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新型冠状病毒肺炎大流行期间新生儿重症监护病房的作用:儿科学科的建议

Role of a Neonatal Intensive Care Unit during the COVID-19 Pandemia: recommendations from the neonatology discipline.

作者信息

Carvalho Werther Brunow de, Gibelli Maria Augusta Bento Cicaroni, Krebs Vera Lucia Jornada, Tragante Carla Regina, Perondi Maria Beatriz Moliterno

机构信息

Departamento de Pediatria, Faculdade de Medicina, Universidade de São Paulo, SP, Brasil.

Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, SP, Brasil.

出版信息

Rev Assoc Med Bras (1992). 2020 Jul;66(7):894-897. doi: 10.1590/1806-9282.66.7.894. Epub 2020 Aug 24.

Abstract

On 11th March 2020, the World Health Organization (WHO) declared the COVID-19 a pandemic. The Obstetrics and Neonatology disciplines needed to be revised to suit the institutional need to expand intensive care beds to care for confirmed or suspected patients with COVID-19 in the state of São Paulo, following the recommendations of the Institutional Crisis Committee. Three different actions were needed: the structuring of teams and advanced medical post to attend COVID-19-free patients and those with suspect or confirmed COVID-19; elaborating the protocols from the delivery room throughout hospitalization. Some special considerations about breastfeeding and rooming-in were needed. The third action was the drafting of a protocol to admit infants from other hospitals with confirmed COVID-19 as the unit never admitted outpatients before.

摘要

2020年3月11日,世界卫生组织(WHO)宣布新型冠状病毒肺炎(COVID-19)为大流行病。根据机构危机委员会的建议,圣保罗州的产科和新生儿科需要进行修订,以满足机构扩大重症监护床位的需求,用于护理确诊或疑似COVID-19患者。需要采取三项不同行动:组建团队和设立高级医疗岗位,以照料未感染COVID-19的患者以及疑似或确诊COVID-19的患者;制定从产房到整个住院期间的协议。需要对母乳喂养和母婴同室进行一些特殊考虑。第三项行动是起草一份协议,用于接收来自其他医院确诊COVID-19的婴儿,因为该科室以前从未接收过门诊患者。

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