对残疾儿童和医疗复杂性的SARS-CoV-2检测的建议
Michael Gemmell1, Michael R Sherby1, Tyler J Walsh1
1Washington University in St Louis, St Louis, Missouri.
Pediatrics
|July 2, 2023
概括
在学校为弱势儿童实施严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 测试具有挑战性. 与护理人员和管理人员建立信任是成功测试计划和保持学校开放的关键.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 特殊教育 特殊教育
背景情况:
- 患有医疗复杂性和智力/发育障碍 (IDD) 的儿童需要亲自上学.
- 这些儿童面临2019年新冠病毒病 (COVID-19) 严重后果的高风险.
研究的目的:
- 评估COVID-19大流行期间学校对脆弱儿童的严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 测试策略.
- 确定实施基于学校的测试计划的障碍和促进者.
主要方法:
- 在美国三个地点为员工和学生实施了SARS-CoV-2测试.
- 评估了各种测试策略:样本来源 (鼻/唾液),测试类型 (PCR/抗原) 和测试频率/类型 (查/诊断).
主要成果:
- 护理人员的参与和法定监护权问题是测试的重大障碍.
- 测试策略和社区传播的变化导致了犹和不一致的参与.
- 与学校管理人员和监护人建立信任关系对于计划的成功至关重要.
结论:
- 基于学校的SARS-CoV-2测试计划需要与学校工作人员和监护人的强有力的合作伙伴关系.
- 从COVID-19中吸取的教训可以为脆弱的学生群体提供未来的流行病准备信息.
- 需要持续努力,以确保所有儿童的安全面对面学习环境.
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