Proposal for prevention and control of the 2019 novel coronavirus disease in newborn infants
Identifieur interne : 000418 ( Pmc/Corpus ); précédent : 000417; suivant : 000419Proposal for prevention and control of the 2019 novel coronavirus disease in newborn infants
Auteurs : Fang Li ; Zhi Chun Feng ; Yuan ShiSource :
- Archives of Disease in Childhood. Fetal and Neonatal Edition [ 1359-2998 ] ; 2020.
Url:
DOI: 10.1136/archdischild-2020-318996
PubMed: 32132140
PubMed Central: 7133384
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Proposal for prevention and control of the 2019 novel coronavirus disease in newborn infants</title><author><name sortKey="Li, Fang" sort="Li, Fang" uniqKey="Li F" first="Fang" last="Li">Fang Li</name><affiliation><nlm:aff id="aff1"><institution content-type="department">Department of Neonatology</institution>,<institution>Chongqing Medical University Affiliated Children's Hospital</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"><institution>National Clinical Research Center for Child Health and Disorders</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation></author><author><name sortKey="Feng, Zhi Chun" sort="Feng, Zhi Chun" uniqKey="Feng Z" first="Zhi Chun" last="Feng">Zhi Chun Feng</name><affiliation><nlm:aff id="aff3"><institution>Bayi Children's Hospital, The Seventh Medical Center of Chinese PLA General Hospital</institution>,<addr-line content-type="city">Beijing</addr-line>,<country>China</country></nlm:aff></affiliation></author><author><name sortKey="Shi, Yuan" sort="Shi, Yuan" uniqKey="Shi Y" first="Yuan" last="Shi">Yuan Shi</name><affiliation><nlm:aff id="aff1"><institution content-type="department">Department of Neonatology</institution>,<institution>Chongqing Medical University Affiliated Children's Hospital</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"><institution>National Clinical Research Center for Child Health and Disorders</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32132140</idno><idno type="pmc">7133384</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7133384</idno><idno type="RBID">PMC:7133384</idno><idno type="doi">10.1136/archdischild-2020-318996</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000418</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000418</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Proposal for prevention and control of the 2019 novel coronavirus disease in newborn infants</title><author><name sortKey="Li, Fang" sort="Li, Fang" uniqKey="Li F" first="Fang" last="Li">Fang Li</name><affiliation><nlm:aff id="aff1"><institution content-type="department">Department of Neonatology</institution>,<institution>Chongqing Medical University Affiliated Children's Hospital</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"><institution>National Clinical Research Center for Child Health and Disorders</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation></author><author><name sortKey="Feng, Zhi Chun" sort="Feng, Zhi Chun" uniqKey="Feng Z" first="Zhi Chun" last="Feng">Zhi Chun Feng</name><affiliation><nlm:aff id="aff3"><institution>Bayi Children's Hospital, The Seventh Medical Center of Chinese PLA General Hospital</institution>,<addr-line content-type="city">Beijing</addr-line>,<country>China</country></nlm:aff></affiliation></author><author><name sortKey="Shi, Yuan" sort="Shi, Yuan" uniqKey="Shi Y" first="Yuan" last="Shi">Yuan Shi</name><affiliation><nlm:aff id="aff1"><institution content-type="department">Department of Neonatology</institution>,<institution>Chongqing Medical University Affiliated Children's Hospital</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"><institution>National Clinical Research Center for Child Health and Disorders</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></nlm:aff></affiliation></author></analytic><series><title level="j">Archives of Disease in Childhood. Fetal and Neonatal Edition</title><idno type="ISSN">1359-2998</idno><idno type="eISSN">1468-2052</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zhu, N" uniqKey="Zhu N">N Zhu</name></author><author><name sortKey="Zhang, D" uniqKey="Zhang D">D Zhang</name></author><author><name sortKey="Wang, W" uniqKey="Wang W">W Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fang, F" uniqKey="Fang F">F Fang</name></author><author><name sortKey="Luo, Xp" uniqKey="Luo X">XP Luo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shek, Cc" uniqKey="Shek C">CC Shek</name></author><author><name sortKey="Ng, Pc" uniqKey="Ng P">PC Ng</name></author><author><name sortKey="Fung, Gpg" uniqKey="Fung G">GPG Fung</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Arch Dis Child Fetal Neonatal Ed</journal-id><journal-id journal-id-type="iso-abbrev">Arch. Dis. Child. Fetal Neonatal Ed</journal-id><journal-id journal-id-type="hwp">fetalneonatal</journal-id><journal-id journal-id-type="publisher-id">fnn</journal-id><journal-title-group><journal-title>Archives of Disease in Childhood. Fetal and Neonatal Edition</journal-title></journal-title-group><issn