Point of view of the Italians pediatric scientific societies about the pediatric care during the COVID-19 lockdown: what has changed and future prospects for restarting

Italian Journal of Pediatrics

Federica Zanetto¹  Marco Zecca²  Riccardo Lubrano³  Silvia Bloise³  Monica Malamisura⁴  Gian Luigi Marseglia⁵  Roberto Formigari⁶  Mario Lima⁷  Claudio Maffei⁸  Paolo Lionetti⁹  Guido Castelli Gattinara^1,10  Giuseppe Zampino^1,11  Gabriella Pozzobon^1,12  Licia Peruzzi^1,13  Fabio Mosca^1,14  Emilio Franzoni^1,15  Antonella Costantino^1,16  Enrica Riva^1,17  Antonio Memeo^1,18  Stefano Berrettini^1,19  Alberto Chiara^2,20  Alberto Villani^2,21  Giovanna Perricone^2,22  Giantonio Manzoni^2,23  Paolo Caione^2,24  Arturo Giustardi^2,25  Giorgio Piacentini^2,26  Giancarlo La Marca^2,27  Simonetta Tesoro^2,28 

[1] Associazione Culturale Pediatri, Narbolia, Italy;Associazione Italiana di Ematologia e Oncologia Pediatrica, Rome, Italy;Federazione Italiana delle Associazioni e Società Scientifiche dell’Area Pediatrica e Società Italiana di Emergenza Urgenza Pediatrica, Rome, Italy;Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia, Ospedale Santa Maria Goretti, Polo di Latina, Latina, Italy;Osservatorio Nazionale Specializzandi in Pediatria, Rome, Italy;Società Italiana di Allergologia e Immunologia Pediatrica, Milan, Italy;Società Italiana di Cardiologia Pediatrica e delle Cardiopatie Congenite, Firenze, Italy;Società Italiana di Chirurgia Pediatriaca, Milan, Italy;Società Italiana di Endocrinologia e Diabetologia Pediatrica, Ferrara, Italy;Società Italiana di Gastroenterologia Epatologia e Nutrizione Pediatrica, Milan, Italy;Società Italiana di Infettivologia Pediatrica, Milan, Italy;Società Italiana di Malattie Genetiche Pediatriche e Disabilità, Rome, Italy;Società Italiana di Medicina dell’Adolescenza, Rome, Italy;Società Italiana di Nefrologia Pediatrica, Milan, Italy;Società Italiana di Neonatologia, Rome, Italy;Società Italiana di Neurologia Pediatrica, Milan, Italy;Società Italiana di Neuropsichiatria dell’Infanzia e dell’Adolescenza, Milan, Italy;Società Italiana di Nutrizione Pediatrica, Milan, Italy;Società Italiana di Ortopedia e Traumatologia Pediatrica, Rome, Italy;Società Italiana di Otorinolaringologia Pediatrica, Rome, Italy;Società Italiana di Pediatria Ospedaliera, Milan, Italy;Società Italiana di Pediatria, Rome, Italy;Società Italiana di Psicologia Pediatrica, Rome, Italy;Società Italiana di Urologia Pediatrica, Rome, Italy;Società Italiana di Videochirurgia Infantile, Rome, Italy;Società Italiana per la Care in Perinatologia, Milan, Italy;Società Italiana per le Malattie Respiratorie Infantili, Rome, Italy;Società Italiana per lo Studio delle Malattie Metaboliche Ereditarie e lo Screening neonatale, Milan, Italy;Società di Anestesia e Rianimazione Neonatale e Pediatrica Italiana, Rome, Italy;

关键词: COVID-19;    Pediatric assistance;    Children;    Telemedicine;   

DOI  :  10.1186/s13052-020-00907-3

来源: Springer

【 摘 要 】

BackgroundThe coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting.MethodsWe involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment.ResultsThe analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians.ConclusionsOur study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.

【 授权许可】

CC BY