Infectious Diseases Unit, Meyer Children's University Hospital, Florence, Italy.
Intensive Care Unit, Meyer Children's University Hospital, Florence, Italy.
Ital J Pediatr. 2020 Dec 7;46(1):181. doi: 10.1186/s13052-020-00946-w.
A practical guidance on the management of children with COVID-19 to insure homogeneous criteria for referral to a higher-level facility, according to the disease severity, is pivotal in the pandemic era. A panel of experts in pediatric infectious diseases and intensive care at the tertiary-care Meyer Children's University Hospital, Florence, Italy, issued a practical document shared with Tuscany hospitals. The rationale was to target the referral for those children at risk of requiring an intensive support, since the above mentioned hospital has the pediatric intensive care unit. Overall, 378 patients between 0 and 19 years of age were diagnosed with COVID-19 infection in the Tuscany region with 24 (6.3%) hospitalizations. Only three children were centralized to Meyer Children's University Hospital according to reported criteria. Considering that appropriate referral criteria have been associated with reduced mortality in other conditions, our document might be useful to improve outcomes of children with COVID-19.
在大流行时代，根据疾病严重程度，为确保将儿童 COVID-19 患者转诊至更高级别医疗机构的标准一致，提供一份关于儿童 COVID-19 管理的实用指南至关重要。意大利佛罗伦萨三级保健迈耶儿童医院的小儿传染病学和重症监护专家小组发布了一份实用文件，并与托斯卡纳的医院共享。其基本原理是针对那些有需要强化支持风险的儿童进行转诊，因为上述医院设有小儿重症监护病房。总体而言，在托斯卡纳地区有 378 名 0 至 19 岁的儿童被诊断出患有 COVID-19 感染，其中有 24 人（6.3%）住院。根据报告的标准，只有 3 名儿童被集中到迈耶儿童医院。考虑到在其他情况下，适当的转诊标准与降低死亡率相关，我们的文件可能有助于改善 COVID-19 患儿的预后。
