Coronavirus disease 2019 (Covid-19) caused by SARS-CoV-2 has rapidly spread, becoming the first pandemic of the 21st century by death toll. Children appear to be less affected than adults, with a milder clinical presentation and a significantly lower mortality rate. However, serious complica-tions can occur in childhood, such as Covid-19 temporally related multisystem inflammatory syn-drome (MIS-C). Some aspects of SARS-CoV-2 infection in children and adolescents remain un-clear and the optimal treatment has not been defined. The Working Group on Covid-19 in Paediatrics of the Emilia-Romagna Region (RE-CO-PED) has produced a consensus document with practical recommendations based on a systematic review of the literature and on the clinical experi-ence of the expert group. Evidence is reported regarding prevention measures, diagnostic tools as well as home and hospital therapeutic management of complicated cases (MIS-C). The educational and psychological effects of the pandemic in the paediatric and adolescent age are reported, with the need to define coordinated interventions (between paediatricians, neurospychiatrists, psycholo-gists and educational services) for the prevention and treatment of documented emotional, relational and educational consequences caused by the lockdown, school closures and social distances.
Gestione del Covid-19 in età pediatrica: documento di consenso / Esposito, Susanna; Marchetti, Federico; Lanari, Marcello; Caramelli, Fabio; DE FANTI, Alessandro; Vergine, Gianluca; Iughetti, Lorenzo; Fornaro, Martina; Suppiej, Agnese; Zona, Stefano; Pession, Andrea; Biasucci, Giacomo; DI LAVORO SU COVID-19 IN PEDIATRIA DELLA REGIONE EMILIA-ROMAGNA(Giuseppe Cannalire, Gruppo; Sole Magistrali, Maria; Akamin, Raymond; Dodi, Icilio; Argentiero, Alberto; Abate, Luciana; De Guido, Claudia; Fanelli, Umberto; Pappalardo, Marco; Pecora, Francesco; Sogni, Francesco; Gargano, Giancarlo; Volta, Alessandro; Panza, Costantino; Fornaciari, Sara; Russo, Giovanna; Predieri, Barbara; Chiarolanza, Jennifer; Andreozzi, Laura; Fabi, Marianna; Sandri, Fabrizio; Ghizzi, Chiara; Ricci, Rita; Nicoli, Luciana; Ballestrazzi, Alessandro; Dall’Osso, Tiziano; Serra, Laura; Guiducci, Claudia; Iacono, Alessandra; Maria Magistà, Anna; Malaventura, Cristina; Fumarola, Adriana; Bergamini, Marcello; Valletta, Enrico; Stella, Marcello; Mazzini, Franco; Ancora, Gina; Pancaldi, Giovanni; Scarpellini, Beatrice; Ferrè, Cristina; De Palma, Rossana; Di Mario, Simona; Franchi, Fabia; Giroldini, Roberta; Maria Marata, Anna; Mattei, Giovanna; Solfrini, Valentina; Luisa Moro), Maria. - In: MEDICO E BAMBINO. - ISSN 1591-3090. - 40:2(2021), pp. 85-101. [10.53126/MEB40085]
Gestione del Covid-19 in età pediatrica: documento di consenso
LORENZO IUGHETTI;Barbara Predieri;
2021
Abstract
Coronavirus disease 2019 (Covid-19) caused by SARS-CoV-2 has rapidly spread, becoming the first pandemic of the 21st century by death toll. Children appear to be less affected than adults, with a milder clinical presentation and a significantly lower mortality rate. However, serious complica-tions can occur in childhood, such as Covid-19 temporally related multisystem inflammatory syn-drome (MIS-C). Some aspects of SARS-CoV-2 infection in children and adolescents remain un-clear and the optimal treatment has not been defined. The Working Group on Covid-19 in Paediatrics of the Emilia-Romagna Region (RE-CO-PED) has produced a consensus document with practical recommendations based on a systematic review of the literature and on the clinical experi-ence of the expert group. Evidence is reported regarding prevention measures, diagnostic tools as well as home and hospital therapeutic management of complicated cases (MIS-C). The educational and psychological effects of the pandemic in the paediatric and adolescent age are reported, with the need to define coordinated interventions (between paediatricians, neurospychiatrists, psycholo-gists and educational services) for the prevention and treatment of documented emotional, relational and educational consequences caused by the lockdown, school closures and social distances.
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