Timely adaptation of a Pediatric Unit to COVID-19 emergency in Northern Italy: the experience of Fondazione IRCCS Policlinico San Matteo in Pavia.

Timely adaptation of a Pediatric Unit to COVID-19 emergency in Northern Italy: the experience of Fondazione IRCCS Policlinico San Matteo in Pavia.

Authors

  • Viola Novelli Direzione Medica di Presidio, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Sara Cutti Direzione Medica di Presidio, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Alba Muzzi Direzione Medica di Presidio, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Carlo Marena Direzione Medica di Presidio, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Giuseppina Grugnetti UOC Servizio Tecnico e Riabilitativo Aziendale, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Antonio Triarico Direzione Sanitaria, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Carlo Nicora Direzione Generale, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Alessandro Venturi Presidenza, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Amelia Licari Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
  • Gian Luigi Marseglia Pediatric Clinic Department of Pediatrics, Fondazione IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy
  • Grazia Bossi Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Ilaria Brambilla Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Silvia Caimmi Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Riccardo Castagnoli Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Maria De Filippo Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Luciana Delle Piane Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Lucia Iozzi Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Daniela Montagna Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force
  • Martina Votto Clinica Pediatrica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; COVID-19 IRCCS San Matteo Pavia Pediatric Task Force

Keywords:

severe acute respiratory syndrome coronavirus 2, coronavirus disease 2019, children, management, hospital.

Abstract

Italy is one of the most exposed countries worldwide to COVID-19, and Lombardy is the most affected region in Italy. In this context, Fondazione IRCCS Policlinico San Matteo in Pavia, one of the largest University hospitals in the region, has been involved in the management of the outbreak since its inception. Immediately after the communication of the first Italian COVID-19+ patient, the Pediatric Unit has been completely reorganized to face the approaching outbreak. The optimization of the Pediatric Unit resources for COVID-19 emergency is reported as an example to safely preserve health activity during the pandemic.

References

Guan WJ, Ni ZY, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708-1720. doi:10.1056/NEJMoa2002032

Lu R, Zhao X, Li J, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395(10224):565-574. doi:10.1016/S0140-6736(20)30251-8

Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-733. doi:10.1056/NEJMoa2001017

World Health Organization (WHO). WHO Director-General's opening remarks at the media briefing on COVID-19: March 11 2020. Published March 11, 2020. Available online at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020 (accessed July 2, 2020).

WHO Dashboard COVID-19. Available online at: https://covid19.who.int (accessed July 2, 2020).

Gruppo di lavoro ISS Prevenzione e controllo delle Infezioni. Indicazioni ad interim per un utilizzo razionale delle protezioni per infezione da SARS-COV-2 nelle attività sanitarie e sociosanitarie (assistenza a soggetti affetti da covid-19) nell’attuale scenario emergenziale SARS-COV-2. 2020. Available online at: https://www.epicentro.iss.it/coronavirus/pdf/rapporto-covid-19-2-2020.pdf. (accessed July 2, 2020).

Asperges E, Novati S, Muzzi A, et al. Rapid response to COVID-19 outbreak in Northern Italy: how to convert a classic infectious disease ward into a COVID-19 response centre. J Hosp Infect. 2020;105(3):477-479. doi:10.1016/j.jhin.2020.03.020

Mojoli F, Mongodi S, Grugnetti G, et al. Setup of a Dedicated Coronavirus Intensive Care Unit: Logistical Aspects. Anesthesiology. 2020;133(1):244-246. doi:10.1097/ALN.0000000000003325

Colaneri M, Seminari E, Piralla A, et al. Lack of SARS-CoV-2 RNA environmental contamination in a tertiary referral hospital for infectious diseases in Northern Italy [published online ahead of print, 2020 Mar 19]. J Hosp Infect. 2020;105(3):474-476. doi:10.1016/j.jhin.2020.03.018

Brambilla I, Castagnoli R, Caimmi S, Ciprandi G, Luigi Marseglia G. COVID-19 in the Pediatric Population Admitted to a Tertiary Referral Hospital in Northern Italy: Preliminary Clinical Data. Pediatr Infect Dis J. 2020;39(7):e160. doi:10.1097/INF.0000000000002730

Castagnoli R, Votto M, Licari A, et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Children and Adolescents: A Systematic Review. JAMA Pediatr. 2020;10.1001/jamapediatrics.2020.1467. doi:10.1001/jamapediatrics.2020.1467

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Published

15-09-2020

How to Cite

1.
Novelli V, Cutti S, Muzzi A, et al. Timely adaptation of a Pediatric Unit to COVID-19 emergency in Northern Italy: the experience of Fondazione IRCCS Policlinico San Matteo in Pavia. . Acta Biomed. 2020;91(11-S):e2020004. doi:10.23750/abm.v91i11-S.10300