2021, Number 3
Triage and the route of care for pediatric patients in times of Covid-19, Pinar del Rio
Language: Spanish
References: 15
Page: 1-8
PDF size: 569.22 Kb.
ABSTRACT
Introduction: in the framework of Covid-19 pandemic the structured triage is an indispensable element to prioritize and define the route of care, guaranteeing a timely assistance which could reduce the exposure of the healthcare personnel and consequently, the spreading of the disease.Objective: to establish recommendations for the triage and to determine the route of care for pediatric patients attending Pepe Portilla Pediatric Teaching Hospital in the context of Covid-19 pandemic.
Development: particularities in the route of care are introduced considering the pediatric triage, structured by means of the assessment of the triangle used for pediatric evaluation; in addition to the definition for a suspected case of Covid-19, as a basic process for the preliminary-clinical-evaluation in emergency services and establishing two flows of patients: flow 1- suspected case of Covid-19 and flow 2- not suspected case of Covid-19.
Conclusions: the recommendations described are general and each hospital, depending on its characteristics, should decide the most favorable organization to guarantee a care of quality along with the safety of inpatients and outpatients.
REFERENCES
Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA[Internet]. 2020 [citado 28/02/2021]; 323(13): 1-4 Disponible en: Disponible en: https://www.semanticscholar.org/paper/Characteristics-of-and-Important-Lessons-From-the-a-Wu-McGoogan/97881c6577c310f50fc86738c0268896b970dfa4
Jiehao C, Jin X, Daojiong L, Zhi Y, Lei X, Zhenghai Q, et al. A case series of children with 2019 novel Coronavirus infection: Clinical and epidemiological features. Clin Infect Dis. [Internet]. 2020 [citado 28/02/2021]; 71(6): 1547-51. Disponible en: Disponible en: https://academic.oup.com/cid/article/71/6/1547/5766430
Wuhan Union Hospital, Huazhon University et all. Care of Pediatric Patients during COVID-19 Pandemic. Wuhan United “Living Through a Pandemic” Series 4. [Internet]. 2020 [citado 28/02/2021]. Disponible en: Disponible en: http://hcpnutramigenhusky-dev.eu-west-1.elasticbeanstalk.com/media/1016/slides-for-care-of-pediatric-patients-during-covid-19-pandemic-04042020.pdf
Actualización de las recomendaciones de la OMS para el uso de mascarillas en el contexto de la COVID-19, tanto en la comunidad como en los centros sanitarios y en la atención domiciliaria - semFYC [Internet]. Semfyc.es.2020 [citado 28/02/2021]. Disponible en: Disponible en: https://www.semfyc.es/grupos/actualizacion-de-las-recomendaciones-de-la-oms-para-el-uso-de-mascarillas-en-el-contexto-de-la-covid-19-tanto-en-la-comunidad-como-en-los-centros-sanitarios-y-en-la-atencion-domiciliaria/
Recomendaciones de la SEUP sobre la organización de la asistencia en Urgencias Pediátricas en relación con la infección por SARS-CoV-2 [Internet]. Aeped.es. 2020 [citado 28/02/2021]. Disponible en: Disponible en: https://www.aeped.es/noticias/recomendaciones-seup-sobre-organizacion-asistencia-en-urgencias-pediatricas-en-relacion-con
Documento de manejo clínico del paciente pediátrico y pacientes de riesgo con infección por SARS-CoV2 [Internet]. Aeped.es. 2020 [citado 28/02/2021]. Disponible en: Disponible en: https://www.aeped.es/noticias/documento-manejo-clinico-paciente-pediatrico-y-pacientes-riesgo-con-infeccion-por-sars-cov2
García-Salido A, Antón J, Martínez-Pajares JD, Giralt Garcia G, Gómez Cortés B, Tagarro A, et al. Documento español de consenso sobre diagnóstico, estabilización y tratamiento del síndrome inflamatorio multisistémico pediátrico vinculado a SARS-CoV-2 (SIM-PedS). An Pediatr (Barc). [Internet]. 2021[citado 28/02/2021]; 94(2): 116.e1-116.e11 Disponible en: Disponible en: https://www.analesdepediatria.org/es-pdf-S1695403320304197
Fernández Arribas JL. Aproximación y estabilización inicial del niño enfermo o accidentado. Triángulo de evaluación pediátrica. ABCDE. Protoc diagn ter pediatr. [Internet]. 2020 [citado 28/02/2021]; 1: 15-26. Disponible en: Disponible en: https://www.aeped.es/sites/default/files/documentos/02_tep_abcde.pdf