Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks
Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks
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DOI：
10.1016/j.annemergmed.2020.05.018
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发表时间：
2020-12-01
影响因子：
6.2
通讯作者：
Mintegi, Santiago
中科院分区：
文献类型：
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作者：
Bressan, Silvia;Buonsenso, Danilo;Mintegi, Santiago
研究目的：我们的目标是描述欧洲急诊科儿童护理部门在准备和应对2019年冠状病毒疾病大流行方面的变异性，并找出差距。方法：通过欧洲儿科急诊医学研究网络(欧洲儿科急诊医学研究)和英国和爱尔兰(英国和爱尔兰的儿科急诊研究)，制定并传播一项横断面的点患病率调查。我们的目标是为人口超过2000万的国家纳入10个急诊室，为人口较少的国家纳入5个急诊室，除非符合条件的急诊室的数量少于5个。教育署主任或他们的代表在3月20日至21日期间完成了调查，以报告当时的做法。结果：总体来看，来自18个国家的102个中心(86%的应答率)完成了调查：34%的中心没有流行病应急计划，36%的中心从未对此类事件进行过模拟。在分类前和患者评估中，推荐使用的个人防护装备(PPE)项目差异很大，62%的中心在一项或多项PPE项目上出现短缺，最常见的是FFP2和N95口罩。只有17%的急诊室有负压隔离室。25%的中心报告2019年冠状病毒病急诊室工作人员呈阳性。结论：我们发现欧洲儿童转诊急诊室在准备和应对2019年冠状病毒病疫情方面存在差异，并确定了差距。早期缺乏记录在案的应急计划、提供模拟培训、适当使用个人防护装备和适当的隔离设施，这些都是需要优化的空白，以改进准备工作，并为应对未来的大流行病提供信息。
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.