Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China.
Department of Infection Control, Shanghai Children's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200062, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2022 Aug 15;24(8):839-845. doi: 10.7499/j.issn.1008-8830.2206068.
The global pandemic of coronavirus disease 2019 (COVID-19) has brought great challenges to the traditional medical model. During the outbreak of COVID-19 in Shanghai, China, from March to May, 2022, there was a significant increase in the number of pediatric cases due to high transmissibility, immune escape, and vaccine breakthrough capacity of Omicron variants. The designated hospitals for children with COVID-19 served as a connecting link between children's specialized hospitals and mobile cabin hospitals. From April 7 to June 2, 2022, a total of 871 children with COVID-19 were admitted to Renji Hospital, Shanghai Jiao Tong University School of Medicine (South Branch), a designated hospital for children with COVID-19. Among these patients, 568 (65.2%) were children under 3 years old, 870 (99.9%) were mild or moderate, and 1 was severe. This article reports the experience in the management of pediatric cases in this designated hospital, which included the following aspects: establishing an optimal case-admission process; strengthening multidisciplinary standardized diagnosis and treatment; optimizing the management, warning, and rescue system for severe COVID-19; implementing family-centered nursing care; formulating an individualized traditional Chinese medicine treatment regimen; optimizing the discharge process and strengthening bed turnover; implementing strict whole-process control to reduce the risk of nosocomial infection; constructing a structured medical record system and using information platforms to adapt to the work mode of large-volume cases; conducting scientific research and sharing the experience in diagnosis and treatment.
2019 年冠状病毒病（COVID-19）全球大流行给传统医疗模式带来了巨大挑战。在中国上海 2022 年 3 月至 5 月 COVID-19 爆发期间，由于奥密克戎变异株的高传染性、免疫逃逸和疫苗突破能力，儿科病例数量显著增加。COVID-19 儿童定点医院作为儿童专科医院和方舱医院之间的连接纽带。2022 年 4 月 7 日至 6 月 2 日，上海交通大学医学院附属仁济医院（南院）共收治 871 例 COVID-19 患儿。在这些患者中，568 例（65.2%）为 3 岁以下儿童，870 例（99.9%）为轻症或普通型，1 例为重症。本文报道了该定点医院在管理儿科病例方面的经验，包括以下几个方面：建立最佳的病例收治流程；加强多学科规范化诊断和治疗；优化 COVID-19 重症管理、预警和抢救系统；实施以家庭为中心的护理；制定个体化的中药治疗方案；优化出院流程，加强床位周转；实施全过程严格控制，降低医院感染风险；构建结构化病历系统，利用信息平台适应大病例工作模式；开展科学研究，分享诊治经验。
