CovidFranceV1, Main, Exploration, bibRecord, 001577

COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).

Identifieur interne : 001577 ( Main/Exploration ); précédent : 001576; suivant : 001578

COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).

Auteurs : N. Leboulanger [France] ; T. Sagardoy [France] ; M. Akkari [France] ; S. Ayari-Khalfallah [France] ; C. Celerier [France] ; P. Fayoux [France] ; R. Luscan [France] ; A-L Mansbach [Belgique] ; E. Moreddu [France] ; S. Pondaven [France] ; F. Simon [France] ; N. Teissier [France] ; B. Thierry [France] ; A. Fanous [Canada] ; E. Lescanne [France] ; R. Nicollas [France] ; V. Couloigner [France]

Source :

European annals of otorhinolaryngology, head and neck diseases [ 1879-730X ] ; 2020.

RBID : pubmed:32312676

Descripteurs français

KwdFr :
- Betacoronavirus (isolement et purification), Enfant (MeSH), France (épidémiologie), Humains (MeSH), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (transmission), Infections à coronavirus (virologie), Infections à coronavirus (épidémiologie), Oto-rhino-laryngologie (méthodes), Oto-rhino-laryngologie (normes), Pandémies (prévention et contrôle), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (transmission), Pneumopathie virale (virologie), Pneumopathie virale (épidémiologie), Prévention des infections (méthodes), Prévention des infections (normes), Pédiatrie (méthodes), Pédiatrie (normes).
MESH :
- isolement et purification : Betacoronavirus.
- méthodes : Oto-rhino-laryngologie, Prévention des infections, Pédiatrie.
- normes : Oto-rhino-laryngologie, Prévention des infections, Pédiatrie.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- virologie : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : France, Infections à coronavirus, Pneumopathie virale.
- Enfant, Humains.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Betacoronavirus (isolation & purification), Child (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Coronavirus Infections (transmission), Coronavirus Infections (virology), France (epidemiology), Humans (MeSH), Infection Control (methods), Infection Control (standards), Otolaryngology (methods), Otolaryngology (standards), Pandemics (prevention & control), Pediatrics (methods), Pediatrics (standards), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Pneumonia, Viral (transmission), Pneumonia, Viral (virology).
MESH :
- geographic , epidemiology : France.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- methods : Infection Control, Otolaryngology, Pediatrics.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- standards : Infection Control, Otolaryngology, Pediatrics.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Child, Humans.

Abstract

OBJECTIVE

Joint guidelines of the French Pediatric Otolaryngology Society (AFOP) and of the French Society of otorhinolaryngology-head and neck surgery (SFORL) on the management of paediatric otolaryngology patients in the context of the COVID-19 pandemic.

METHODS

A nation-wide workgroup drew guidelines based on clinical experience, national and local recommendations and scientific literature. Proposals may have to be updated on a day-to-day basis.

RESULTS

In children, incidence of symptomatic COVID-19 (1-5%) is low and of good prognosis. The indications for nasal flexible endoscopy should be drastically limited. If undertaken, full Personal Protective Equipment (PPE) including FFP2 masks are required, as well as use of a sheath. Saline nose wash done by caregivers other than parents at home should require PPE. Unless foreign body tracheobronchial aspiration is clinically obvious, CT-scan should be performed to confirm indication of endoscopy. Surgical indications should be limited to emergencies and to cases that cannot be delayed beyond 2 months (especially endonasal, endopharyngeal laryngo-tracheobronchial procedures). Postponement should ideally be a group decision and recorded as such in the medical file. Surgical techniques should be adapted to limit the risk of viral dissemination in the air, avoiding the use of drills, microdebriders, monopolar cautery or lasers. Continuous suction should be placed near the operating field. In case of confirmed Covid-19 cases, or suspected cases (or in some centres systematically), PPE with FFP2 mask should be worn by all staff members present in the operating room.

