appointments (73%). Discussion: National departments of pediatrics faced the pandemic differently and measures taken in the emergency department were more similar. Personal protective equipment was adequate in all wards with occasional overuse, considering national and international guidelines.Beatriz Simões ValaMariana Lopes CostaJoana AquinoBilhota XavierKarger Publishersarticlechildcovid-19health planningpandemicportugalquality in healthcarePublic aspects of medicineRA1-1270ENPortuguese Journal of Public Health, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	child covid-19 health planning pandemic portugal quality in healthcare Public aspects of medicine RA1-1270
spellingShingle	child covid-19 health planning pandemic portugal quality in healthcare Public aspects of medicine RA1-1270 Beatriz Simões Vala Mariana Lopes Costa Joana Aquino Bilhota Xavier Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic
description	Introduction: The novel coronavirus pandemic poses a challenge to healthcare systems’ balance. Since children apparently have milder disease courses, COVID-19 guidelines were not easily adapted to pediatrics. We intend to characterize how the national departments of pediatrics adapted to the pandemic at the beginning and describe the measures that were taken to protect healthcare workers. Methods: An unvalidated online questionnaire was sent to all departments of pediatrics directors of Portuguese public health system hospitals regarding course of actions taken between April and May 2020 to face the new coronavirus pandemic. Neonatology units were excluded. Results: Thirty-eight questionnaires were included (93% of public health system departments). All departments divided the pediatric emergency unit into non-COVID-19 and COVID-19 areas: 68% in different areas, 47% divided the same space with a physical barrier and 16% with a line on the floor. Healthcare workers were divided into non-COVID-19 and COVID-19 teams in 71% of the departments. Personal protective equipment mostly used in COVID-19 areas consisted of face shield/goggles (97%) and respirators (95%). Others wore surgical masks (8%). The main clinical criteria for testing were Direção-Geral da Saúde criteria (84%). Presential appointments were maintained in 68% of departments with selected follow-up (81%) and priority-first appointments (73%). Discussion: National departments of pediatrics faced the pandemic differently and measures taken in the emergency department were more similar. Personal protective equipment was adequate in all wards with occasional overuse, considering national and international guidelines.
format	article
author	Beatriz Simões Vala Mariana Lopes Costa Joana Aquino Bilhota Xavier
author_facet	Beatriz Simões Vala Mariana Lopes Costa Joana Aquino Bilhota Xavier
author_sort	Beatriz Simões Vala
title	Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic
title_short	Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic
title_full	Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic
title_fullStr	Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic
title_full_unstemmed	Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic
title_sort	departments of pediatrics approach at the beginning of the covid-19 pandemic
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/e88cb29cd440402ca81284da715998fd
work_keys_str_mv	AT beatrizsimoesvala departmentsofpediatricsapproachatthebeginningofthecovid19pandemic AT marianalopescosta departmentsofpediatricsapproachatthebeginningofthecovid19pandemic AT joanaaquino departmentsofpediatricsapproachatthebeginningofthecovid19pandemic AT bilhotaxavier departmentsofpediatricsapproachatthebeginningofthecovid19pandemic
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Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic

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