Management strategies for children with COVID-19: ESPR practical recommendations.
Identifieur interne : 000B42 ( Main/Exploration ); précédent : 000B41; suivant : 000B43Management strategies for children with COVID-19: ESPR practical recommendations.
Auteurs : Maria Raissaki [Grèce] ; Susan C. Shelmerdine [Royaume-Uni] ; Maria Beatrice Damasio [Italie] ; Seema Toso [Suisse] ; Ola Kvist [Suède] ; Jovan Lovrenski [Serbie] ; Franz Wolfgang Hirsch [Allemagne] ; Süreyya Burcu Görkem [Turquie] ; Anne Paterson [Royaume-Uni] ; Owen J. Arthurs [Royaume-Uni] ; Andrea Rossi [Italie] ; Joost Van Schuppen [Pays-Bas] ; Philippe Petit [France] ; Maria I. Argyropoulou [Grèce] ; Amaka C. Offiah [Royaume-Uni] ; Karen Rosendahl [Norvège] ; Pablo Caro-Domínguez [Espagne]Source :
- Pediatric radiology [ 1432-1998 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Betacoronavirus (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Humains (MeSH), Imagerie diagnostique (méthodes), Infections à coronavirus (prévention et contrôle), Nourrisson (MeSH), Pandémies (prévention et contrôle), Pneumopathie virale (prévention et contrôle), Prévention des infections (méthodes), Pédiatrie (méthodes).
- MESH :
- méthodes : Imagerie diagnostique, Prévention des infections, Pédiatrie.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- Adolescent, Betacoronavirus, Enfant, Enfant d'âge préscolaire, Humains, Nourrisson.
English descriptors
- KwdEn :
- Adolescent (MeSH), Betacoronavirus (MeSH), Child (MeSH), Child, Preschool (MeSH), Coronavirus Infections (prevention & control), Diagnostic Imaging (methods), Humans (MeSH), Infant (MeSH), Infection Control (methods), Pandemics (prevention & control), Pediatrics (methods), Pneumonia, Viral (prevention & control).
- MESH :
- methods : Diagnostic Imaging, Infection Control, Pediatrics.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- Adolescent, Betacoronavirus, Child, Child, Preschool, Humans, Infant.
Abstract
During the outbreak of the COVID-19 pandemic, guidelines have been issued by international, national and local authorities to address management and the need for preparedness. Children with COVID-19 differ from adults in that they are less often and less severely affected. Additional precautions required in the management of children address their increased radiosensitivity, need for accompanying carers, and methods for dealing with children in a mixed adult-paediatric institution. In this guidance document, our aim is to define a pragmatic strategy for imaging children with an emphasis on proven or suspected COVID-19 cases. Children suspected of COVID-19 should not be imaged routinely. Imaging should be performed only when expected to alter patient management, depending on symptoms, preexisting conditions and clinical evolution. In order to prevent disease transmission, it is important to manage the inpatient caseload effectively by triaging children and carers outside the hospital, re-scheduling nonurgent elective procedures and managing symptomatic children and carers as COVID-19 positive until proven otherwise. Within the imaging department one should consider conducting portable examinations with COVID-19 machines or arranging dedicated COVID-19 paediatric imaging sessions and performing routine nasopharyngeal swab testing before imaging under general anaesthesia. Finally, regular personal hygiene, appropriate usage of personal protective equipment, awareness of which procedures are considered aerosol generating and information on how to best disinfect imaging machinery after examinations should be highlighted to all staff members.
DOI: 10.1007/s00247-020-04749-3
PubMed: 32621013
PubMed Central: PMC7332738
Affiliations:
- Allemagne, Espagne, France, Grèce, Italie, Norvège, Pays-Bas, Royaume-Uni, Serbie, Suisse, Suède, Turquie
- Angleterre, District de Leipzig, Grand Londres, Hollande-Septentrionale, Provence-Alpes-Côte d'Azur, Saxe (Land), Svealand
- Amsterdam, Leipzig, Londres, Marseille, Stockholm
- Université d'Amsterdam
Links toward previous steps (curation, corpus...)
