Expert Opinion on Restoration of Pediatric Pulmonology Services During the SARS-CoV-2 Pandemic
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Expert Opinion on Restoration of Pediatric Pulmonology Services During the SARS-CoV-2 Pandemic KIRAN KUMAR BANOTHU,1 JAVEED IQBAL BHAT,2 RASHMI RANJAN DAS,3 NITIN DHOCHAK,1 JAGAT JEEVAN GHIMIRE,1 JAGDISH P GOYAL, 4 KRISHNA MOHAN GULLA,3 SAMRITI GUPTA,5 KANA RAM JAT,1 SUSHIL K KABRA,1 PAWAN KALYAN,6 ARVIND KUMAR,7 PRAWIN KUMAR,4 VIJAY KUMAR,1 RAKESH LODHA,1 JOSEPH L MATHEW,8 AMIT PATHANIA,1 VINOD H RATAGERI,9 VARINDER SINGH10 AND SAGAR WARANKAR11 (Authors are listed in alphabetical order) From Department of Pediatrics,1All India Institute of Medical Sciences (AIIMS), New Delhi; 2Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir; 3AIIMS, Bhubaneswar, Odisha; 4AIIMS, Jodhpur, Rajasthan; 5Dr Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh; 6Dr Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Vijayawada, Andhra Pradesh; 7Army Institute of Cardio-Thoracic Sciences, Pune, Maharashtra; 8Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh; 9Karnataka Institute of Medical Sciences, Hubli, Karnataka; 10Kalawati Saran Children’s Hospital, Lady Hardinge Medical College, New Delhi; and 11Consultant, Mumbai, Maharashtra; India. Correspondence to: Dr Kana Ram Jat, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. [email protected] Published online: September 16, 2020; PII: S097475591600249
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he severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic has had an unprecedented impact on public health and healthcare services delivery worldwide. There are many challenges in resuming non-coronavirus disease (COVID-19) services like pediatric pulmonology services. These include, among others, difficulties in restoration of resources diverted for COVID-19 care, risk of overwhelming of the services due to backlog, and apprehension among the health care workers of acquiring the disease. In the absence of evidence-based guidelines on restarting pediatric pulmonology services in a pandemic situation, this consensus statement has been designed to provide guidance to healthcare professionals and/or institutions for restoration of pediatric pulmonology services during the SARS-CoV-2 pandemic and postpandemic phase. PROCESS A group of specialists with expertise and experience in pediatric pulmonology, across India was identified and a catalogue of services/procedures to be restarted was listed. The list included clinical care of children with respiratory problems in various settings, therapeutic procedures, and diagnostic procedures (Table I). The group was subdivided to prepare a position statement on various services and procedures based on available INDIAN PEDIATRICS
literature. This was collated together by the coordinator for review by another set of experts. The internal peer review was shared with the contributors for preparing the revised version which was again subjected to the internal peer review followed by a circulation to the whole group to arrive at the final recommendations.
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