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Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks
STUDY OBJECTIVE: We aim to describe the variability and identify gaps in preparedness and response to the coronavirus disease 2019 pandemic in European emergency departments (EDs) caring for children. METHODS: A cross-sectional point-prevalence survey was developed and disseminated through the pedia...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
by the American College of Emergency Physicians.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225691/ https://www.ncbi.nlm.nih.gov/pubmed/32419713 http://dx.doi.org/10.1016/j.annemergmed.2020.05.018 |
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author | Bressan, Silvia Buonsenso, Danilo Farrugia, Ruth Parri, Niccolo’ Oostenbrink, Rianne Titomanlio, Luigi Roland, Damian Nijman, Ruud G. Maconochie, Ian Da Dalt, Liviana Mintegi, Santiago |
author_facet | Bressan, Silvia Buonsenso, Danilo Farrugia, Ruth Parri, Niccolo’ Oostenbrink, Rianne Titomanlio, Luigi Roland, Damian Nijman, Ruud G. Maconochie, Ian Da Dalt, Liviana Mintegi, Santiago |
author_sort | Bressan, Silvia |
collection | PubMed |
description | STUDY OBJECTIVE: We aim to describe the variability and identify gaps in preparedness and response to the coronavirus disease 2019 pandemic in European emergency departments (EDs) caring for children. METHODS: A cross-sectional point-prevalence survey was developed and disseminated through the pediatric emergency medicine research networks for Europe (Research in European Pediatric Emergency Medicine) and the United Kingdom and Ireland (Paediatric Emergency Research in the United Kingdom and Ireland). We aimed to include 10 EDs for countries with greater than 20 million inhabitants and 5 EDs for less populated countries, unless the number of eligible EDs was less than 5. ED directors or their delegates completed the survey between March 20 and 21 to report practice at that time. We used descriptive statistics to analyze data. RESULTS: Overall, 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on personal protective equipment (PPE) items was shown for recommended PPE use at pretriage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2 and N95 masks. Only 17% of EDs had negative-pressure isolation rooms. Coronavirus disease 2019–positive ED staff was reported in 25% of centers. CONCLUSION: We found variation and identified gaps in preparedness and response to the coronavirus disease 2019 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics. |
format | Online Article Text |
id | pubmed-7225691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | by the American College of Emergency Physicians. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72256912020-05-15 Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks Bressan, Silvia Buonsenso, Danilo Farrugia, Ruth Parri, Niccolo’ Oostenbrink, Rianne Titomanlio, Luigi Roland, Damian Nijman, Ruud G. Maconochie, Ian Da Dalt, Liviana Mintegi, Santiago Ann Emerg Med Pediatrics/Original Research STUDY OBJECTIVE: We aim to describe the variability and identify gaps in preparedness and response to the coronavirus disease 2019 pandemic in European emergency departments (EDs) caring for children. METHODS: A cross-sectional point-prevalence survey was developed and disseminated through the pediatric emergency medicine research networks for Europe (Research in European Pediatric Emergency Medicine) and the United Kingdom and Ireland (Paediatric Emergency Research in the United Kingdom and Ireland). We aimed to include 10 EDs for countries with greater than 20 million inhabitants and 5 EDs for less populated countries, unless the number of eligible EDs was less than 5. ED directors or their delegates completed the survey between March 20 and 21 to report practice at that time. We used descriptive statistics to analyze data. RESULTS: Overall, 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on personal protective equipment (PPE) items was shown for recommended PPE use at pretriage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2 and N95 masks. Only 17% of EDs had negative-pressure isolation rooms. Coronavirus disease 2019–positive ED staff was reported in 25% of centers. CONCLUSION: We found variation and identified gaps in preparedness and response to the coronavirus disease 2019 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics. by the American College of Emergency Physicians. 2020-12 2020-05-15 /pmc/articles/PMC7225691/ /pubmed/32419713 http://dx.doi.org/10.1016/j.annemergmed.2020.05.018 Text en © 2020 by the American College of Emergency Physicians. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Pediatrics/Original Research Bressan, Silvia Buonsenso, Danilo Farrugia, Ruth Parri, Niccolo’ Oostenbrink, Rianne Titomanlio, Luigi Roland, Damian Nijman, Ruud G. Maconochie, Ian Da Dalt, Liviana Mintegi, Santiago Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks |
title | Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks |
title_full | Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks |
title_fullStr | Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks |
title_full_unstemmed | Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks |
title_short | Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks |
title_sort | preparedness and response to pediatric covid-19 in european emergency departments: a survey of the repem and peruki networks |
topic | Pediatrics/Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225691/ https://www.ncbi.nlm.nih.gov/pubmed/32419713 http://dx.doi.org/10.1016/j.annemergmed.2020.05.018 |
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