pub-type="ppub">1359-2998</issn><issn pub-type="epub">1468-2052</issn><publisher><publisher-name>BMJ Publishing Group</publisher-name><publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32132140</article-id><article-id pub-id-type="pmc">7133384</article-id><article-id pub-id-type="publisher-id">fetalneonatal-2020-318996</article-id><article-id pub-id-type="doi">10.1136/archdischild-2020-318996</article-id><article-categories><subj-group subj-group-type="heading"><subject>PostScript</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>1506</subject></subj-group><series-title>Letter</series-title></article-categories><title-group><article-title>Proposal for prevention and control of the 2019 novel coronavirus disease in newborn infants</article-title></title-group><contrib-group><contrib id="author-70389573" contrib-type="author"><name><surname>Li</surname><given-names>Fang</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib id="author-67422289" contrib-type="author" corresp="yes"><name><surname>Feng</surname><given-names>Zhi Chun</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib id="author-65440350" contrib-type="author" corresp="yes"><name><surname>Shi</surname><given-names>Yuan</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib></contrib-group><aff id="aff1"><label>1</label><institution content-type="department">Department of Neonatology</institution>,<institution>Chongqing Medical University Affiliated Children's Hospital</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></aff><aff id="aff2"><label>2</label><institution>National Clinical Research Center for Child Health and Disorders</institution>,<addr-line content-type="city">Chongqing</addr-line>,<country>China</country></aff><aff id="aff3"><label>3</label><institution>Bayi Children's Hospital, The Seventh Medical Center of Chinese PLA General Hospital</institution>,<addr-line content-type="city">Beijing</addr-line>,<country>China</country></aff><author-notes><corresp><label>Correspondence to</label> Professor Yuan Shi, Department of Neonatology, Chongqing Medical University Affiliated Children's Hospital, Chongqing 400014, China; <email>shiyuan@hospital.cqmu.edu.cn</email>; Professor Zhi Chun Feng; <email>zhichunfeng81@163.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>3</month><year>2020</year></pub-date><pub-date pub-type="epub"><day>4</day><month>3</month><year>2020</year></pub-date><elocation-id>fetalneonatal-2020-318996</elocation-id><history><date date-type="accepted"><day>20</day><month>2</month><year>2020</year></date></history><permissions><copyright-statement>© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</copyright-statement><copyright-year>2020</copyright-year><license license-type="open-access"><ali:license_ref start_date="2020-03-04">http://creativecommons.org/licenses/by-nc/4.0/</ali:license_ref><license-p>This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>.</license-p></license></permissions><self-uri xlink:title="pdf" xlink:href="fetalneonatal-2020-318996.pdf"></self-uri><kwd-group><kwd>neonatology</kwd><kwd>infectious diseases</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>special-feature</meta-name><meta-value>unlocked</meta-value></custom-meta></custom-meta-group></article-meta></front><body><p>Since the end of 2019, an outbreak of the 2019 novel coronavirus disease (COVID-19)<xref rid="R1" ref-type="bibr">1</xref> has fast spread widely. By 19 February 2020, over 70 000 laboratory-confirmed COVID-19 have been reported, with over 1800 patients died. At least 12 neonates have been diagnosed with COVID-19.<xref rid="R2" ref-type="bibr">2</xref> Newborn infants deserve more concern due to their immature immune system and the possibility of mother to infant transmission. Neonatologists belonging to the Chinese Neonatologist Association of Chinese Doctor Association have proposed measurements for the prevention and control of COVID-19 in neonates.</p><p>The delivery room or operating room serving suspected or confirmed infected mothers should be specially prepared, preferably with negative pressure.<xref rid="R3" ref-type="bibr">3</xref> Medical staff involved must be equipped with required protective equipment. Neonatal resuscitation is performed according to the Neonatal Resuscitation Program seventh edition as usual.</p><p>Newborns are considered at high risk of COVID-19 in case that they are born to mothers diagnosed with COVID-19, or have close contact with someone with probable or confirmed COVID-19, or live in or travel to the epidemic area. Clinical manifestations of infected neonates, especially preterm infants, might be non-specific, which might include temperature instability, gastrointestinal and cardiovascular dysfunction, and dominant respiratory problems. Some severe patients could rapidly develop acute respiratory distress syndrome. All infants with suspected COVID-19 should be isolated and monitored regardless of whether or not they present with symptoms. Diagnosis of neonatal COVID-19 could be confirmed if the suspected patients have positive nucleic acid test for COVID-19 from the respiratory tract, stool or blood specimens.