Recommendations from the Italian Society of Pediatric Orthopaedics and Traumatology for the management of pediatric orth

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(2020) 46:149

COMMENTARY

Open Access

Recommendations from the Italian Society of Pediatric Orthopaedics and Traumatology for the management of pediatric orthopaedic patients during the COVID19 pandemic and post-pandemic period in Italy Giovanni Trisolino1* , Carlo Enrico Origo2, Nando De Sanctis3, Daniela Dibello4, Pasquale Farsetti5, Cosimo Gigante6, Pasquale Guida7, Lorenza Marengo8, Elena Panuccio9, Renato Maria Toniolo10, Fabio Verdoni11 and Antonio Memeo9*

Abstract The rapid spread of the COVID-19 outbreak in Italy has dramatically impacted the National Healthcare System, causing the sudden congestion of hospitals, especially in Northern Italy, thus imposing drastic restriction of almost all routine medical care. This exceptional adaptation of the Italian National Healthcare System has also been felt by non-frontline settings such as Pediatric Orthopaedic Units, where the limitation or temporary suspension of most routine care activities met with a need to maintain continuity of care and avoid secondary issues due to the delay or suspension of the routine clinical practice. The Italian Society of Pediatric Orthopaedics and Traumatology formulated general and specific recommendations to face the COVID-19 outbreak, aiming to provide essential care for children needing orthopaedic treatments during the pandemic and early post-peak period, ensure safety of children, caregivers and healthcare providers and limit the spread of contagion. Keywords: COVID-19, SARS-Cov-2, Pediatric Orthopaedics, Recommendations

Introduction The Coronavirus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) was first identified in Wuhan (Hubei province, China) in late 2019, rapidly spread worldwide, and, on * Correspondence: [email protected]; [email protected] 1 Unit of Pediatric Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy 9 Department of Paediatric Orthopaedics and Traumatology, Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, P.zza A. Ferrari 1, 20122 Milan, Italy Full list of author information is available at the end of the article

March 11th, 2020, the World Health Organization (WHO) officially declared COVID-19 as a pandemic [1]. In the same days, the government of Italy imposed a national quarantine that locked down for about 2 months all commercial and industrial activities (with some exceptions), school and universities, sports, cultural and leisure activities [2]. As the contagion rate and death toll COVID-19 related continued to decrease, on April 26th, 2020 the Prime Minister announced the so-called “phase 2” for the reopening and resumption of the activities scheduled for May 18th, 2020. On May 18th, 2020, the

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