Pediatric Otolaryngology Divisional and Institutional Preparatory Response at Seattle Children's Hospital after COVID-19 Regional Exposure

Otolaryngol Head Neck Surg. 2020 Jun;162(6):800-803. doi: 10.1177/0194599820919748. Epub 2020 Apr 14.

Abstract

Coronavirus disease 2019 (COVID-19) is a novel coronavirus resulting in high mortality in the adult population but low mortality in the pediatric population. The role children and adolescents play in COVID-19 transmission is unclear, and it is possible that healthy pediatric patients serve as a reservoir for the virus. This article serves as a summary of a single pediatric institution's response to COVID-19 with the goal of protecting both patients and health care providers while providing ongoing care to critically ill patients who require urgent interventions. A significant limitation of this commentary is that it reflects a single institution's joint effort at a moment in time but does not take into consideration future circumstances that could change practice patterns. We still hope dissemination of our overall response at this moment, approximately 8 weeks after our region's first adult case, may benefit other pediatric institutions preparing for COVID-19.

Keywords: COVID-19; endoscopy; pediatric otolaryngology; preparatory response.

MeSH terms

  • Adolescent
  • Ambulatory Care / statistics & numerical data
  • COVID-19
  • Child
  • Child, Preschool
  • Communicable Disease Control / organization & administration*
  • Coronavirus Infections / prevention & control*
  • Cross Infection / prevention & control
  • Elective Surgical Procedures / statistics & numerical data
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Hospitals, Pediatric / organization & administration*
  • Humans
  • Male
  • Otolaryngology / organization & administration*
  • Outcome Assessment, Health Care
  • Pandemics / prevention & control*
  • Pandemics / statistics & numerical data
  • Pediatrics / standards*
  • Pneumonia, Viral / prevention & control*
  • Primary Prevention / methods
  • Retrospective Studies
  • State Health Plans / organization & administration
  • Washington