<xref rid="R4" ref-type="bibr">4</xref></p><p>Infants with highly suspected or confirmed COVID-19 should be referred to the designated neonatal ward. All medical staff involved should wear protective equipment. The neonatal department should be strictly stratified into transitional, quarantine, living and work areas. Infants with suspected infection should be isolated in a single room, while confirmed patients should be moved into separate rooms. The quarantine room should be equipped with an isolated air cycle system. Due to the strong infectivity of COVID-19, negative pressure isolation rooms are recommended.</p><p>After admission, the following prevention and control strategies should be adequately performed. Protective equipment including hats, goggles, long-sleeved protective suits, gloves and medical masks must be available for all medical staff. Minimal number of people in the isolated area and the necessary operation clusters are preferred. Avoid breast feeding from COVID-19 mother until recovery. Strict hand hygiene and disinfecting environment protocol are required.</p><p>The patients could be discharged if the following requirements are met: (1) the temperature returned to normal for more than 3 days; (2) respiratory symptoms and chest radiography improved dramatically; (3) nasopharyngeal and pharyngeal swabs, and sputum show negative for COVID-19 for two consecutive times (with at least a 24-hour interval).</p><p>COVID-19 outbreak might bring psychological stress to the patient’s parents and medical staff. Appropriate psychological support is needed.</p><p>Due to the limited cases and clinical evidence in neonatal COVID-19, the proposal will be continuously modified based on accumulated clinic evidence and experience.</p></body><back><ack><p>Thanks to the help by Chinese Neonatologist Association of Chinese Doctor Association.</p></ack><fn-group><fn fn-type="other"><p><bold>Contributors:</bold> FL is responsible for writing the manuscript. YS and ZCF are responsible for censorship, organising and contacting on Chinese Neonatologist Association of Chinese Doctor Association.</p></fn><fn fn-type="other"><p><bold>Funding:</bold> The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.</p></fn><fn fn-type="COI-statement"><p><bold>Competing interests:</bold> None declared.</p></fn><fn fn-type="other"><p><bold>Patient consent for publication:</bold> Not required.</p></fn><fn fn-type="other"><p><bold>Provenance and peer review:</bold> Not commissioned; internally peer reviewed.</p></fn></fn-group><ref-list><title>References</title><ref id="R1"><label>1</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Zhu</surname><given-names>N</given-names></name>, <name name-style="western"><surname>Zhang</surname><given-names>D</given-names></name>, <name name-style="western"><surname>Wang</surname><given-names>W</given-names></name>, <etal>et al</etal></person-group><article-title>A novel coronavirus from patients with pneumonia in China, 2019</article-title>. <source>N Engl J Med</source><year>2020</year>;<volume>382</volume>:<fpage>727</fpage>–<lpage>33</lpage>. <pub-id pub-id-type="doi">10.1056/NEJMoa2001017</pub-id><pub-id pub-id-type="pmid">31978945</pub-id></mixed-citation></ref><ref id="R2"><label>2</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Fang</surname><given-names>F</given-names></name>, <name name-style="western"><surname>Luo</surname><given-names>XP</given-names></name></person-group><article-title>Facing the pandemic of 2019 novel coronavirus infections: the pediatric perspectives</article-title>. <source>ZhonghuaErKeZaZhi</source><year>2020</year>;<volume>58</volume>:<fpage>E1</fpage>.</mixed-citation></ref><ref id="R3"><label>3</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Shek</surname><given-names>CC</given-names></name>, <name name-style="western"><surname>Ng</surname><given-names>PC</given-names></name>, <name name-style="western"><surname>Fung</surname><given-names>GPG</given-names></name>, <etal>et al</etal></person-group><article-title>Infants born to mothers with severe acute respiratory syndrome</article-title>. <source>Pediatrics</source><year>2003</year>;<volume>112</volume>:<elocation-id>e254</elocation-id><pub-id pub-id-type="doi">10.1542/peds.112.4.e254</pub-id><pub-id pub-id-type="pmid">14523207</pub-id></mixed-citation></ref><ref id="R4"><label>4</label><mixed-citation publication-type="web"><person-group person-group-type="author"><collab>World Health Organization</collab></person-group><article-title>Interim clinical guidance for management of patients with confirmed 2019 novel coronavirus (2019-nCoV) infection</article-title>, <year>2020</year> Available: <uri xlink:href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.htm;">https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.htm;</uri></mixed-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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