Background

Limited studies have been published on practices and management of Coronavirus Disease 2019 (COVID-19) in children. Despite the fact that COVID-19 rarely caused any severe disease in children, the asymptomatic children might be playing an important role for spreading COVID-19 in healthcare facilities. This review aimed at sharing our experience of how to handle patients with COVID-19 in a pediatric referral and tertiary care hospital to prevent the possible transmissions to the healthcare workers (HCWs).

Methods

This review sought to identify infection control practices measures during COVID-19 pandemic comes from our daily practice combined with the most recent guidelines with the new experience and information.

Results

Prevention the transmission of COVID-19 to the HCWs, 4 primary themes should be taken into consideration; (1) ongoing education and importance of the organization of the healthcare facility, (2) proper clinical triage and isolation of the suspected or confirmed COVID-19 patients in the outpatient clinics and in the emergency departments, (3) necessity of the organization of the COVID-19 wards, and (4) utilization of personal protective equipment.

Conclusions

Infection control precautions to prevent the possible transmissions to HCWs as well as the other patients and their caregivers from children with COVID-19 are very critical. If sufficient precautions are not taken, healthcare settings may serve as additional source of transmission and spread of COVID-19 in the society.

中文翻译：

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COVID-19 大流行期间儿童的感染控制做法：与成人的差异。

背景

关于儿童 2019 年冠状病毒病 (COVID-19) 的实践和管理的研究有限。尽管 COVID-19 很少在儿童中引起任何严重疾病，但无症状的儿童可能在医疗机构中传播 COVID-19 方面发挥着重要作用。本综述旨在分享我们如何在儿科转诊和三级护理医院处理 COVID-19 患者的经验，以防止可能的病毒传播给医护人员 (HCW)。

方法

本次审查旨在根据我们的日常实践，结合最新的指南以及新的经验和信息，确定 COVID-19 大流行期间的感染控制实践措施。

结果

预防 COVID-19 传播给医护人员，应考虑 4 个主要主题；(1) 医疗机构组织的持续教育和重要性，(2) 在门诊诊所和急诊室对疑似或确诊的 COVID-19 患者进行适当的临床分诊和隔离，(3) 组织COVID-19 病房，以及 (4) 个人防护装备的使用。

结论

采取感染控制预防措施，防止感染 COVID-19 的儿童可能传播给医护人员以及其他患者及其护理人员，这一点非常重要。如果不采取足够的预防措施，医疗机构可​​能会成为 COVID-19 在社会中传播和传播的额外来源。