由于COVID-19封锁,儿童延迟到医疗机构就诊,导致严重并发症。

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL
Yonatan Yeshayahu
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引用次数: 6

摘要

在2019年冠状病毒病(COVID-19)大流行期间,人们越来越害怕离开家和进入医院,再加上以色列卫生部向公众发布的指南建议使用远程医疗,而不是亲自去看医生,导致与COVID-19无关的医疗状况的诊断被延误。本研究信函介绍了在COVID-19大流行期间由于推迟向医疗机构就诊而延误诊断的一系列严重疾病。尤因肉瘤、严重溶血性贫血、需要手术的心内膜炎和需要手术的脓毒性髋关节是我们遇到的延迟诊断的一些例子。这导致大流行期间儿科人口的疾病负担相当低,儿科医院和诊所的活动量非常低。鉴于2019冠状病毒病对儿童的负担较低,以及医院内感染区和非感染区有明确的区分,我们应该考虑改进向公众传达的指导方针和信息,即即使在大流行期间,也要对其他医疗状况进行及时医疗评估,同时在遵守严格隔离程序的情况下,确保进入医疗设施的安全性。结论:医学协会应重新考虑在未来疫情期间向公众发送的信息,并鼓励医学评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Delayed Presentation of Children to Healthcare Facilities due to COVID-19 Lockdown, Leading to Severe Complications.

During the coronavirus disease 2019 (COVID-19) pandemic, the increasing fear of leaving home and entering hospitals, together with guidelines to the public from Israel's Ministry of Health recommending the use of telemedicine rather than physical visits to the doctor, led to delayed diagnoses of non-COVID-19-related medical conditions. This research letter presents a cluster of severe medical conditions that were delayed in diagnosis due to postponed presentation to healthcare facilities during the COVID-19 pandemic. Ewing sarcoma, severe hemolytic anemia, endocarditis requiring surgery, and septic hip requiring surgery are some examples of cases we encountered with delayed diagnoses. This led to the appearance of a rather low burden of disease in the pediatric population during the pandemic, and pediatric hospitals and clinics experienced a very low volume of activity. Given the low burden of COVID-19 in children, and the well-defined separation between infected and non-infected areas within the hospitals, we should consider improving the guidelines and messages conveyed to the public regarding the importance of prompt medical assessment for other medical conditions, even during a pandemic, along with reassurance of the safety of entering medical facilities given the strict isolation procedures being observed. Conclusion: Medical associations should reconsider the messages being sent to the public during future outbreaks, and encourage medical assessment.

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来源期刊
Rambam Maimonides Medical Journal
Rambam Maimonides Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
6.70%
发文量
55
审稿时长
8 weeks
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