Le document en format XML
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Arthurs</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH</wicri:regionArea><wicri:noRegion>WC1N 3JH</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>NIHR Great Ormond Street Biomedical Research Centre, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>NIHR Great Ormond Street Biomedical Research Centre, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Rossi, Andrea" sort="Rossi, Andrea" uniqKey="Rossi A" first="Andrea" last="Rossi">Andrea Rossi</name><affiliation wicri:level="1"><nlm:affiliation>Neuroradiology Unit, Istituto Giannina Gaslini, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neuroradiology Unit, Istituto Giannina Gaslini, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Health Sciences (DISSAL), University of Genoa, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Van Schuppen, Joost" sort="Van Schuppen, Joost" uniqKey="Van Schuppen J" first="Joost" last="Van Schuppen">Joost Van Schuppen</name><affiliation wicri:level="4"><nlm:affiliation>Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName><orgName type="university">Université d'Amsterdam</orgName></affiliation></author><author><name sortKey="Petit, Philippe" sort="Petit, Philippe" uniqKey="Petit P" first="Philippe" last="Petit">Philippe Petit</name><affiliation wicri:level="3"><nlm:affiliation>Service d'imagerie pédiatrique et prénatale, Aix Marseille University, Hôpital de La Timone-Enfants, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service d'imagerie pédiatrique et prénatale, Aix Marseille University, Hôpital de La Timone-Enfants, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Argyropoulou, Maria I" sort="Argyropoulou, Maria I" uniqKey="Argyropoulou M" first="Maria I" last="Argyropoulou">Maria I. Argyropoulou</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Radiology and Imaging, Medical School, University Hospital of Ioannina, Ioannina, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Clinical Radiology and Imaging, Medical School, University Hospital of Ioannina, Ioannina</wicri:regionArea><wicri:noRegion>Ioannina</wicri:noRegion></affiliation></author><author><name sortKey="Offiah, Amaka C" sort="Offiah, Amaka C" uniqKey="Offiah A" first="Amaka C" last="Offiah">Amaka C. Offiah</name><affiliation wicri:level="1"><nlm:affiliation>Academic Unit of Child Health, University of Sheffield, Sheffield, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Academic Unit of Child Health, University of Sheffield, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Radiology, Sheffield Children's NHS Foundation Trust, Sheffield, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Radiology, Sheffield Children's NHS Foundation Trust, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation></author><author><name sortKey="Rosendahl, Karen" sort="Rosendahl, Karen" uniqKey="Rosendahl K" first="Karen" last="Rosendahl">Karen Rosendahl</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiology, University Hospital of North Norway, Tromsø, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Radiology, University Hospital of North Norway, Tromsø</wicri:regionArea><wicri:noRegion>Tromsø</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, UiT the Arctic University of Norway, Tromsø, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Clinical Medicine, UiT the Arctic University of Norway, Tromsø</wicri:regionArea><wicri:noRegion>Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Caro Dominguez, Pablo" sort="Caro Dominguez, Pablo" uniqKey="Caro Dominguez P" first="Pablo" last="Caro-Domínguez">Pablo Caro-Domínguez</name><affiliation wicri:level="1"><nlm:affiliation>Unidad de Radiología Pediátrica, Servicio de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unidad de Radiología Pediátrica, Servicio de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla</wicri:regionArea><wicri:noRegion>Sevilla</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32621013</idno><idno type="pmid">32621013</idno><idno type="doi">10.1007/s00247-020-04749-3</idno><idno type="pmc">PMC7332738</idno><idno type="wicri:Area/Main/Corpus">000B02</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000B02</idno><idno type="wicri:Area/Main/Curation">000B02</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000B02</idno><idno type="wicri:Area/Main/Exploration">000B02</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Management strategies for children with COVID-19: ESPR practical recommendations.</title><author><name sortKey="Raissaki, Maria" sort="Raissaki, Maria" uniqKey="Raissaki M" first="Maria" last="Raissaki">Maria Raissaki</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiology, University Hospital of Heraklion, University of Crete, Crete, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Radiology, University Hospital of Heraklion, University of Crete, Crete</wicri:regionArea><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Shelmerdine, Susan C" sort="Shelmerdine, Susan C" uniqKey="Shelmerdine S" first="Susan C" last="Shelmerdine">Susan C. Shelmerdine</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK. susan.shelmerdine@gosh.nhs.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH</wicri:regionArea><wicri:noRegion>WC1N 3JH</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK. susan.shelmerdine@gosh.nhs.