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2020 ; 9
(2
): 126-132
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Analysis and suggestions for the preview and triage screening of children with
suspected COVID-19 outside the epidemic area of Hubei Province
#MMPMID32477912
Zhang N
; Deng Y
; Li W
; Liu J
; Li H
; Liu E
; Zheng X
Transl Pediatr
2020[Apr]; 9
(2
): 126-132
PMID32477912
show ga
BACKGROUND: Since December 2019, a number of patients infected with COVID-19
(SARS-CoV-2) have been identified in Wuhan, Hubei, China. As the epidemic has
spread, similar cases have also been found in other parts of mainland China and
abroad. The main reason for this spread is the highly contagious nature of the
virus and the fact that children can also become infected during its incubation
period. This has made the virus a substantial challenge for the outpatient triage
staff of children's hospitals outside the epidemic area of the Hubei Province. It
is very important for the preview and triage personnel to accurately grasp the
epidemiology of the virus and identify children's symptoms in the fever clinic.
METHODS: We performed an analysis of our early preview and triage of suspected
COVID-19 in 36 children presenting at fever clinics. Two specialists either
excluded suspected cases or referred cases to the isolation ward for new nucleic
acid testing. RESULTS: All 14 children who were transferred to the isolation ward
had a fever, and 71.43% of them had a cough. Their nucleic acid testing results
were negative. The suspected cases and excluded suspected cases had similar
epidemiology history as well as complete blood count results. With reference to
the diagnostic criteria in existing pediatric guidelines, we have further
improved the triage screening questionnaire for children with fever in our
hospital. CONCLUSIONS: According to the situation in our city and hospital, an
evaluation questionnaire that is suitable for use with children in our hospital
has been formulated to achieve the goals of early detection, isolation,
diagnosis, and treatment. We provided an important basis for the next step in
developing accurate preview and triage screening standards and appropriate
guidelines for pediatric patients.