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Tytuł pozycji:

Management of neonates after postpartum discharge and all children in the ambulatory setting during the coronavirus disease 2019 (COVID-19) pandemic.

Tytuł :
Management of neonates after postpartum discharge and all children in the ambulatory setting during the coronavirus disease 2019 (COVID-19) pandemic.
Autorzy :
Harriel KL; aUniversity of Mississippi School of Medicine, Jackson, Mississippi bPediatric Infectious Diseases, Doernbercher Children's Hospital, Portland, Oregon cDepartment of Pediatrics, Indiana University Health, Bloomington, Indiana dKressly Pediatrics, Warrington, Pennsylvania eGeneral Pediatrics, Cohen Children's Medical Center, New Hyde Park, New York, USA.
Nolt D
Moore S
Kressly S
Bernstein HH
Pokaż więcej
Źródło :
Current opinion in pediatrics [Curr Opin Pediatr] 2020 Aug; Vol. 32 (4), pp. 610-618.
Typ publikacji :
Journal Article; Review
Język :
Imprint Name(s) :
Publication: Philadelphia, PA : Lippincott Williams and Wilkins
Original Publication: Philadelphia, PA : Current Science, c1989-
MeSH Terms :
Coronavirus Infections*/epidemiology
Coronavirus Infections*/prevention & control
Infant Care*/standards
Pandemics*/prevention & control
Patient Discharge*
Pneumonia, Viral*/epidemiology
Pneumonia, Viral*/prevention & control
Betacoronavirus ; Child ; Female ; Humans ; Infant, Newborn ; Postpartum Period
SCR Disease Name :
Entry Date(s) :
Date Created: 20200704 Date Completed: 20200728 Latest Revision: 20200728
Update Code :
PubMed Central ID :
Czasopismo naukowe
Purpose of Review: The present coronavirus disease 2019 (COVID-19) pandemic has created additional challenges with an increased number of presumed healthy, full-term newborns being discharged at 24 h after delivery. Short lengths of stay raise the possibility of mother-infant dyads being less ready for discharge, defined as at least one of the three informants (i.e., mother, pediatrician, and obstetrician) believing that either the mother and/or infant should stay longer than the proposed time of discharge. This public health crisis has reduced the number of in-person well child visits, negatively impacting vaccine receipt, and anticipatory guidance.
Recent Findings: Extra precautions should be taken during the transition period between postpartum discharge and follow-up in the ambulatory setting to ensure the safety of all patients and practice team members. This should include restructuring office flow by visit type and location, limiting in-person visits during well infant exams, instituting proper procedures for personal protective equipment and for cleaning of the office, expanding telehealth capabilities for care and education, and prioritizing universal vaccinations and routine well child screenings.
Summary: Based on current limited evidence, this report provides guidance for the postdischarge management of newborns born to mothers with confirmed or suspected disease in the ambulatory setting as well as prioritizing universal immunizations and routine well child screenings during the COVID-19 pandemic.

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