Alcalá Minagorre Pedro J, Villalobos Pinto Enrique, Ramos Fernández José Miguel, Rodríguez-Fernández Rosa, Vázquez Ronco Miguel, Escosa-García Luis, Montiano Jorge Juan Ignacio, García García Juan José
Unidad de Hospitalización Pediátrica, Hospital General Universitario de Alicante, Alicante, España.
Servicio de Pediatría, Hospital Niño Jesús, Madrid, España.
An Pediatr (Engl Ed). 2020 Nov;93(5):343.e1-343.e8. doi: 10.1016/j.anpedi.2020.06.004. Epub 2020 Jun 19.
SARS-CoV-2 pandemic dimension has affected the Hospital Pediatrics Medicine assistance in our country. New challenges generated by COVID-19 require a series of proactive measures, based on existing scientific knowledge and standards of good practice, that allow the Pediatric Hospital services readiness and operability. Hospital Internal Pediatrics, as responsible of integral care of the hospitalized child, plays a leading role in the new hospital model emerging from this crisis. This review analyzes the impact of the current SARS-CoV-2 epidemic on pediatric care, and perspective of new COVID-19 outbreaks in coexistence with other viral infections. Changes secondary to pandemic involved in Hospital Pediatric units, how to prepare for future epidemics, also the involvement of pediatric units in adult care and the possible opportunities for improvement need to be revised. Assistance of patients with chronic complex conditions in epidemic circumstances, safety aspects, opportunities for teaching and ethical considerations are reviewed. The Spanish Society of Hospital Pediatrics Medicine offers with this article a series of resources for Internal Pediatric Medicine practitioners responsible to face next challenges in pediatric hospitalization units.
新型冠状病毒肺炎疫情规模对我国医院儿科医疗服务产生了影响。新冠疫情带来的新挑战需要一系列基于现有科学知识和良好实践标准的积极措施，以确保儿科医院服务随时可用并可正常运行。医院儿科作为住院儿童综合护理的责任科室，在这场危机中涌现出的新医院模式中发挥着主导作用。本综述分析了当前新冠病毒疫情对儿科护理的影响，以及新冠疫情与其他病毒感染共存时新疫情爆发的前景。需要审视医院儿科病房因疫情而产生的变化、如何为未来疫情做准备、儿科病房参与成人护理的情况以及可能的改进机会。还将审视疫情期间慢性复杂病症患者的护理、安全方面、教学机会和伦理考量。西班牙医院儿科学会通过本文为负责应对儿科住院病房未来挑战的儿科内科医生提供了一系列资源。