DOI: 10.1016/j.anorl.2020.04.010
PubMed: 32312676
PubMed Central: PMC7165275

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Leboulanger, N" sort="Leboulanger, N" uniqKey="Leboulanger N" first="N" last="Leboulanger">N. Leboulanger</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France. Electronic address: nicolas.leboulanger@aphp.fr.</nlm:affiliation>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Akkari, M" sort="Akkari, M" uniqKey="Akkari M" first="M" last="Akkari">M. Akkari</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Gui-de-Chauliac, CHU de Montpellier, université de Montpellier, Montpellier</wicri:regionArea>
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<author><name sortKey="Ayari Khalfallah, S" sort="Ayari Khalfallah, S" uniqKey="Ayari Khalfallah S" first="S" last="Ayari-Khalfallah">S. Ayari-Khalfallah</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fayoux, P" sort="Fayoux, P" uniqKey="Fayoux P" first="P" last="Fayoux">P. Fayoux</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille</wicri:regionArea>
<placeName><region type="region">Hauts-de-France</region>
<region type="old region">Nord-Pas-de-Calais</region>
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<author><name sortKey="Luscan, R" sort="Luscan, R" uniqKey="Luscan R" first="R" last="Luscan">R. Luscan</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mansbach, A L" sort="Mansbach, A L" uniqKey="Mansbach A" first="A-L" last="Mansbach">A-L Mansbach</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital universitaire des enfants Reine-Fabiola (HUDERF), Bruxelles, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital universitaire des enfants Reine-Fabiola (HUDERF), Bruxelles</wicri:regionArea>
<placeName><settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Moreddu, E" sort="Moreddu, E" uniqKey="Moreddu E" first="E" last="Moreddu">E. Moreddu</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, 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>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Pondaven, S" sort="Pondaven, S" uniqKey="Pondaven S" first="S" last="Pondaven">S. Pondaven</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours</wicri:regionArea>
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<region type="old region">Région Centre</region>
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</placeName>
<orgName type="university">Université de Tours</orgName>
</affiliation>
</author>
<author><name sortKey="Simon, F" sort="Simon, F" uniqKey="Simon F" first="F" last="Simon">F. Simon</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
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<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Teissier, N" sort="Teissier, N" uniqKey="Teissier N" first="N" last="Teissier">N. Teissier</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, université de Paris, NeuroDiderot, Inserm, 75019, Paris</wicri:regionArea>
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</placeName>
</affiliation>
</author>
<author><name sortKey="Thierry, B" sort="Thierry, B" uniqKey="Thierry B" first="B" last="Thierry">B. Thierry</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fanous, A" sort="Fanous, A" uniqKey="Fanous A" first="A" last="Fanous">A. Fanous</name>
<affiliation wicri:level="1"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, université McGill, Montréal, Québec, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, université McGill, Montréal, Québec</wicri:regionArea>
<wicri:noRegion>Québec</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lescanne, E" sort="Lescanne, E" uniqKey="Lescanne E" first="E" last="Lescanne">E. Lescanne</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
<orgName type="university">Université de Tours</orgName>
</affiliation>
</author>
<author><name sortKey="Nicollas, R" sort="Nicollas, R" uniqKey="Nicollas R" first="R" last="Nicollas">R. Nicollas</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, 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>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Couloigner, V" sort="Couloigner, V" uniqKey="Couloigner V" first="V" last="Couloigner">V. Couloigner</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
</titleStmt>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).</title>
<author><name sortKey="Leboulanger, N" sort="Leboulanger, N" uniqKey="Leboulanger N" first="N" last="Leboulanger">N. Leboulanger</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France. Electronic address: nicolas.leboulanger@aphp.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
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<author><name sortKey="Sagardoy, T" sort="Sagardoy, T" uniqKey="Sagardoy T" first="T" last="Sagardoy">T. Sagardoy</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Pellegrin, université de Bordeaux, Bordeaux, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Pellegrin, université de Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
<orgName type="university">Université de Bordeaux</orgName>
</affiliation>
</author>
<author><name sortKey="Akkari, M" sort="Akkari, M" uniqKey="Akkari M" first="M" last="Akkari">M. Akkari</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Gui-de-Chauliac, CHU de Montpellier, université de Montpellier, Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Gui-de-Chauliac, CHU de Montpellier, université de Montpellier, Montpellier</wicri:regionArea>
<placeName><region type="region">Occitanie (région administrative)</region>
<region type="old region">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ayari Khalfallah, S" sort="Ayari Khalfallah, S" uniqKey="Ayari Khalfallah S" first="S" last="Ayari-Khalfallah">S. Ayari-Khalfallah</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital femme, mère, enfant, hospices civils de Lyon, université Claude-Bernard-Lyon 1, Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital femme, mère, enfant, hospices civils de Lyon, université Claude-Bernard-Lyon 1, Lyon</wicri:regionArea>
<placeName><region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
<orgName type="university">Université Claude Bernard Lyon 1</orgName>
</affiliation>
</author>
<author><name sortKey="Celerier, C" sort="Celerier, C" uniqKey="Celerier C" first="C" last="Celerier">C. Celerier</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fayoux, P" sort="Fayoux, P" uniqKey="Fayoux P" first="P" last="Fayoux">P. Fayoux</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille</wicri:regionArea>