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>NIHR Great Ormond Street Biomedical Research Centre, London, UK. susan.shelmerdine@gosh.nhs.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>NIHR Great Ormond Street Biomedical Research Centre, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Damasio, Maria Beatrice" sort="Damasio, Maria Beatrice" uniqKey="Damasio M" first="Maria Beatrice" last="Damasio">Maria Beatrice Damasio</name><affiliation wicri:level="1"><nlm:affiliation>U.O.C. Radiologia, Istituto Giannina Gaslini, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>U.O.C. Radiologia, Istituto Giannina Gaslini, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Toso, Seema" sort="Toso, Seema" uniqKey="Toso S" first="Seema" last="Toso">Seema Toso</name><affiliation wicri:level="1"><nlm:affiliation>Department of Diagnostics, Geneva Children's Hospitals, Geneva, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Diagnostics, Geneva Children's Hospitals, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Kvist, Ola" sort="Kvist, Ola" uniqKey="Kvist O" first="Ola" last="Kvist">Ola Kvist</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Radiology, Karolinska University Hospital, Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Pediatric Radiology, Karolinska University Hospital, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Lovrenski, Jovan" sort="Lovrenski, Jovan" uniqKey="Lovrenski J" first="Jovan" last="Lovrenski">Jovan Lovrenski</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>Faculty of Medicine, University of Novi Sad, Novi Sad</wicri:regionArea><wicri:noRegion>Novi Sad</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Institute for Children and Adolescent Health Care of Vojvodina, Novi Sad, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>Institute for Children and Adolescent Health Care of Vojvodina, Novi Sad</wicri:regionArea><wicri:noRegion>Novi Sad</wicri:noRegion></affiliation></author><author><name sortKey="Hirsch, Franz Wolfgang" sort="Hirsch, Franz Wolfgang" uniqKey="Hirsch F" first="Franz Wolfgang" last="Hirsch">Franz Wolfgang Hirsch</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Radiology, University of Leipzig, Leipzig, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Pediatric Radiology, University of Leipzig, Leipzig</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Leipzig</region><settlement type="city">Leipzig</settlement></placeName></affiliation></author><author><name sortKey="Gorkem, Sureyya Burcu" sort="Gorkem, Sureyya Burcu" uniqKey="Gorkem S" first="Süreyya Burcu" last="Görkem">Süreyya Burcu Görkem</name><affiliation wicri:level="1"><nlm:affiliation>Paediatric Radiology Department, Erciyes University School of Medicine, Children's Hospital, Kayseri, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Paediatric Radiology Department, Erciyes University School of Medicine, Children's Hospital, Kayseri</wicri:regionArea><wicri:noRegion>Kayseri</wicri:noRegion></affiliation></author><author><name sortKey="Paterson, Anne" sort="Paterson, Anne" uniqKey="Paterson A" first="Anne" last="Paterson">Anne Paterson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiology, Royal Belfast Hospital for Sick Children, Belfast, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Radiology, Royal Belfast Hospital for Sick Children, Belfast</wicri:regionArea><wicri:noRegion>Belfast</wicri:noRegion></affiliation></author><author><name sortKey="Arthurs, Owen J" sort="Arthurs, Owen J" uniqKey="Arthurs O" first="Owen J" last="Arthurs">Owen J. Arthurs</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH</wicri:regionArea><wicri:noRegion>WC1N 3JH</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>NIHR Great Ormond Street Biomedical Research Centre, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>NIHR Great Ormond Street Biomedical Research Centre, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Rossi, Andrea" sort="Rossi, Andrea" uniqKey="Rossi A" first="Andrea" last="Rossi">Andrea Rossi</name><affiliation wicri:level="1"><nlm:affiliation>Neuroradiology Unit, Istituto Giannina Gaslini, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neuroradiology Unit, Istituto Giannina Gaslini, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Health Sciences (DISSAL), University of Genoa, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Van Schuppen, Joost" sort="Van Schuppen, Joost" uniqKey="Van Schuppen J" first="Joost" last="Van Schuppen">Joost Van Schuppen</name><affiliation wicri:level="4"><nlm:affiliation>Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName><orgName type="university">Université d'Amsterdam</orgName></affiliation></author><author><name sortKey="Petit, Philippe" sort="Petit, Philippe" uniqKey="Petit P" first="Philippe" last="Petit">Philippe Petit</name><affiliation wicri:level="3"><nlm:affiliation>Service d'imagerie pédiatrique et prénatale, Aix Marseille University, Hôpital de La Timone-Enfants, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service d'imagerie pédiatrique et prénatale, Aix Marseille University, Hôpital de La Timone-Enfants, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Argyropoulou, Maria I" sort="Argyropoulou, Maria I" uniqKey="Argyropoulou M" first="Maria I" last="Argyropoulou">Maria