IPNA关于COVID-19季节性暴发期间既往存在肾脏疾病的儿科患者护理的临床实践建议

IF 2.6 3区 医学 Q1 PEDIATRICS
Pediatric Nephrology Pub Date : 2025-05-01 Epub Date: 2024-12-29 DOI:10.1007/s00467-024-06565-5
Khalid A Alhasan, Rupesh Raina, Olivia Boyer, Jean Koh, Melvin Bonilla-Felix, Sidharth K Sethi, Yasser S Amer, Paula Coccia, Mohamad-Hani Temsah, Judith Exantus, Samina A Khan, Xuhui Zhong, Vera Koch, Ali Duzova, Anil Vasudevan, Mignon McCulloch, Upton Allen, Guido Filler, Giovanni Montini
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引用次数: 0

摘要

由严重急性呼吸系统综合征冠状病毒2型(SARS-CoV-2)引发的2019年冠状病毒病(COVID-19)大流行,对全球卫生保健基础设施造成了深刻影响。虽然儿童通常无症状或症状轻微,但已有肾脏疾病的儿童需要特别关注。这份由国际儿科肾脏病学会(IPNA)倡导的关键报告为在大流行背景下患有肾病的儿科患者提供了精确和可操作的建议。我们发现的核心是严格的感染控制方案。这些准则在高风险地区尤其严格,强调远程医疗的不可或缺作用、减少面对面咨询的重要性,以及在COVID-19流行率高的地区必须遵循严格的准则。此外,该报告还深入探讨了针对患有肾脏问题的儿童的疫苗接种方法,强调疫苗的选择往往取决于区域可及性和政策框架,而不是普遍偏好。一个值得注意的观察结果是COVID-19疫苗与特定肾脏疾病之间的潜在相关性。然而,建立直接的因果关系仍然难以捉摸。总之,我们的研究强调了在全球卫生危机期间对儿科肾脏专业护理的迫切需要,并重申了持续研究的必要性,特别是关于疫苗接种的后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IPNA clinical practice recommendations on care of pediatric patients with pre-existing kidney disease during seasonal outbreak of COVID-19.

The coronavirus disease 2019 (COVID-19) pandemic, instigated by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has profoundly impacted healthcare infrastructures around the globe. While children are usually asymptomatic or have mild symptoms, children with pre-existing kidney conditions require specialized attention. This pivotal report, championed by the International Pediatric Nephrology Association (IPNA), delivers precise and actionable recommendations tailored for pediatric patients with kidney ailments in this pandemic landscape. Central to our findings are rigorous infection control protocols. These are particularly stringent in high-risk zones, emphasizing telehealth's indispensable role, the significance of curtailing in-person consultations, and the imperative of following rigorous guidelines in regions with heightened COVID-19 prevalence. Additionally, the report delves into vaccination approaches for children with kidney issues, highlighting that the choice of vaccine is often governed by regional accessibility and policy frameworks, rather than a universal preference. A notable observation is the potential correlation between COVID-19 vaccines and specific kidney disorders. However, establishing a direct causal link remains elusive. In summary, our research accentuates the critical need for specialized pediatric kidney care during global health crises and reaffirms the continuous research imperative, especially regarding vaccination ramifications.

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来源期刊
Pediatric Nephrology
Pediatric Nephrology 医学-泌尿学与肾脏学
CiteScore
4.70
自引率
20.00%
发文量
465
审稿时长
1 months
期刊介绍: International Pediatric Nephrology Association Pediatric Nephrology publishes original clinical research related to acute and chronic diseases that affect renal function, blood pressure, and fluid and electrolyte disorders in children. Studies may involve medical, surgical, nutritional, physiologic, biochemical, genetic, pathologic or immunologic aspects of disease, imaging techniques or consequences of acute or chronic kidney disease. There are 12 issues per year that contain Editorial Commentaries, Reviews, Educational Reviews, Original Articles, Brief Reports, Rapid Communications, Clinical Quizzes, and Letters to the Editors.
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