<placeName><region type="region">Hauts-de-France</region>
<region type="old region">Nord-Pas-de-Calais</region>
<settlement type="city">Lille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Luscan, R" sort="Luscan, R" uniqKey="Luscan R" first="R" last="Luscan">R. Luscan</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mansbach, A L" sort="Mansbach, A L" uniqKey="Mansbach A" first="A-L" last="Mansbach">A-L Mansbach</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital universitaire des enfants Reine-Fabiola (HUDERF), Bruxelles, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital universitaire des enfants Reine-Fabiola (HUDERF), Bruxelles</wicri:regionArea>
<placeName><settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Moreddu, E" sort="Moreddu, E" uniqKey="Moreddu E" first="E" last="Moreddu">E. Moreddu</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, 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>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Pondaven, S" sort="Pondaven, S" uniqKey="Pondaven S" first="S" last="Pondaven">S. Pondaven</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
<orgName type="university">Université de Tours</orgName>
</affiliation>
</author>
<author><name sortKey="Simon, F" sort="Simon, F" uniqKey="Simon F" first="F" last="Simon">F. Simon</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Teissier, N" sort="Teissier, N" uniqKey="Teissier N" first="N" last="Teissier">N. Teissier</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, université de Paris, NeuroDiderot, Inserm, 75019, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, université de Paris, NeuroDiderot, Inserm, 75019, Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Thierry, B" sort="Thierry, B" uniqKey="Thierry B" first="B" last="Thierry">B. Thierry</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fanous, A" sort="Fanous, A" uniqKey="Fanous A" first="A" last="Fanous">A. Fanous</name>
<affiliation wicri:level="1"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, université McGill, Montréal, Québec, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, université McGill, Montréal, Québec</wicri:regionArea>
<wicri:noRegion>Québec</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lescanne, E" sort="Lescanne, E" uniqKey="Lescanne E" first="E" last="Lescanne">E. Lescanne</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
<orgName type="university">Université de Tours</orgName>
</affiliation>
</author>
<author><name sortKey="Nicollas, R" sort="Nicollas, R" uniqKey="Nicollas R" first="R" last="Nicollas">R. Nicollas</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, 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>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Couloigner, V" sort="Couloigner, V" uniqKey="Couloigner V" first="V" last="Couloigner">V. Couloigner</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">European annals of otorhinolaryngology, head and neck diseases</title>
<idno type="eISSN">1879-730X</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (isolation & purification)</term>
<term>Child (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Coronavirus Infections (virology)</term>
<term>France (epidemiology)</term>
<term>Humans (MeSH)</term>
<term>Infection Control (methods)</term>
<term>Infection Control (standards)</term>
<term>Otolaryngology (methods)</term>
<term>Otolaryngology (standards)</term>
<term>Pandemics (prevention & control)</term>
<term>Pediatrics (methods)</term>
<term>Pediatrics (standards)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Pneumonia, Viral (virology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (isolement et purification)</term>
<term>Enfant (MeSH)</term>
<term>France (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Oto-rhino-laryngologie (méthodes)</term>
<term>Oto-rhino-laryngologie (normes)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Prévention des infections (méthodes)</term>
<term>Prévention des infections (normes)</term>
<term>Pédiatrie (méthodes)</term>
<term>Pédiatrie (normes)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term>
<term>Otolaryngology</term>
<term>Pediatrics</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Oto-rhino-laryngologie</term>
<term>Prévention des infections</term>
<term>Pédiatrie</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Oto-rhino-laryngologie</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" qualifier="standards" xml:lang="en"><term>Infection Control</term>
<term>Otolaryngology</term>
<term>Pediatrics</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Child</term>
<term>Humans</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Enfant</term>
<term>Humains</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Joint guidelines of the French Pediatric Otolaryngology Society (AFOP) and of the French Society of otorhinolaryngology-head and neck surgery (SFORL) on the management of paediatric otolaryngology patients in the context of the COVID-19 pandemic.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A nation-wide workgroup drew guidelines based on clinical experience, national and local recommendations and scientific literature. Proposals may have to be updated on a day-to-day basis.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>In children, incidence of symptomatic COVID-19 (1-5%) is low and of good prognosis. The indications for nasal flexible endoscopy should be drastically limited. If undertaken, full Personal Protective Equipment (PPE) including FFP2 masks are required, as well as use of a sheath. Saline nose wash done by caregivers other than parents at home should require PPE. Unless foreign body tracheobronchial aspiration is clinically obvious, CT-scan should be performed to confirm indication of endoscopy. Surgical indications should be limited to emergencies and to cases that cannot be delayed beyond 2 months (especially endonasal, endopharyngeal laryngo-tracheobronchial procedures). Postponement should ideally be a group decision and recorded as such in the medical file. Surgical techniques should be adapted to limit the risk of viral dissemination in the air, avoiding the use of drills, microdebriders, monopolar cautery or lasers. Continuous suction should be placed near the operating field. In case of confirmed Covid-19 cases, or suspected cases (or in some centres systematically), PPE with FFP2 mask should be worn by all staff members present in the operating room.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32312676</PMID>
