Kerry Shields , Kristin Atlas , and Jessica Strohm Farber are pediatric critical care NPs at the Children's Hospital of Philadelphia (CHOP). Ruth Lebet is a nurse scientist at CHOP's Center for Pediatric Nursing Research and Evidence-Based Practice. Contact author: Kerry Shields,
Am J Nurs. 2021 May 1;121(5):26-37. doi: 10.1097/01.NAJ.0000749756.12090.63.
The coronavirus disease 2019 (COVID-19) pandemic has impacted the health of children worldwide. Although overall mortality from COVID-19 in children remains low, an associated multisystem inflammatory disorder has emerged. The disorder has been recognized and named multisystem inflammatory syndrome in children (MIS-C) by the World Health Organization and the Centers for Disease Control and Prevention. This comprehensive review describes the epidemiology, pathophysiology, signs and symptoms, other potential diagnoses, and treatments relevant to MIS-C. The review also includes patient and family education and anticipatory guidance, and discusses nursing implications for nurses working in various roles and settings, including direct care, research, and public health.
2019 年冠状病毒病(COVID-19)大流行对全球儿童的健康造成了影响。虽然儿童 COVID-19 的总体死亡率仍然较低,但一种与之相关的多系统炎症性疾病已经出现。世界卫生组织和疾病控制与预防中心已将这种疾病识别并命名为儿童多系统炎症综合征(MIS-C)。本全面综述描述了 MIS-C 的流行病学、病理生理学、体征和症状、其他潜在诊断和治疗方法。该综述还包括患者和家属的教育和预期指导,并讨论了在各种角色和环境中工作的护士的护理意义,包括直接护理、研究和公共卫生。