Пере дова я с татья editorial лечение детей, инфицированных covid-19, в непрофильном стационаре



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Ключевые слова: SARS-CoV-2; COVID-19; непрофильный стационар; коронавирус у детей; лечение COVID-19 у детей.
THE TREATMENT OF CHILDREN INFECTED WITH COVID-19 IN A NON-CORE HOSPITAL
© D.O. Ivanov
1
, D.V. Zabolotskii
1
, V.A. Koryachkin
1
, Yu.S. Alekandrovich
1
, V.V. Kopylov
2

V.G.*Puzyrev
1
, A.S. Nabieva
1
, V.V. Bondarenko
1
, S.L. Bannova
1
, A.S. Ustinova
2
, V.V. Pogorelchuk
1

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation, Russia;

K.A. Raukhfus Children’s City Versatile Clinical Center of High Medical Technologies, Saint Petersburg, Russia
For citation: Ivanov DO, Zabolotskii DV, Koryachkin VA, et al. The treatment of children infected with COVID-19 in a non-core hospital. 
Pediatrician (St. Petersburg). 2020;11(2):5-14. https://doi.org/10.17816/PED1125-14
Received: 11.02.2020 Revised: 12.03.2020 
Accepted: 23.04.2020
According to the World Health Organization (WHO), viral diseases form serious public health problem. WHO announced 
that the disease caused by the new virus named “coronavirus disease 2019” or “Coronavirus disease 2019” (COVID-19), 
and* the virus causing the infection was named SARS-Cov-2 by the International Committee on Taxonomy of Viruses. 
https://doi.org/10.17816/PED1125-14


ПЕРЕДОВАЯ СТАТЬЯ / EDITORIAL

Педиатр. 2020. Т. 11. Вып. 2 / 
Pediatrician (St. Petersburg). 2020;11(2) 
ISSN 2079-7850
6
Children* usually have asymptomatic or mild forms. However, children with comorbidity are in risk of developing severe 
forms of COVID-19. The review presents modern ideas about the amount of laboratory tests in cases of suspected pres-
ence of the SARS-CoV-2 virus, methods of radio diagnostic (computer tomography, x-ray, thorax ultrasound), features of 
the clinical course of infection in children depending on the severity of the of infection and indicated detailed criteria 
for severe forms of coronavirus infection. Special attention is focused on the clinical monitoring of children in a non-core 
hospital: the detection of leukopenia and lymphopenia, CRP level control, monitoring of coagulation disorders, providing 
tests on other respiratory viruses. Specific recommendations, comprehensive to date, on the use of drugs for the treatment 
of children with COVID-19 upon admission to a non-core hospital are given. The organisational issues of treatment children 
infected with COVID-19 in a non-core hospital are described in details. Special attention is focused on the compliance of 
strict safety rules by staff working with infected patients entering and leaving the “Red” zone. Thus, the proper organisation 
of the units for the treatment of children infected with COVID-19 in a non-core hospital, taking into account the features 
of their disease, will make it possible to provide complete and high-quality treatment of infection during the pandemic.


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