Management of paediatric IBD after the peak of COVID-19 pandemic in Italy: A position paper on behalf of the SIGENP IBD working group

被引:15
作者
Arrigo, Serena [1 ]
Alvisi, Patrizia [2 ]
Banzato, Claudia [3 ]
Bramuzzo, Matteo [4 ]
Civitelli, Fortunata [5 ]
Corsello, Antonio [6 ]
D'Arcangelo, Giulia [7 ]
Dilillo, Anna [8 ]
Dipasquale, Valeria [9 ]
Felici, Enrico [10 ]
Fuoti, Maurizio [11 ]
Gatti, Simona [12 ]
Giusti, Zeno [13 ]
Knafelz, Daniela [14 ]
Lionetti, Paolo [15 ]
Mario, Federica [16 ]
Marseglia, Antonio [17 ]
Martelossi, Stefano [16 ]
Moretti, Chiara [18 ]
Norsa, Lorenzo [19 ]
Nuti, Federica [20 ]
Panceri, Roberto [21 ]
Rampado, Stefania [16 ]
Renzo, Sara [15 ]
Romano, Claudio [9 ]
Romeo, Erminia [22 ]
Strisciuglio, Caterina [23 ]
Martinelli, Massimo [13 ]
机构
[1] Inst Giannina Gaslini, Pediat Gastroenterol & Endoscopy Unit, Genoa, Italy
[2] Maggiore Hosp, Pediat Gastroenterol Unit, Bologna, Italy
[3] Univ Verona, Pediat Div, Dept Surg Sci Dent Gynecol & Pediat, Verona, Italy
[4] IRCCS Burlo Garofalo, Inst Maternal & Child Hlth, Trieste, Italy
[5] St Eugenio Hosp, Dept Gender Dis Child & Adolescent Hlth, Pediat Unit, Rome, Italy
[6] Fdn Policlin Univ A Gemelli IRCCS, OU Internal Med & Gastroenterol, Rome, Italy
[7] Sapienza Univ Rome, Womens & Childrens Hlth Dept, Pediat Gastroenterol & Hepatol Unit, Rome, Italy
[8] Sapienza Univ Rome, Santa Maria Goretti Hosp, Pediat & Neonatol Unit, Latina, Italy
[9] Univ Messina, Dept Human Pathol Adult & Dev Age Gaetano Barresi, Paediat Gastroenterol & Cyst Fibrosis Unit, Messina, Italy
[10] Children Hosp, Pediat & Pediat Emergency Unit, Umberto Bosio Ctr Digest Dis, AO SS Antonio & Biagio & C Arrigo, Alessandria, Italy
[11] Univ Dept Pediat, Childrens Hosp, Pediat Gastroenterol & GI Endoscopy, Spedali Civili, Brescia, Italy
[12] Univ Politecn Marche, Dept Pediat, Ancona, Italy
[13] Univ Naples Federico II, Sect Pediat, Dept Translat Med Sci, Via S Pansini 5, I-80131 Naples, Italy
[14] Bambino Gesu Pediat Hosp, Hepatol & Gastroenterol Unit, Rome, Italy
[15] Univ Florence, Meyer Hosp, Florence, Italy
[16] Ca Foncellos Hosp, Pediat Unit, Treviso, Italy
[17] Fdn IRCCS Casa Sollievo Sofferenza, Div Pediat, San Giovanni Rotondo, Italy
[18] ASST Grande Osped Metropolitano Niguarda, Paediat Div, Milan, Italy
[19] Papa Giovanni XXIII Hosp, Paediat Hepatol Gastroenterol & Transplantat, Bergamo, Italy
[20] Fdn IRCCS Ca Granda, Pediat Intermediate Care Unit, Osped Maggiore Policlin, Milan, Italy
[21] Univ Milano Bicocca, Dept Pediat, Fdn MBBM, San Gerardo Hosp, Monza, Italy
[22] Bambino Gesu Pediat Hosp, Digest Surg & Endoscopy Unit, IRCCS, Rome, Italy
[23] Univ Campania Luigi Vanvitelli, Dept Woman Child & Gen & Specialist Surg, Naples, Italy
关键词
COVID-19; SARS-CoV2; Inflammatory bowel disease; Paediatrics; INFLAMMATORY-BOWEL-DISEASE; CROHNS-DISEASE; ULCERATIVE-COLITIS; ACTIVITY INDEX; CHILDREN; TELEMEDICINE; CARE; ADOLESCENTS; HEALTH; CALPROTECTIN;
D O I
10.1016/j.dld.2020.10.024
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Coronavirus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2, spreading in Italy during the first months of 2020, abruptly changed the way of practicing medicine in this country. As a consequence of the lockdown, the diagnostic and therapeutic management of paediatric chronic conditions, such as inflammatory bowel disease (IBD) has been affected. During the peak of COVID-19 pandemic, elective visits, endoscopies and infusions have been postponed, with potential clinical and psychological impact on disease course and a high likelihood of increasing waiting lists. While slowly moving back towards normality, clinicians need to recognize the best ways to care for patients with IBD, carefully avoiding risk factors for new potential epidemic outbreaks. In this uncertain scenario until the development and spread of COVID-19 vaccine, it is necessary to continue to operate with caution. Hereby we provide useful indications for a safer and gradual restarting of routine clinical activi-ties after COVID-19 peak in Italy. (C) 2020 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:183 / 189
页数:7
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