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Management strategies for children with COVID-19: ESPR practical recommendations
Maria Raissaki1, Susan C Shelmerdine2,3,4, Maria Beatrice Damasio5
1Department of Radiology, University Hospital of Heraklion, University of Crete, Crete, Greece.
Pediatric Radiology
|July 5, 2020
Summary
Pediatric imaging for COVID-19 (Coronavirus Disease 2019) should be selective, performed only when it impacts patient management. This strategy minimizes exposure risks for children and healthcare workers during the pandemic.
Area of Science:
- Pediatric Radiology
- Infectious Diseases
- Public Health
Background:
- COVID-19 (Coronavirus Disease 2019) pandemic necessitates updated guidelines for pediatric patient management.
- Children with COVID-19 present differently than adults, often with less severe symptoms.
- Unique considerations for pediatric imaging include radiosensitivity, need for carers, and mixed-care facilities.
Purpose of the Study:
- To establish a pragmatic imaging strategy for pediatric patients with suspected or confirmed COVID-19.
- To guide clinical decision-making regarding the necessity of imaging in children during the pandemic.
Main Methods:
- Emphasized a selective imaging approach, avoiding routine scans for suspected pediatric COVID-19 cases.
- Recommended imaging only when it is expected to alter patient management based on clinical factors.
- Advocated for effective inpatient caseload management, including triage, rescheduling, and treating symptomatic individuals as positive until proven otherwise.
Main Results:
- Routine imaging for children with suspected COVID-19 is discouraged.
- Imaging decisions should be based on clinical presentation, pre-existing conditions, and disease progression.
- Implementation of infection control measures within imaging departments is crucial.
Conclusions:
- A selective imaging strategy is vital for pediatric COVID-19 management.
- Prioritizing patient safety and infection control is paramount.
- Adherence to hygiene, personal protective equipment (PPE) use, and equipment disinfection is essential for healthcare staff.
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