COVID-19 pandemic and challenges in pediatric gastroenterology practice

Jamal Kriem1, Riad Rahhal2

  • 1Department of Pediatrics, Central Michigan University/Covenant Medical Center, Saginaw, MI 48602, United States. jkriem@gmail.com.

Insights

The coronavirus pandemic challenges pediatric gastroenterology practices, impacting endoscopy safety and necessitating telehealth expansion. Adapting operations and prioritizing safety are crucial for patient and healthcare worker well-being.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Healthcare Management

Background:

  • The COVID-19 pandemic presents unprecedented challenges to pediatric gastroenterology practices.
  • Key challenges include performing aerosol-generating endoscopy procedures and ensuring safety measures.
  • Pediatric patients may not show severe COVID-19 symptoms, complicating screening.

Purpose of the Study:

  • To outline the challenges faced by pediatric gastroenterology during the COVID-19 pandemic.
  • To highlight the impact on endoscopy procedures and the need for safety protocols.
  • To discuss the rapid expansion and difficulties of telehealth services.

Main Methods:

  • Review of current practices and challenges in pediatric gastroenterology.
  • Analysis of safety measures for endoscopy procedures.
  • Assessment of telehealth implementation and associated issues.

Main Results:

  • Endoscopy procedures require longer turnaround times for disinfection and enhanced safety measures.
  • Survey-based screening is insufficient for identifying active COVID-19 infections in pediatric patients.
  • Telehealth services have rapidly expanded but face several difficulties.

Conclusions:

  • Pediatric gastroenterology practices must adapt to operational restrictions and embrace flexibility.
  • Maintaining a strong commitment to patient and healthcare worker safety is paramount.
  • Continuous adaptation is necessary to navigate the pandemic's impact on clinical operations.

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
139
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
289
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
4.3K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
130
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
297
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
554