Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses
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 hospita...
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doaj-d9752bc4e1dd4da1bc7d76e200ac50092021-05-28T12:31:02ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2020-039897Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensusesQian Li0Hong Lu1Wen-Yi Luo2Ji-Wen Sun3Wen-Lan Zhang4Ping Ni5Lie-Bin Zhao6Jin-Hui Tian7Ya-Qing Zhang83 School of Medicine and Life Sciences, Nanjing University of Chinese Medicine, Nanjing, China Department of Nursing, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Nursing, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Nursing, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPediatric Intensive Care Unit, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Nursing, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDean's Office, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaEvidence-Based Medicine Center, Lanzhou University School of Basic Medical Sciences, Lanzhou, Gansu, ChinaEditorial Department of Journal of Shanghai Jiao Tong University (Medical Science), Shanghai Jiao Tong University, Shanghai, ChinaObjectives 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.https://bmjopen.bmj.com/content/10/8/e039897.full |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qian Li Hong Lu Wen-Yi Luo Ji-Wen Sun Wen-Lan Zhang Ping Ni Lie-Bin Zhao Jin-Hui Tian Ya-Qing Zhang |
spellingShingle |
Qian Li Hong Lu Wen-Yi Luo Ji-Wen Sun Wen-Lan Zhang Ping Ni Lie-Bin Zhao Jin-Hui Tian Ya-Qing Zhang Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses BMJ Open |
author_facet |
Qian Li Hong Lu Wen-Yi Luo Ji-Wen Sun Wen-Lan Zhang Ping Ni Lie-Bin Zhao Jin-Hui Tian Ya-Qing Zhang |
author_sort |
Qian Li |
title |
Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses |
title_short |
Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses |
title_full |
Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses |
title_fullStr |
Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses |
title_full_unstemmed |
Management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses |
title_sort |
management in the paediatric wards facing novel coronavirus infection: a rapid review of guidelines and consensuses |
publisher |
BMJ Publishing Group |
series |
BMJ Open |
issn |
2044-6055 |
publishDate |
2020-08-01 |
description |
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. |
url |
https://bmjopen.bmj.com/content/10/8/e039897.full |
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