Department of Women's and Children's Health, Neonatal Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Neonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Pediatr Res. 2022 Feb;91(3):513-521. doi: 10.1038/s41390-021-01477-8. Epub 2021 Apr 7.
The aim of this review was threefold: (a) to retrieve all SARS-CoV-2 evidences published by Italian neonatologists working in maternity centers and NICUs during the pandemic; (b) to summarize current evidence for the management of term and preterm infants with a SARS-CoV-2-related illness; and (c) to provide an update for dealing with the second wave of COVID-19 and discuss open questions. A review was conducted using MEDLINE/PubMed and the national COVID-19 registry of the Italian Society of Neonatology including citations from December 1, 2019 to October 28, 2020. Sixty-three articles were included. Collected data were divided into the following topics: (a) antenatal management, (b) management in delivery room, (c) postnatal management, (d) mother-baby dyad and breastfeeding management, (e) neonatal emergency transport system reorganization, (f) parents' management and perspective during SARS-CoV-2 pandemic, and (g) future perspective. Evidences have evolved over the pandemic period and the current review can be useful in the management of the mother-neonate dyad during SARS-CoV-2 future waves. Italian neonatologists have played an active role in producing official guidelines and reporting data that have contributed to improve the care of neonates. A joint European action plan is mandatory to face COVID-19 in neonates with more awareness. IMPACT: A joint European action plan is mandatory to face COVID-19 in neonates with more awareness. This review summarizes the available evidences from neonatal COVID-19 management in Italy analyzing all the published paper in this specific field of interest. The current review can be useful in the management of the mother-neonate dyad during the SARS-CoV-2 future waves.
（a）检索在大流行期间在妇产科中心和新生儿重症监护病房工作的意大利新生儿科医生发表的所有有关 SARS-CoV-2 的证据；（b）总结有关患有 SARS-CoV-2 相关疾病的足月和早产儿管理的当前证据；（c）提供应对 COVID-19 第二波的最新信息并讨论悬而未决的问题。通过 MEDLINE/PubMed 和意大利新生儿学会的国家 COVID-19 登记处进行了综述，其中包括 2019 年 12 月 1 日至 2020 年 10 月 28 日的引文。共纳入 63 篇文章。收集的数据分为以下主题：（a）产前管理，（b）分娩室管理，（c）产后管理，（d）母婴对子和母乳喂养管理，（e）新生儿紧急转运系统重组，（f）SARS-CoV-2 大流行期间父母的管理和观点，（g）未来展望。随着大流行期间的发展，目前的综述可用于管理 SARS-CoV-2 未来波次中的母婴对子。意大利新生儿科医生在制定官方指南和报告数据方面发挥了积极作用，这有助于改善对新生儿的护理。需要制定一项联合的欧洲行动计划以提高对 COVID-19 新生儿的认识。 影响：需要制定一项联合的欧洲行动计划以提高对 COVID-19 新生儿的认识。 本次综述总结了意大利在新生儿 COVID-19 管理方面的现有证据，分析了该领域发表的所有论文。 目前的综述可用于管理 SARS-CoV-2 未来波次中的母婴对子。