I. Argyropoulou</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Radiology and Imaging, Medical School, University Hospital of Ioannina, Ioannina, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Clinical Radiology and Imaging, Medical School, University Hospital of Ioannina, Ioannina</wicri:regionArea><wicri:noRegion>Ioannina</wicri:noRegion></affiliation></author><author><name sortKey="Offiah, Amaka C" sort="Offiah, Amaka C" uniqKey="Offiah A" first="Amaka C" last="Offiah">Amaka C. Offiah</name><affiliation wicri:level="1"><nlm:affiliation>Academic Unit of Child Health, University of Sheffield, Sheffield, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Academic Unit of Child Health, University of Sheffield, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Radiology, Sheffield Children's NHS Foundation Trust, Sheffield, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Radiology, Sheffield Children's NHS Foundation Trust, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation></author><author><name sortKey="Rosendahl, Karen" sort="Rosendahl, Karen" uniqKey="Rosendahl K" first="Karen" last="Rosendahl">Karen Rosendahl</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiology, University Hospital of North Norway, Tromsø, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Radiology, University Hospital of North Norway, Tromsø</wicri:regionArea><wicri:noRegion>Tromsø</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, UiT the Arctic University of Norway, Tromsø, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Clinical Medicine, UiT the Arctic University of Norway, Tromsø</wicri:regionArea><wicri:noRegion>Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Caro Dominguez, Pablo" sort="Caro Dominguez, Pablo" uniqKey="Caro Dominguez P" first="Pablo" last="Caro-Domínguez">Pablo Caro-Domínguez</name><affiliation wicri:level="1"><nlm:affiliation>Unidad de Radiología Pediátrica, Servicio de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unidad de Radiología Pediátrica, Servicio de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla</wicri:regionArea><wicri:noRegion>Sevilla</wicri:noRegion></affiliation></author></analytic><series><title level="j">Pediatric radiology</title><idno type="eISSN">1432-1998</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Coronavirus Infections (prevention & control)</term><term>Diagnostic Imaging (methods)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Infection Control (methods)</term><term>Pandemics (prevention & control)</term><term>Pediatrics (methods)</term><term>Pneumonia, Viral (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie diagnostique (méthodes)</term><term>Infections à coronavirus (prévention et contrôle)</term><term>Nourrisson (MeSH)</term><term>Pandémies (prévention et contrôle)</term><term>Pneumopathie virale (prévention et contrôle)</term><term>Prévention des infections (méthodes)</term><term>Pédiatrie (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diagnostic Imaging</term><term>Infection Control</term><term>Pediatrics</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Imagerie diagnostique</term><term>Prévention des infections</term><term>Pédiatrie</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Betacoronavirus</term><term>Child</term><term>Child, Preschool</term><term>Humans</term><term>Infant</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Betacoronavirus</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Humains</term><term>Nourrisson</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During the outbreak of the COVID-19 pandemic, guidelines have been issued by international, national and local authorities to address management and the need for preparedness. Children with COVID-19 differ from adults in that they are less often and less severely affected. Additional precautions required in the management of children address their increased radiosensitivity, need for accompanying carers, and methods for dealing with children in a mixed adult-paediatric institution. In this guidance document, our aim is to define a pragmatic strategy for imaging children with an emphasis on proven or suspected COVID-19 cases. Children suspected of COVID-19 should not be imaged routinely. Imaging should be performed only when expected to alter patient management, depending on symptoms, preexisting conditions and clinical evolution. In order to prevent disease transmission, it is important to manage the inpatient caseload effectively by triaging children and carers outside the hospital, re-scheduling nonurgent elective procedures and managing symptomatic children and carers as COVID-19 positive until proven otherwise. Within the imaging department one should consider conducting portable examinations with COVID-19 machines or arranging dedicated COVID-19 paediatric imaging sessions and performing routine nasopharyngeal swab testing before imaging under general anaesthesia. Finally, regular personal hygiene, appropriate usage of personal protective equipment, awareness of which procedures are considered aerosol generating and information on how to best disinfect imaging machinery after examinations should be highlighted to all staff members.