SARS-CoV-2 in patients of the Pediatric Intensive Care Unit. Portoviejo Specialties Hospital, Ecuador
Keywords:
SARS-CoV-2, intensive care, pediatric patients, complications, ventilatory treatmentAbstract
Introduction: the management of SARS-CoV-2 in pediatric patients by nursing professionals should be governed by the guidelines and protocols that the World Health Organization and the Ministry of Public Health have designed to minimize the complications and morbimortality rate that coronavirus can trigger.
Objective: to analyze the management of SARS-CoV-2 in patients of the Pediatric Intensive Care Unit of Portoviejo Specialties Hospital, in Ecuador.
Materials and methods: a cross-sectional, descriptive and quantitative research was carried out. The population consisted of 11 nursing professionals and 19 pediatric patients who were hospitalized with SARS-CoV-2 and who required ventilatory support. For data collection, a survey was carried out using Google Forms, in order to know the different procedures and review of clinical histories, as well as complications, ventilatory treatment and discharge.
Results: 100% of the nursing staff used measures covered by the biosecurity protocols. In addition to the patients who required ventilatory support, 62.5% presented acute respiratory failure associated to COVID-19, compared to 37.5% who had symptoms of multisystem inflammatory syndrome. The deceased pediatric patients suffered from congenital diseases.
Conclusions: the assistance of the nursing staff to the patients of the Pediatric Intensive Care Unit shows that knowledge acquired by these professionals achieved the restoration of the health of the children admitted there.Downloads
References
2. Ojeda Crespo AO, Ojeda Cedillo AJ, Ojeda Cedillo PO, et al. Nueva alternativa para el tratamiento para Covid 19 en Ecuador. Interam J Med Heal. 2020;3:1-10. DOI:10.31005/iajmh.v3i0.82.
3. Sánchez-Tauma PJ, Atamari-Anahui N, Valera-Moreno C. Enfermedad por Coronavirus 2019, COVID-19: aspectos a considerar en niños. Rev CM HNAAA [Internet]. 2020 [citado 12/06/2021];13(1):88-94. Disponible en: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/629
4. Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33. Citado en PubMed; PMID: 31978945.
5. Villegas Chiroque M. Pandemia de COVID-19: pelea o huye. Rev Experiencia en Medicina del Hospital Regional Lambayeque [Internet]. 2020 [citado 12/06/2021];6(1). Disponible en: http://rem.hrlamb.gob.pe/index.php/REM/article/download/424/250
6. Dakih Garzozi A. El coronavirus: respuestas del mundo y del Ecuador [tesis]. Guayaquil: Universidad Espíritu Santo; 2020.
7. Romero-Hernández S, Zamarrón López EI, Saavedra-Uribe J, et al. Protocolo de atención para COVID-19 (SARS-CoV-2) de la Sociedad Mexicana de Medicina de Emergencias. México, DF: Sociedad Mexicana de Medicina de Emergencias; 2020. DOI: DOI:10.13140/RG.2.2.
8. Organización Mundial de la Salud. Preguntas y respuestas sobre la enfermedad por coronavirus (COVID-19) [Internet]. Ginebra: OMS; 2020 [citado 12/06/2021]. Disponible en: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public/q-a-coronaviruses
9. Asociación Española de Pediatría. Documento de manejo clínico del paciente pediátrico con infección por SARS-CoV-2 [Internet]. Madrid: AEP; 2020 [citado 12/06/2021]. Disponible en: https://www.seipweb.es/wp-content/uploads/2020/03/213-AEP-SEIP-SECIP-SEUP.-DOCUMENTO-DE-MANEJO-CLINICO-DEL-PACIENTE-PEDIA%CC%81TRICO-Extracto-del-documento-del-Ministerio.pdf
10. Fuentes-Bermúdez GP. Enfermería y COVID-19: reconocimiento de la profesión en tiempos de adversidad. Rev Colomb Enferm [Internet]. 2019 [citado 21/10/2020];19(1):17. Disponible en: https://revistas.unbosque.edu.co/index.php/RCE/article/view/2970
11. Cassiani SHB, Munar Jiménez EF, Umpiérrez Ferreira A, et al. La situación de la enfermería en el mundo y la Región de las Américas en tiempos de la pandemia de COVID-19. Rev Panam Salud Pública [Internet]. 2020 [citado 12/06/2021];44:64. Disponible en: https://doi.org/10.26633/RPSP.2020.64
12. Al-Dossary R, Alamri M, Albaqawi H, et al. Awareness, Attitudes, Prevention, and Perceptions of COVID-19 Outbreak among Nurses in Saudi Arabia. Int J Environ Res Public Health. 2020;17(21):8269. Citado en PubMed; PMID: 33182352.
13. Díaz Colina JA, Interian Morales MT, López Hernández IC, et al. Aspectos clínico-epidemiológicos en 36 niños cubanos con COVID-19. Rev Cubana Pediatr [Internet]. 2020 [citado 12/06/2021];92(Suppl 1):e1261. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312020000500004&lng=es
14. Taffarela P, Jorro Baróna F. El paciente pediátrico crítico con COVID-19. Puesta al día. Arch Argent Pediatr [Internet]. 2020 [citado 12/06/2021];118(5):454-62. Disponible en: https://www.sap.org.ar/docs/publicaciones/archivosarg/2020/v118n5a14.pdf
15. Prata-Barbosa A, Lima-Setta F, Santos GRD, et al. Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study. J Pediatr (Rio J). 2020;96(5):582-92. Citado en PubMed; PMID: 32781034.
Downloads
Published
How to Cite
Issue
Section
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.
Guidelines to authors
