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Management experience of a designated hospital for children with coronavirus disease 2019
Jian-Guo Zhou1, Qiao-Ling Fan, Chun-Mei Lu1
1Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China.
Insights
During Shanghai's 2022 COVID-19 outbreak, Omicron variants led to more pediatric cases. Renji Hospital managed 871 children, mostly mild, under 3, sharing valuable pediatric COVID-19 management experience.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic challenged traditional healthcare models.
- Omicron variants caused a surge in pediatric COVID-19 cases in Shanghai (March-May 2022).
- Designated pediatric COVID-19 hospitals bridged specialized and temporary care facilities.
Purpose of the Study:
- To report the management experience of pediatric COVID-19 cases at a designated hospital during the Shanghai outbreak.
- To detail strategies for handling a large volume of pediatric COVID-19 patients.
Main Methods:
- Admission of 871 pediatric COVID-19 patients to Renji Hospital (April 7-June 2, 2022).
- Implementation of an optimal admission process, multidisciplinary standardized diagnosis and treatment.
- Optimization of severe case management, family-centered nursing, and Traditional Chinese Medicine (TCM) regimens.
- Streamlined discharge processes, strict infection control, and structured medical record systems.
- Utilization of information platforms for managing high-volume cases and conducting research.
Main Results:
- 871 pediatric COVID-19 cases admitted; 65.2% were under 3 years old.
- 99.9% of cases were mild or moderate; only 1 severe case was reported.
- Successful implementation of various management strategies, including infection control and specialized care.
Conclusions:
- Effective management of pediatric COVID-19 requires optimized processes, multidisciplinary care, and family-centered approaches.
- The experience highlights the importance of adaptable healthcare systems for handling large-scale infectious disease outbreaks in children.
- Sharing management strategies is crucial for improving pediatric COVID-19 care globally.
Abstract:
The global pandemic of coronavirus disease 2019 (COVID-19) has brought great challenges to the traditional medical model. During the outbreak of COVID-19 in Shanghai, China, from March to May, 2022, there was a significant increase in the number of pediatric cases due to high transmissibility, immune escape, and vaccine breakthrough capacity of Omicron variants. The designated hospitals for children with COVID-19 served as a connecting link between children's specialized hospitals and mobile cabin hospitals. From April 7 to June 2, 2022, a total of 871 children with COVID-19 were admitted to Renji Hospital, Shanghai Jiao Tong University School of Medicine (South Branch), a designated hospital for children with COVID-19. Among these patients, 568 (65.2%) were children under 3 years old, 870 (99.9%) were mild or moderate, and 1 was severe. This article reports the experience in the management of pediatric cases in this designated hospital, which included the following aspects: establishing an optimal case-admission process; strengthening multidisciplinary standardized diagnosis and treatment; optimizing the management, warning, and rescue system for severe COVID-19; implementing family-centered nursing care; formulating an individualized traditional Chinese medicine treatment regimen; optimizing the discharge process and strengthening bed turnover; implementing strict whole-process control to reduce the risk of nosocomial infection; constructing a structured medical record system and using information platforms to adapt to the work mode of large-volume cases; conducting scientific research and sharing the experience in diagnosis and treatment.
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