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32621013</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>18</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1998</ISSN><JournalIssue CitedMedium="Internet"><Volume>50</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>08</Month></PubDate></JournalIssue><Title>Pediatric radiology</Title><ISOAbbreviation>Pediatr Radiol</ISOAbbreviation></Journal><ArticleTitle>Management strategies for children with COVID-19: ESPR practical recommendations.</ArticleTitle><Pagination><MedlinePgn>1313-1323</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00247-020-04749-3</ELocationID><Abstract><AbstractText>During the outbreak of the COVID-19 pandemic, guidelines have been issued by international, national and local authorities to address management and the need for preparedness. Children with COVID-19 differ from adults in that they are less often and less severely affected. Additional precautions required in the management of children address their increased radiosensitivity, need for accompanying carers, and methods for dealing with children in a mixed adult-paediatric institution. In this guidance document, our aim is to define a pragmatic strategy for imaging children with an emphasis on proven or suspected COVID-19 cases. Children suspected of COVID-19 should not be imaged routinely. Imaging should be performed only when expected to alter patient management, depending on symptoms, preexisting conditions and clinical evolution. In order to prevent disease transmission, it is important to manage the inpatient caseload effectively by triaging children and carers outside the hospital, re-scheduling nonurgent elective procedures and managing symptomatic children and carers as COVID-19 positive until proven otherwise. Within the imaging department one should consider conducting portable examinations with COVID-19 machines or arranging dedicated COVID-19 paediatric imaging sessions and performing routine nasopharyngeal swab testing before imaging under general anaesthesia. Finally, regular personal hygiene, appropriate usage of personal protective equipment, awareness of which procedures are considered aerosol generating and information on how to best disinfect imaging machinery after examinations should be highlighted to all staff members.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Raissaki</LastName><ForeName>Maria</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Radiology, University Hospital of Heraklion, University of Crete, Crete, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shelmerdine</LastName><ForeName>Susan C</ForeName><Initials>SC</Initials><AffiliationInfo><Affiliation>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK. susan.shelmerdine@gosh.nhs.uk.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK. susan.shelmerdine@gosh.nhs.uk.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>NIHR Great Ormond Street Biomedical Research Centre, London, UK. susan.shelmerdine@gosh.nhs.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Damasio</LastName><ForeName>Maria Beatrice</ForeName><Initials>MB</Initials><AffiliationInfo><Affiliation>U.O.C. Radiologia, Istituto Giannina Gaslini, Genoa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Toso</LastName><ForeName>Seema</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Diagnostics, Geneva Children's Hospitals, Geneva, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kvist</LastName><ForeName>Ola</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Pediatric Radiology, Karolinska University Hospital, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lovrenski</LastName><ForeName>Jovan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute for Children and Adolescent Health Care of Vojvodina, Novi Sad, Serbia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hirsch</LastName><ForeName>Franz Wolfgang</ForeName><Initials>FW</Initials><AffiliationInfo><Affiliation>Department of Pediatric Radiology, University of Leipzig, Leipzig, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Görkem</LastName><ForeName>Süreyya Burcu</ForeName><Initials>SB</Initials><AffiliationInfo><Affiliation>Paediatric Radiology Department, Erciyes University School of Medicine, Children's Hospital, Kayseri, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paterson</LastName><ForeName>Anne</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Radiology, Royal Belfast Hospital for Sick Children, Belfast, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arthurs</LastName><ForeName>Owen J</ForeName><Initials>OJ</Initials><AffiliationInfo><Affiliation>Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCL Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>NIHR Great Ormond Street Biomedical Research Centre, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rossi</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Neuroradiology Unit, Istituto Giannina Gaslini, Genoa, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Schuppen</LastName><ForeName>Joost</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Petit</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Service d'imagerie pédiatrique et prénatale, Aix Marseille University, Hôpital de La Timone-Enfants, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Argyropoulou</LastName><ForeName>Maria I</ForeName><Initials>MI</Initials><AffiliationInfo><Affiliation>Department of Clinical Radiology and Imaging, Medical School, University Hospital of