<DateCompleted><Year>2020</Year>
<Month>05</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>06</Month>
<Day>05</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-730X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>137</Volume>
<Issue>3</Issue>
<PubDate><Year>2020</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>European annals of otorhinolaryngology, head and neck diseases</Title>
<ISOAbbreviation>Eur Ann Otorhinolaryngol Head Neck Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).</ArticleTitle>
<Pagination><MedlinePgn>177-181</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S1879-7296(20)30100-9</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.anorl.2020.04.010</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Joint guidelines of the French Pediatric Otolaryngology Society (AFOP) and of the French Society of otorhinolaryngology-head and neck surgery (SFORL) on the management of paediatric otolaryngology patients in the context of the COVID-19 pandemic.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A nation-wide workgroup drew guidelines based on clinical experience, national and local recommendations and scientific literature. Proposals may have to be updated on a day-to-day basis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In children, incidence of symptomatic COVID-19 (1-5%) is low and of good prognosis. The indications for nasal flexible endoscopy should be drastically limited. If undertaken, full Personal Protective Equipment (PPE) including FFP2 masks are required, as well as use of a sheath. Saline nose wash done by caregivers other than parents at home should require PPE. Unless foreign body tracheobronchial aspiration is clinically obvious, CT-scan should be performed to confirm indication of endoscopy. Surgical indications should be limited to emergencies and to cases that cannot be delayed beyond 2 months (especially endonasal, endopharyngeal laryngo-tracheobronchial procedures). Postponement should ideally be a group decision and recorded as such in the medical file. Surgical techniques should be adapted to limit the risk of viral dissemination in the air, avoiding the use of drills, microdebriders, monopolar cautery or lasers. Continuous suction should be placed near the operating field. In case of confirmed Covid-19 cases, or suspected cases (or in some centres systematically), PPE with FFP2 mask should be worn by all staff members present in the operating room.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier Masson SAS.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Leboulanger</LastName>
<ForeName>N</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France. Electronic address: nicolas.leboulanger@aphp.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sagardoy</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Pellegrin, université de Bordeaux, Bordeaux, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Akkari</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Gui-de-Chauliac, CHU de Montpellier, université de Montpellier, Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ayari-Khalfallah</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital femme, mère, enfant, hospices civils de Lyon, université Claude-Bernard-Lyon 1, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Celerier</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fayoux</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Luscan</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mansbach</LastName>
<ForeName>A-L</ForeName>
<Initials>AL</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital universitaire des enfants Reine-Fabiola (HUDERF), Bruxelles, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Moreddu</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pondaven</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Simon</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Teissier</LastName>
<ForeName>N</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, université de Paris, NeuroDiderot, Inserm, 75019, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Thierry</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fanous</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, université McGill, Montréal, Québec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lescanne</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nicollas</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Couloigner</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
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<Reference><Citation>N Engl J Med. 2020 Apr 23;382(17):1663-1665</Citation>
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<Reference><Citation>JAMA. 2020 Mar 17;:</Citation>
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<Reference><Citation>Clin Infect Dis. 2020 Feb 28;:</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32112072</ArticleId>
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<Reference><Citation>Arch Pathol Lab Med. 2020 Mar 17;:</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32180426</ArticleId>
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<Reference><Citation>J Infect Dis. 2020 May 11;221(11):1775-1781</Citation>
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<Reference><Citation>Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Feb 10;41(2):145-151</Citation>
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<Reference><Citation>Am J Respir Crit Care Med. 2020 May 1;201(9):1150-1152</Citation>
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<Reference><Citation>J Korean Med Sci. 2020 Mar 16;35(10):e112</Citation>
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<Reference><Citation>Radiology. 2020 Feb 26;:200642</Citation>
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<Reference><Citation>JAMA. 2020 Mar 23;:</Citation>
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<Reference><Citation>JAMA. 2020 Mar 4;:</Citation>
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<Reference><Citation>Pediatrics. 2020 Jun;145(6):</Citation>
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<Reference><Citation>Lancet. 2020 Mar 7;395(10226):809-815</Citation>
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   |texte=   COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).
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COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).

COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).

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