"PHILIPPINE PEDIATRIC COVID-19 LIVING CLINICAL PRACTICE GUIDELINES as of March 2022"

L. Dans, A. Ong-Lim, Rosemarie Arciaga, Donna Isabel Capili, Arnel Gerald Q. Jiao, J. Rogacion
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Abstract

The Coronavirus disease 2019 (COVID-19) pandemic has triggered a global crisis and has affected millions of people worldwide. With the evolution of the different variants of concern, the incidence of COVID-19 in the pediatric population has risen. The Surveillance and Analysis of COVID-19 in Children Nationwide (SALVACION) Registry, developed by the Pediatric Infectious Disease Society of the Philippines (PIDSP) and the Philippine Pediatric Society (PPS), has reported 3,221 cases as of March 31, 2022, with 90.4% requiring hospitalization and 36.2% with moderate to critical disease severity. Given the magnitude of the impact of COVID-19, with most of the clinical recommendations available designed towards adult patients, there was an urgent need for clinicians, public health officials and the government to also prioritize evidence-based clinical practice guidelines for the pediatric population. Hence, the development of the Philippine Pediatric COVID-19 Living Clinical Practice Guidelines was conceptualized. This independent project, funded and supported by the PPS and PIDSP, aimed to formulate up-to-date, evidence-based recommendations on the treatment, diagnosis, infection prevention and control of COVID-19 in children. Following the standard CPG development process outlined in the DOH Manual for CPG Development and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology, 15 evidence summaries and 24 recommendations were generated by 12 consensus panelists representing their specific health organizations and institutions.
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“截至2022年3月的菲律宾儿科COVID-19生活临床实践指南”
2019冠状病毒病(COVID-19)大流行引发了一场全球危机,影响了全世界数百万人。随着不同变体的演变,COVID-19在儿科人群中的发病率有所上升。由菲律宾儿科传染病学会(PIDSP)和菲律宾儿科学会(PPS)开发的全国儿童COVID-19监测和分析(SALVACION)登记处报告了截至2022年3月31日的3,221例病例,其中90.4%需要住院治疗,36.2%为中度至重度疾病严重程度。鉴于COVID-19的影响之大,现有的大多数临床建议都是针对成人患者的,因此,临床医生、公共卫生官员和政府迫切需要优先考虑针对儿科人群的循证临床实践指南。因此,制定了菲律宾儿童COVID-19现场临床实践指南。该独立项目由PPS和PIDSP资助和支持,旨在就儿童COVID-19的治疗、诊断、感染预防和控制制定最新的循证建议。按照《卫生部CPG制定和建议分级、评估、制定和评价手册》(GRADE)方法中概述的标准CPG制定过程,由代表其特定卫生组织和机构的12名共识小组成员制定了15项证据摘要和24项建议。
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