COVID-19 surveillance for all newborns at the NICU; conditio sine qua non?

Winter, Peter de; Luca, Danièle De; Tingay, David G.

doi:10.1007/s00431-020-03773-7

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…The relatively low incidence among children, and especially neonates, necessitate multi-national collaborations 128 to address these questions in adequately sized studies. International registries 146 and collaborations represent first vital steps in this direction, but more work is needed. The very successful RECOVERY trial, by far the largest double-blind controlled trial of hospitalized patients with COVID-19, included pregnant women, infants and children.…”

Section: Future Directions/present and Future Research Needsmentioning

confidence: 99%

Neonates and COVID-19: state of the art

et al. 2021

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The SARS-CoV-2 pandemic has had a significant impact worldwide, particularly in middle- and low-income countries. While this impact has been well-recognized in certain age groups, the effects, both direct and indirect, on the neonatal population remain largely unknown. There are placental changes associated, though the contributions to maternal and fetal illness have not been fully determined. The rate of premature delivery has increased and SARS-CoV-2 infection is proportionately higher in premature neonates, which appears to be related to premature delivery for maternal reasons rather than an increase in spontaneous preterm labor. There is much room for expansion, including long-term data on outcomes for affected babies. Though uncommon, there has been evidence of adverse events in neonates, including Multisystem Inflammatory Syndrome in Children, associated with COVID-19 (MIS-C). There are recommendations for reduction of viral transmission to neonates, though more research is required to determine the role of passive immunization of the fetus via maternal vaccination. There is now considerable evidence suggesting that the severe visitation restrictions implemented early in the pandemic have negatively impacted the care of the neonate and the experiences of both parents and healthcare professionals alike. Ongoing collaboration is required to determine the full impact, and guidelines for future management. Impact Comprehensive review of current available evidence related to impact of the COVID-19 pandemic on neonates, effects on their health, impact on their quality of care and indirect influences on their clinical course, including comparisons with other age groups. Reference to current evidence for maternal experience of infection and how it impacts the fetus and then neonate. Outline of the need for ongoing research, including specific areas in which there are significant gaps in knowledge.

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Section: Future Directions/present and Future Research Needsmentioning

confidence: 99%

Neonates and COVID-19: state of the art

et al. 2021

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“…Monitoring the health status of all the personnel and the parents has permitted to keep the environment safe, preventing the spread of the virus among staff and parents and avoiding any horizontal transmission between hospitalized infants. [6] Even though such results cannot be generalized to other countries or to developing areas, due to different costs of personnel, sick-days policies, and screening costs, they provide a clear insight into the effectiveness of parents' screening in NICU setting, and preserve the ability of parents to visit their newborns in spite of a pandemic crisis. The cost estimates are strictly limited on regional policies for healthcare expenses, materials purchased, and testing facilities' capability.…”

Section: Resultsmentioning

confidence: 99%

The aftermath of SARS-CoV-2 in NICU: saving or checking accounts? Projected cost-effectiveness analysis

et al. 2021

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“…If parental visitation is restricted, the NICU should provide numerous ways to best support infants and their families to cope during stressful environment 88 . As the literature on SARS-COV2 in neonates accumulates, evidence-based policies should be formulated to prevent horizontal spread of SARS-CoV2 in the NICU that can be applicable universally 89 .…”

Section: Routine Newborn Surveillance and Newborn/nicu Visitation Of Family Membersmentioning

confidence: 99%

Changes in Clinical Care of the Newborn During COVID-19 Pandemic

Doctor

Kamat

Sood

2021

Pediatric Clinics of North America

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Coronavirus Disease of 2019 (COVID-19) has afflicted the health of women and children across all age groups. Since the outbreak of the pandemic in December 2019, various epidemiological, immunologic, clinical and pharmaceutical studies have been conducted across the world to understand its infectious characteristics, pathogenesis and clinical profile in affected individuals, with the hope of improving outcomes and ultimately leading to the development of vaccinations. COVID-19 has shown to affect pregnant women more seriously than non-pregnant women, endangering the health of the newborn. Various changes in the guidelines have been implemented in antenatal care of pregnant women, their delivery as well as newborn care during the COVID-19 pandemic, with the hope of reducing the risk of viral transmission and, in turn, improve outcomes in pregnant women and children. In this review, we highlight the current trends of clinical care in pregnant women and newborn during COVID 19 pandemic

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COVID-19 surveillance for all newborns at the NICU; conditio sine qua non?

Cited by 6 publications

References 17 publications

Neonates and COVID-19: state of the art

Neonates and COVID-19: state of the art

The aftermath of SARS-CoV-2 in NICU: saving or checking accounts? Projected cost-effectiveness analysis

Changes in Clinical Care of the Newborn During COVID-19 Pandemic

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