Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.
Pediatr Pulmonol. 2021 Feb;56(2):539-550. doi: 10.1002/ppul.25218. Epub 2020 Dec 23.
Coronavirus disease 2019 (COVID-19) has been an unprecedented and continuously evolving healthcare crisis. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) spread rapidly and initially little was known about the virus or the clinical course for infected children. In the United States of America, the medical response has been regionalized, based on variation in community transmission of the virus and localized outbreaks. Pediatric pulmonary and sleep divisions evolved in response to administrative and clinical challenges. As the workforce transitioned to working remotely, video conferencing technology and multicenter collaborative efforts were implemented to create clinical protocols. The COVID-19 pandemic challenges the framework of current medical practice but also highlights the dynamic and cooperative nature of pediatric pulmonology and sleep medicine. Our response to this pandemic has laid the groundwork for future challenges.
2019 年冠状病毒病(COVID-19)是一场前所未有的、持续演变的医疗危机。严重急性呼吸系统综合征冠状病毒 2 型(SARS-CoV-2)迅速传播,最初人们对该病毒或感染儿童的临床病程知之甚少。在美国,医疗反应是区域化的,基于病毒在社区传播的差异和局部爆发。儿科肺科和睡眠科是为了应对行政和临床挑战而发展起来的。随着劳动力向远程工作的转变,视频会议技术和多中心合作的实施,制定了临床方案。COVID-19 大流行挑战了当前医疗实践的框架,但也凸显了儿科肺病学和睡眠医学的动态和合作性质。我们对这一大流行病的反应为未来的挑战奠定了基础。