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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Emerg+Med
2020 ; 76
(6
): 788-800
Nephropedia Template TP
gab.com Text
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Preparedness and Response to Pediatric COVID-19 in European Emergency
Departments: A Survey of the REPEM and PERUKI Networks
#MMPMID32419713
Bressan S
; Buonsenso D
; Farrugia R
; Parri N
; Oostenbrink R
; Titomanlio L
; Roland D
; Nijman RG
; Maconochie I
; Da Dalt L
; Mintegi S
Ann Emerg Med
2020[Dec]; 76
(6
): 788-800
PMID32419713
show ga
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.