Imperial College London
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ProfessorNeenaModi

Faculty of Medicine, School of Public Health

Vice-Dean (International Activities) Faculty of Medicine
 
 
 
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Contact

 

+44 (0)20 3315 5102n.modi Website

 
 
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Assistant

 

Miss Angela Rochester +44 (0)20 7594 0937

 
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Location

 

G4.2Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Yeo:2020:10.1111/apa.15495,
author = {Yeo, KT and Oei, JL and De, Luca D and Schmölzer, GM and Guaran, R and Palasanthiran, P and Kumar, K and Buonocore, G and Cheong, J and Owen, LS and Kusuda, S and James, J and Lim, G and Sharma, A and Uthaya, S and Gale, C and Whittaker, E and Battersby, C and Modi, N and Norman, M and Naver, L and Giannoni, E and Diambomba, Y and Shah, PS and Gagliardi, L and Harrison, M and Pillay, S and Alburaey, A and Yuan, Y and Zhang, H},
doi = {10.1111/apa.15495},
journal = {Acta Paediatrica: Nurturing the Child},
pages = {2192--2207},
title = {Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19.},
url = {http://dx.doi.org/10.1111/apa.15495},
volume = {109},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - AIM: This review examined how applicable national and regional clinical practice guidelines and recommendations for managing neonates born to mothers with COVID-19 mothers were to the evolving pandemic. METHODS: A systematic search and review identified 20 guidelines and recommendations that had been published by 25 May 2020. We analysed documents from 17 countries: Australia, Brazil, Canada, China, France, India, Italy, Japan, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Sweden, Switzerland, the UK and the USA. RESULTS: The documents were based on expert consensus with limited evidence and were of variable, low methodological rigour. Most did not provide recommendations for delivery methods or managing symptomatic infants. None provided recommendations for post-discharge assimilation of potentially-infected infants into the community. The majority encouraged keeping mothers and infants together, subject to infection control measures, but one-third recommended separation. Although breastfeeding or using breastmilk were widely encouraged, two countries specifically prohibited this. CONCLUSION: The guidelines and recommendations for managing infants affected by COVID-19 were of low, variable quality and may be unsustainable. It is important that transmission risks are not increased when new information is incorporated into clinical recommendations. Practice guidelines should emphasise the extent of uncertainty and clearly define gaps in the evidence.
AU  - Yeo,KT
AU  - Oei,JL
AU  - De,Luca D
AU  - Schmölzer,GM
AU  - Guaran,R
AU  - Palasanthiran,P
AU  - Kumar,K
AU  - Buonocore,G
AU  - Cheong,J
AU  - Owen,LS
AU  - Kusuda,S
AU  - James,J
AU  - Lim,G
AU  - Sharma,A
AU  - Uthaya,S
AU  - Gale,C
AU  - Whittaker,E
AU  - Battersby,C
AU  - Modi,N
AU  - Norman,M
AU  - Naver,L
AU  - Giannoni,E
AU  - Diambomba,Y
AU  - Shah,PS
AU  - Gagliardi,L
AU  - Harrison,M
AU  - Pillay,S
AU  - Alburaey,A
AU  - Yuan,Y
AU  - Zhang,H
DO  - 10.1111/apa.15495
EP  - 2207
PY  - 2020///
SN  - 1651-2227
SP  - 2192
TI  - Review of guidelines and recommendations from 17 countries highlights the challenges that clinicians face caring for neonates born to mothers with COVID-19.
T2  - Acta Paediatrica: Nurturing the Child
UR  - http://dx.doi.org/10.1111/apa.15495
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32716579
UR  - https://onlinelibrary.wiley.com/doi/abs/10.1111/apa.15495
UR  - http://hdl.handle.net/10044/1/81180
VL  - 109
ER  -
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