Federazione Italiana delle Associazioni e Società Scientifiche dell'Area Pediatrica e Società Italiana di Emergenza Urgenza Pediatrica, Rome, Italy.
Dipartimento Materno Infantile e di Scienze Urologiche, Sapienza Università di Roma, UOC di Pediatria e Neonatologia, Ospedale Santa Maria Goretti, Polo di Latina, Latina, Italy.
Ital J Pediatr. 2020 Oct 2;46(1):142. doi: 10.1186/s13052-020-00907-3.
The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting.
We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment.
The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians.
Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.
2019 年冠状病毒病（COVID-19）在儿童中罕见，他们的疾病过程似乎比成年人更轻，预后更好。然而，SARS-CoV-2 大流行间接导致儿科医疗援助出现问题。有鉴于此，我们想描绘一下在卫生应急期间发生的情况，并分析重启后的未来前景。
我们联系了意大利儿科科学协会，这些协会隶属于意大利儿科领域协会和科学协会联合会（FIARPED）；我们向所有科学协会发送了一份关于 COVID-19 紧急情况下儿科护理活动以及解除隔离后阶段未来前景的问卷。
对问卷的分析表明，在 COVID-19 紧急情况下，住院、门诊就诊和专科咨询活动显著减少，主要与感染恐惧有关。相反，入院疾病的严重程度增加。大多数科学协会通过某种形式的远程医疗与慢性患者保持联系，对这种模式表示强烈的积极意见。最后表明，需要通过更多地使用远程医疗、家庭教育计划以及家庭儿科医生更果断的角色，为住院和门诊就诊赋予新的方法。
我们的研究强调了儿科护理中可以改进的许多方面。我们认为，有必要制定一项新的共享战略，以改善儿科患者的管理和护理连续性，主要是通过家庭、家庭儿科医生和医院之间建立合作网络，并加强使用新的电信方法。
