Article ; Online: International comparison of guidelines for managing neonates at the early phase of the SARS-CoV-2 pandemic.
2020 Volume 89, Issue 4, Page(s) 940–951
Abstract: ... of national and local protocols for managing neonates born to SARS-CoV-2-positive mothers.: Methods: Care ... of the pandemic, lack of evidence-based guidance on the management of neonates born to SARS-CoV-2-positive mothers ... on the management of neonates born to SARS-CoV-2-positive mothers. Data collection was between March 14 and 21, 2020 ...
| Abstract | Background: The COVID-19 pandemic threatens global newborn health. We describe the current state of national and local protocols for managing neonates born to SARS-CoV-2-positive mothers. Methods: Care providers from neonatal intensive care units on six continents exchanged and compared protocols on the management of neonates born to SARS-CoV-2-positive mothers. Data collection was between March 14 and 21, 2020. We focused on central protocol components, including triaging, hygiene precautions, management at delivery, feeding protocols, and visiting policies. Results: Data from 20 countries were available. Disease burden varied between countries at the time of analysis. In most countries, asymptomatic infants were allowed to stay with the mother and breastfeed with hygiene precautions. We detected discrepancies between national guidance in particular regarding triaging, use of personal protection equipment, viral testing, and visitor policies. Local protocols deviated from national guidance. Conclusions: At the start of the pandemic, lack of evidence-based guidance on the management of neonates born to SARS-CoV-2-positive mothers has led to ad hoc creation of national and local guidance. Compliance between collaborators to share and discuss protocols was excellent and may lead to more consensus on management, but future guidance should be built on high-level evidence, rather than expert consensus. Impact: At the rapid onset of the COVID19 pandemic, all countries presented protocols in place for managing infants at risk of COVID19, with a certain degree of variations among regions. A detailed review of ad hoc guidelines is presented, similarities and differences are highlighted. We provide a broad overview of currently applied recommendations highlighting the need for international context-relevant coordination. |
|---|---|
| MeSH term(s) | Breast Feeding ; COVID-19/epidemiology ; COVID-19/physiopathology ; COVID-19/therapy ; COVID-19/virology ; Female ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical/prevention & control ; Pandemics ; Practice Guidelines as Topic ; Pregnancy ; Pregnancy Complications, Infectious/physiopathology ; SARS-CoV-2/isolation & purification |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-06-15 |
| Publishing country | United States |
| Document type | Comparative Study ; Journal Article |
| ZDB-ID | 4411-8 |
| ISSN | 1530-0447 ; 0031-3998 |
| ISSN (online) | 1530-0447 |
| ISSN | 0031-3998 |
| DOI | 10.1038/s41390-020-0976-5 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 564: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
|||
| Zs.MO 373: Show issues |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.