Experience of organizing a children’s COVID and provisory hospital on the basis of children’s city hospital No1 in Kazan-Reference-Cited by-同舟云学术

Experience of organizing a children’s COVID and provisory hospital on the basis of children’s city hospital No1 in Kazan

Published:2022-11-16 Issue:19 Volume: Page:153-161
ISSN:2658-5790
Container-title:Meditsinskiy sovet = Medical Council
language:
Short-container-title:Medicinskij sovet

Author:

Filatov V. S.¹^ORCID,Lutfullin I. Ya.¹^ORCID,Safina A. I.²^ORCID,Potapova M. V.³,Sharipova O. V.⁴^ORCID,Daminova M. A.¹^ORCID,Zakirov I. I.²^ORCID,Volyanyuk E. V.¹^ORCID,Kuzmina E. A.⁴,Gimadutdinova G. F.⁴,Agliullina A. M.⁵^ORCID

Affiliation:

1. Children’s City Hospital № 1; Kazan State Medical Academy – the Branch of Russian Medical Academy of Postgraduate Education

2. Kazan State Medical Academy – the Branch of Russian Medical Academy of Postgraduate Education

3. Verkhneuslonskaya Central District Hospital

4. Children’s City Hospital № 1

5. Medical Center “Family Clinic”

Abstract

Introduction. The pandemic of coronavirus infection, declared by WHO on March 11, 2020, in the first months practically did not affect the inhabitants of the Russian Federation, which gave the healthcare system an advantage in the form of a temporary lag to prepare for the mass admission of patients to infectious diseases hospitals.Aim. To disclose the issues of organization and operation of a children’s covid and provisional hospital on the basis of a separate medical institution as a single whole entity, which functioned for 495 days from 04/08/2020 to 08/15/2021 on the basis of the City Children’s Hospital №1 of Kazan.Materials and methods. Descriptive statistics of 1554 cases of coronavirus infection COVID-19 in childhood are given, topical aspects of epidemiology, the clinical course of the disease and the significance of comorbid pathology are discussed.Results. In the process of work, we noted three rises in the incidence: in June 2020, December 2020 and July 2021. In 61.2% (n = 951) of cases, intrafamily infection was noted, in 11.9% (n = 185) – infection in children’s groups, in 26.9% (n = 418) of cases the source of infection was not identified. The course of the disease was moderate in 74.3% of patients (1154 children), severe in 4.1% (64 children) and mild in 21.6% (336 children), whose hospitalization was justified by social reasons or serious comorbid pathology. The incidence of pneumonia was 21.4% (333 children). COVID-19 was diagnosed in 47 newborns, which proceeded in a severe (2.1% of cases, n = 1), moderate (66% of cases, n = 31) and mild (31.9% of cases, n = 15) form.Conclusions. City Children’s Hospital № 1 of Kazan, transformed into a temporary children’s covid and provisional hospital, provided medical care to 7831 children, including 1554 patients with COVID-19 in the period from 04/08/2020 to 08/15/2021. This organizational decision made it possible to provide those in need with the necessary medical care, organize the routing of patients, and create a reserve of beds.

Publisher

Remedium, Ltd.

Subject

General Medicine

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