دورية أكاديمية
Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19.
| العنوان: | Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19. |
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| المؤلفون: | Yeo, KT, Oei, JL, De Luca, D, Schmölzer, GM, Guaran, R, Palasanthiran, P, Kumar, K, Buonocore, G, Cheong, J, Owen, LS, Kusuda, S, James, J, Lim, G, Sharma, A, Uthaya, S, Gale, C, Whittaker, E, Battersby, C, Modi, N, Norman, M, Naver, L, Giannoni, E, Diambomba, Y, Shah, PS, Gagliardi, L, Harrison, M, Pillay, S, Alburaey, A, Yuan, Y, Zhang, H |
| المصدر: | 2207 ; 2192 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2020 |
| المجموعة: | Imperial College London: Spiral |
| مصطلحات موضوعية: | Science & Technology, Life Sciences & Biomedicine, Pediatrics, COVID-19, neonate, perinatal care, practice guidelines, transmission, PREGNANT-WOMEN, SEVERITY, 1114 Paediatrics and Reproductive Medicine |
| جغرافية الموضوع: | Norway |
| الوصف: | AIM: This review examined how applicable national and regional clinical practice guidelines and recommendations for managing neonates born to mothers with COVID-19 mothers were to the evolving pandemic. METHODS: A systematic search and review identified 20 guidelines and recommendations that had been published by 25 May 2020. We analysed documents from 17 countries: Australia, Brazil, Canada, China, France, India, Italy, Japan, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, the UK and the USA. RESULTS: The documents were based on expert consensus with limited evidence and were of variable, low methodological rigour. Most did not provide recommendations for delivery methods or managing symptomatic infants. None provided recommendations for post-discharge assimilation of potentially-infected infants into the community. The majority encouraged keeping mothers and infants together, subject to infection control measures, but one-third recommended separation. Although breastfeeding or using breastmilk were widely encouraged, two countries specifically prohibited this. CONCLUSION: The guidelines and recommendations for managing infants affected by COVID-19 were of low, variable quality and may be unsustainable. It is important that transmission risks are not increased when new information is incorporated into clinical recommendations. Practice guidelines should emphasise the extent of uncertainty and clearly define gaps in the evidence. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1651-2227 |
| العلاقة: | 10044/1/81179; http://hdl.handle.net/10044/1/81179Test; Acta Paediatrica: Nurturing the Child; http://hdl.handle.net/10044/1/81180Test |
| DOI: | 10.1111/apa.15495 |
| الإتاحة: | https://doi.org/10.1111/apa.15495Test http://hdl.handle.net/10044/1/81180Test |
| حقوق: | ©2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd. This is the accepted version of the following article: Yeo, KT, Oei, JL, De Luca, D, et al. Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID‐19. Acta Paediatr. 2020; 109: 2192– 2207, which has been published in final form at https://doi.org/10.1111/apa.15495Test |
| رقم الانضمام: | edsbas.58478AED |
| قاعدة البيانات: | BASE |
| تدمد: | 16512227 |
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| DOI: | 10.1111/apa.15495 |