Consensus recommendations for the care of children receiving chronic dialysis in association with the COVID-19 epidemic

Shen, Qian; Wang, Mo; Che, Ruochen; Li, Qiu; Zhou, Jianhua; Wang, Fang; Shen, Ying; Ding, Jie; Huang, Songming; Yap, Hui-Kim; Warady, Bradley A.; Xu, Hong; Zhang, Aihua

doi:10.1007/s00467-020-04555-x

Cited by 29 publications

(98 citation statements)

References 8 publications

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“…The ward managers need to assign medical staff to isolation wards according to national standards 14 26 or to the severity of patients' conditions 31 to ensure adequate human resources. 34 Thus, to ensure adequate rest 34 for staff, rotation every half month 26 31 or 1 month 20 is recommended. In addition, it was suggested that the managers relay the latest knowledge of COVID-19 34 and disease-related nosocomial infection prevention and control training 14 21 26 to all medical staff.…”

Section: Discussionmentioning

confidence: 99%

“…Level II protection is required in special departments, such as the infectious disease department 10 and the in-centre haemodialysis department. 34 Special procedures: personal protection management 11. For personal protection management during special procedures that could produce aerosols, no less than level II protection 10 14 20 25 38 or perhaps level III protection 15 chlorine-containing solution should be used to spray the outside of waste bags, 14-16 20 and disinfection should be performed for >10 min 14-16 20 before transport.…”

Section: Content Summary and Analysismentioning

confidence: 99%

“…Medical staff should be provided to isolation wards according to national standards 14 26 or to the severity of patients' conditions 31 to ensure adequate human resources. 34…”

Section: Content Summary and Analysismentioning

confidence: 99%

“…month 26 31 or 1 month 20 is needed to ensure adequate rest for staff. 34 3. All medical staff should be trained in the latest knowledge of COVID-19, 34 disease-related nosocomial infection prevention and control, 14 21 26 and psychological crisis intervention.…”

Section: Rotation Of Medical Staff In Isolation Wards Every Halfmentioning

confidence: 99%

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Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses

et al. 2020

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ObjectivesRelevant guidelines and consensuses for COVID-19 contain recommendations aimed at optimising the management in paediatric wards. The goal of this study was to determine the quality of those recommendations and provide suggestions to hospital managers for the adjustment of existing hospital prevention and control strategies, and also to offer recommendations for further research.DesignA rapid review of the guidelines and consensuses for the management in paediatric wards facing COVID-19.MethodsPubMed, EMBASE, the Cochrane Library, UpToDate, China National Knowledge Infrastructure, the Wanfang database and relevant websites such as medlive.cn, dxy.cn, the National Health and Health Commission and the China Center for Disease Control and Prevention were systematically searched through late May 2020. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool was then used to assess the quality of the selected articles and summarise the relevant evidence concerning management in paediatric wards.ResultsA total of 35 articles were included, composed of 3 consensus guidelines, 25 expert consensuses and 7 expert opinions. Of the 35 papers, 24 were from China, 2 from the USA, 1 from Spain, 1 from Brazil, 1 from Saudi Arabia and 6 from multinational cooperative studies. Scores for the six domains of the AGREE II tool (scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability and editorial independence) were 98.57%, 53.57%, 17.92%, 69.62%, 26.96% and 50.35%, respectively. Recommendations for nosocomial infection and control, human resource management as well as management of paediatric patients and their families were summarised.ConclusionsDue to the outbreak of COVID-19, the quality of rapid guidelines and consensuses for the management in paediatric wards affected by COVID-19 is unsatisfactory. In the future, it will be necessary to develop more high-quality guidelines or consensuses for the management in paediatric wards to deal with nosocomial outbreaks in order to fully prepare for emergency medical and health problems.

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Section: Discussionmentioning

confidence: 99%

Section: Content Summary and Analysismentioning

confidence: 99%

“…Medical staff should be provided to isolation wards according to national standards 14 26 or to the severity of patients' conditions 31 to ensure adequate human resources. 34…”

Section: Content Summary and Analysismentioning

confidence: 99%

Section: Rotation Of Medical Staff In Isolation Wards Every Halfmentioning

confidence: 99%

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Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses

et al. 2020

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“…While most studies of COVID-19 in children have found an increased rate of hospitalisation and intensive care unit (ICU) admission in children with comorbidities [5,13,14], some studies did not nd a difference in admission rates in children with underlying chronic health conditions [15]. It has been hypothesised that children with chronic kidney disease have an elevated risk for the acquisition of COVID-19 due to their immunocompromised state and frequent exposure to the hospital setting [16]. While an increased rate of Kawasaki-like multi-system in ammatory disease has been reported among children with COVID-19 [17], it is still unclear if patients with immunode ciency or immunomodulatory treatment are at higher risk.…”

Section: Introductionmentioning

confidence: 99%

Infection Control and Management of COVID-19: Challenges for Paediatric Tertiary Care Hospitals

Remppis¹,

Ganzenmueller²,

Vasconcelos³

et al. 2020

Preprint

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PURPOSE: To describe infection control measures and patient management at a tertiary children’s hospital in southern Germany during the COVID-19 pandemic.METHODS: Prospective, observational study of infection control measures, patient management, clinical and virologic data of paediatric patients treated at our hospital during the COVID-19 pandemic from February to May 2020. Infection control measures were documented beginning with preparation for the pandemic. All paediatric patients with suspected SARS-CoV-2 infection were prospectively included in the study.RESULTS: With local triage, restraint of patient admission and testing strategies implemented, healthcare capacity remained adequate and no healthcare-associated infections occurred. Workload in the paediatric emergency department significantly decreased following the lockdown of schools and kindergartens. 7 of 174 (4%) children with and 2 of 208 (1%) children without typical symptoms, respectively, were diagnosed with COVID-19 by PCR. Six out of nine inpatients treated for COVID-19 had underlying comorbidities, two were admitted to the intensive care unit. One patient died shortly after discharge.CONCLUSIONS: While COVID-19 generally causes mild disease in children, severe illness and fatal cases may occur, particularly among children with underlying diseases. Tertiary children’s hospitals may face challenges with treating potential high-risk patients during the pandemic. Thus, timely establishment of effective testing and triage strategies is crucial.

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Kidney implications of SARS-CoV2 infection in children

et al. 2021

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Research indicates that severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infection can impact every organ, and the effects can range from asymptomatic to severe disease. Since it was first discovered in December 2019, our understanding has grown about its impact on kidney disease. In general, children have less severe disease than adults, and this tendency appears to extend to special pediatric kidney populations (e.g., chronic kidney disease and immunosuppressed patients with solid organ transplants or nephrotic syndrome). However, in a fraction of infected children, SARS-CoV2 causes an array of kidney manifestations, ranging from acute kidney injury to thrombotic microangiopathy, with potential implications for increased risk of morbidity and mortality. Additional considerations surround the propensity for clotting extracorporeal circuits in children with SARS-CoV2 infection that are receiving kidney replacement therapy. This review provides an update on our current understanding of SARS-CoV2 for pediatric nephrologists and highlights knowledge gaps to be addressed by future research during this ongoing pandemic, particularly the social disparities magnified during this period.

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Consensus recommendations for the care of children receiving chronic dialysis in association with the COVID-19 epidemic

Cited by 29 publications

References 8 publications

Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses

Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses

Infection Control and Management of COVID-19: Challenges for Paediatric Tertiary Care Hospitals

Kidney implications of SARS-CoV2 infection in children

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