Consideration of the Management of Pediatric Fever Clinics During the Novel Coronavirus Pneumonia Outbreak.

Hui Ding,Lu Zhang,Meng Zhang,Wenjuan Ma,Nairong Gao,Ruying Li,Ziquan Liu,Xiaoning Cheng,Zhaoling Shi,Zhen Ruan,Zhihong Zhang,Xuanming Han,Yanzi Guo,Guocheng Zhang

doi:10.1017/dmp.2020.289

Abstract

Since the outbreak of 2019 novel coronavirus (2019-nCoV) infection in Wuhan City, China, pediatric cases have gradually increased. It is very important to prevent cross-infection in pediatric fever clinics, to identify children with fever in pediatric fever clinics, and to strengthen the management of pediatric fever clinics. According to prevention and control programs, we propose the guidance on the management of pediatric fever clinics during the nCoV pneumonia epidemic period, which outlines in detail how to optimize processes, prevent cross-infection, provide health protection, and prevent disinfection of medical staff. The present consideration statement summarizes current strategies on the pre-diagnosis, triage, diagnosis, treatment, and prevention of 2019-nCoV infection, which provides practical suggestions on strengthening the management of pediatric fever clinics during the nCoV pneumonia epidemic period.

Highlights

Novel coronavirus pneumonia (NCP) was named by the World Health Organization as coronavirus disease (COVID-19),[1,2,3,4] and its pathogen is 2019 novel coronavirus (2019-nCoV) belonging to the β-coronavirus genus
The International Committee on Taxonomy of Viruses (ICTV) renamed 2019-nCoV as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), whose genetic features are significantly different from severe acute respiratory syndrome-related coronavirus (SARSrCoV) and the Middle East respiratory syndrome-related coronavirus (MERSr-CoV), but more than 85% homologous to bat SARS-like coronavirus.[1,2,4,5,6,7,8]
IMPORTANCE OF STRENGTHENING THE MANAGEMENT OF FEBRILE CHILDREN DIAGNOSIS PROCESS During the outbreaks, due to the strong infectivity of 2019-nCoV, pediatric fever clinics are prone to Disaster Medicine and Public Health Preparedness

Summary

INTRODUCTION

Novel coronavirus pneumonia (NCP) was named by the World Health Organization as coronavirus disease (COVID-19),[1,2,3,4] and its pathogen is 2019 novel coronavirus (2019-nCoV) belonging to the β-coronavirus genus. How to implement national scientific prevention and control, carry out precise strategies, realize early detection, early diagnosis, early reporting, early isolation, early treatment, and take more practical and effective methods to prevent 2019-nCoV crossinfection and completely block dissemination are major subjects and a responsibility for medical workers in the febrile children diagnosis process.[4] a consideration statement summarizes current strategies on pre-diagnosis, triage, diagnosis, treatment, and prevention of 2019-nCoV infection, which provide practical suggestions on strengthening the management of pediatric fever clinics during the NCP epidemic period. IMPORTANCE OF STRENGTHENING THE MANAGEMENT OF FEBRILE CHILDREN DIAGNOSIS PROCESS During the outbreaks, due to the strong infectivity of 2019-nCoV, pediatric fever clinics are prone to Disaster Medicine and Public Health Preparedness. MEASURES TO STRENGTHEN MANAGEMENT OF FEBRILE CHILDREN OUTBREAKS AND PREVENT CROSS-INFECTION Reinforce the Pre-Examination and Triage Process, and Identify Suspected Cases Early Primary Pre-Examination and Triage. Establish hospital-level, pre-examination and triage stations at all levels of hospitals to conduct pre-examination and subdiagnosis of children, which is called primary pre-examination and triage (Figure 1)

Four tasks should be completed4

Diagnosis Procedures for the Suspected Children

Findings

Other tests: choose according to the condition