The treatment of children infected with COVID-19 in a non-core hospital

  • Dmitry O. Ivanov St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Dmitry V. Zabolotskii St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Victor A. Koriachkin St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Yury S. Alexandrovich St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Vladimir V. Kopylov K.A. Raukhfus Children’s City Versatile Clinical Center of High Medical Technologies
  • Viktor G. Puzyrev St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Anna S. Nabieva St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Valeria V. Bondarenko St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Svetlana L. Bannova St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
  • Anastasia S. Ustinova K.A. Raukhfus Children’s City Versatile Clinical Center of High Medical Technologies
  • Viktor V. Pogorelchuk St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Abstract

According to the World Health Organization (WHO), viral diseases form serious public health problem. WHO announced that the disease caused by the new virus named “coronavirus disease 2019” or “Coronavirus disease 2019” (COVID-19), and the virus causing the infection was named SARS-Cov-2 by the International Committee on Taxonomy of Viruses. Children usually have asymptomatic or mild forms. However, children with comorbidity are in risk of developing severe forms of COVID-19. The review presents modern ideas about the amount of laboratory tests in cases of suspected presence of the SARS-CoV-2 virus, methods of radio diagnostic (computer tomography, x-ray, thorax ultrasound), features of the clinical course of infection in children depending on the severity of the of infection and indicated detailed criteria for severe forms of coronavirus infection. Special attention is focused on the clinical monitoring of children in a non-core hospital: the detection of leukopenia and lymphopenia, CRP level control, monitoring of coagulation disorders, providing tests on other respiratory viruses. Specific recommendations, comprehensive to date, on the use of drugs for the treatment of children with COVID-19 upon admission to a non-core hospital are given. The organisational issues of treatment children infected with COVID-19 in a non-core hospital are described in details. Special attention is focused on the compliance of strict safety rules by staff working with infected patients entering and leaving the “Red” zone. Thus, the proper organisation of the units for the treatment of children infected with COVID-19 in a non-core hospital, taking into account the features of their disease, will make it possible to provide complete and high-quality treatment of infection during the pandemic.