Ioannina, Ioannina, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Offiah</LastName><ForeName>Amaka C</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Academic Unit of Child Health, University of Sheffield, Sheffield, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Radiology, Sheffield Children's NHS Foundation Trust, Sheffield, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosendahl</LastName><ForeName>Karen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Radiology, University Hospital of North Norway, Tromsø, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical Medicine, UiT the Arctic University of Norway, Tromsø, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Caro-Domínguez</LastName><ForeName>Pablo</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Unidad de Radiología Pediátrica, Servicio de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017065">Practice Guideline</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Pediatr Radiol</MedlineTA><NlmUniqueID>0365332</NlmUniqueID><ISSNLinking>0301-0449</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003952" MajorTopicYN="N">Diagnostic Imaging</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010372" MajorTopicYN="N">Pediatrics</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">Children</Keyword><Keyword MajorTopicYN="Y">Coronavirus</Keyword><Keyword MajorTopicYN="Y">Imaging protocol</Keyword><Keyword MajorTopicYN="Y">Management</Keyword><Keyword MajorTopicYN="Y">Radiology</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>04</Month><Day>18</Day></PubMedPubDate><PubMedPubDate 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IdType="pubmed">32207769</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Espagne</li><li>France</li><li>Grèce</li><li>Italie</li><li>Norvège</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>Serbie</li><li>Suisse</li><li>Suède</li><li>Turquie</li></country><region><li>Angleterre</li><li>District de Leipzig</li><li>Grand Londres</li><li>Hollande-Septentrionale</li><li>Provence-Alpes-Côte d'Azur</li><li>Saxe (Land)</li><li>Svealand</li></region><settlement><li>Amsterdam</li><li>Leipzig</li><li>Londres</li><li>Marseille</li><li>Stockholm</li></settlement><orgName><li>Université d'Amsterdam</li></orgName></list><tree><country name="Grèce"><noRegion><name sortKey="Raissaki, Maria" sort="Raissaki, Maria" uniqKey="Raissaki M" first="Maria" last="Raissaki">Maria Raissaki</name></noRegion><name sortKey="Argyropoulou, Maria I" sort="Argyropoulou, Maria I" uniqKey="Argyropoulou M" first="Maria I" last="Argyropoulou">Maria 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Shelmerdine</name></country><country name="Italie"><noRegion><name sortKey="Damasio, Maria Beatrice" sort="Damasio, Maria Beatrice" uniqKey="Damasio M" first="Maria Beatrice" last="Damasio">Maria Beatrice Damasio</name></noRegion><name sortKey="Rossi, Andrea" sort="Rossi, Andrea" uniqKey="Rossi A" first="Andrea" last="Rossi">Andrea Rossi</name><name sortKey="Rossi, Andrea" sort="Rossi, Andrea" uniqKey="Rossi A" first="Andrea" last="Rossi">Andrea Rossi</name></country><country name="Suisse"><noRegion><name sortKey="Toso, Seema" sort="Toso, Seema" uniqKey="Toso S" first="Seema" last="Toso">Seema Toso</name></noRegion></country><country name="Suède"><region name="Svealand"><name sortKey="Kvist, Ola" sort="Kvist, Ola" uniqKey="Kvist O" first="Ola" last="Kvist">Ola Kvist</name></region></country><country name="Serbie"><noRegion><name sortKey="Lovrenski, Jovan" sort="Lovrenski, Jovan" uniqKey="Lovrenski J" first="Jovan" last="Lovrenski">Jovan Lovrenski</name></noRegion><name sortKey="Lovrenski, Jovan" sort="Lovrenski, Jovan" uniqKey="Lovrenski J" first="Jovan" last="Lovrenski">Jovan Lovrenski</name></country><country name="Allemagne"><region name="Saxe (Land)"><name sortKey="Hirsch, Franz Wolfgang" sort="Hirsch, Franz Wolfgang" uniqKey="Hirsch F" first="Franz Wolfgang" last="Hirsch">Franz Wolfgang Hirsch</name></region></country><country name="Turquie"><noRegion><name sortKey="Gorkem, Sureyya Burcu" sort="Gorkem, Sureyya Burcu" uniqKey="Gorkem S" first="Süreyya Burcu" last="Görkem">Süreyya Burcu Görkem</name></noRegion></country><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Van Schuppen, Joost" sort="Van Schuppen, Joost" uniqKey="Van Schuppen J" first="Joost" last="Van Schuppen">Joost Van Schuppen</name></region></country><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Petit, Philippe" sort="Petit, Philippe" uniqKey="Petit P" first="Philippe" last="Petit">Philippe Petit</name></region></country><country name="Norvège"><noRegion><name sortKey="Rosendahl, Karen" sort="Rosendahl, Karen" uniqKey="Rosendahl K" first="Karen" last="Rosendahl">Karen Rosendahl</name></noRegion><name sortKey="Rosendahl, Karen" sort="Rosendahl, Karen" uniqKey="Rosendahl K" first="Karen" last="Rosendahl">Karen Rosendahl</name></country><country name="Espagne"><noRegion><name sortKey="Caro Dominguez, Pablo" sort="Caro Dominguez, Pablo" uniqKey="Caro Dominguez P" first="Pablo" last="Caro-Domínguez">Pablo Caro-Domínguez</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|wiki= Sante
|area= CovidFranceV1
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|texte= Management strategies for children with COVID-19: ESPR practical recommendations.
}}
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