RT Journal Article
SR Electronic
T1 Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e039897
DO 10.1136/bmjopen-2020-039897
VO 10
IS 8
A1 Wen-Yi Luo
A1 Ji-Wen Sun
A1 Wen-Lan Zhang
A1 Qian Li
A1 Ping Ni
A1 Lie-Bin Zhao
A1 Jin-Hui Tian
A1 Ya-Qing Zhang
A1 Hong Lu
YR 2020
UL http://bmjopen.bmj.com/content/10/8/e039897.abstract
AB Objectives Relevant guidelines and consensuses for COVID-19 contain recommendations aimed at optimising the management in paediatric wards. The goal of this study was to determine the quality of those recommendations and provide suggestions to hospital managers for the adjustment of existing hospital prevention and control strategies, and also to offer recommendations for further research.Design A rapid review of the guidelines and consensuses for the management in paediatric wards facing COVID-19.Methods PubMed, EMBASE, the Cochrane Library, UpToDate, China National Knowledge Infrastructure, the Wanfang database and relevant websites such as medlive.cn, dxy.cn, the National Health and Health Commission and the China Center for Disease Control and Prevention were systematically searched through late May 2020. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool was then used to assess the quality of the selected articles and summarise the relevant evidence concerning management in paediatric wards.Results A total of 35 articles were included, composed of 3 consensus guidelines, 25 expert consensuses and 7 expert opinions. Of the 35 papers, 24 were from China, 2 from the USA, 1 from Spain, 1 from Brazil, 1 from Saudi Arabia and 6 from multinational cooperative studies. Scores for the six domains of the AGREE II tool (scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability and editorial independence) were 98.57%, 53.57%, 17.92%, 69.62%, 26.96% and 50.35%, respectively. Recommendations for nosocomial infection and control, human resource management as well as management of paediatric patients and their families were summarised.Conclusions Due to the outbreak of COVID-19, the quality of rapid guidelines and consensuses for the management in paediatric wards affected by COVID-19 is unsatisfactory. In the future, it will be necessary to develop more high-quality guidelines or consensuses for the management in paediatric wards to deal with nosocomial outbreaks in order to fully prepare for emergency medical and health problems.