Recommendations for conducting pediatric sleep studies during the covid-19 pandemic
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Abstract
In Colombia, with the current COVID-19 pandemic, some sleep units suspended the performance of sleep studies in the pediatric population due to the potential contagion and spread. According to the competent authorities, since June 2020, Colombia is in the mitigation phase of COVID-19, and the mandatory prevention measures implemented by the Colombian government such as frequent hand washing, the use of masks in public places, the physical and social distancing, and the confinement of most of the population in their homes, have helped to reduce the speed of spread of the virus. However, due to the severe economic crisis caused by the pandemic, local health authorities have issued several biosecurity measures to gradually return to relative normality, including the provision of health services to non-COVID-19 patients. This article aims to make recommendations for local sleep units to implement the minimum biosecurity measures that allow the restart and adequate development of sleep studies in the pediatric population. These recommendations are based on local health authorities' mitigation strategies, on a review of the relevant available literature, and the recommendations of some sleep medicine associations.
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References
Zhou L, Liu HG. Early detection and disease assessment of patients with novel coronavirus pneumonia. Zhonghua Jie He He Hu Xi Za Zhi. 2020;43(0):E003.
WHO. Intervención del Director General de la OMS en la conferencia de prensa sobre el 2019-nCoV del 11 de febrero de 2020 2020 [updated Available from: https://www.who.int/es/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020.
Ling-Mao HJ. Neurologic Manifestations of Hospitalized Patients with Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-90.
Carod-Arta FJ. Neurologic complications of coronavirus and COVID-19. Rev Neurol. 2020;70(9):311-22.
Wang C, Horby P, Hayden F, Gao G. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470-3.
Guan W, Zheng-yi N, Yu H, Chun-quan O, Jian-xing E, Lei L, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708-20.
Zimmermann P, Curtis N. Coronavirus Infections in Children Including COVID-19 An Overview of the Epidemiology, Clinical Features, Diagnosis, Treatment and Prevention Options in Children. Pediatr Infect Dis J. 2020;39(5):355-68.
Saavedra-Trujillo CH, Acevedo-Medina CA, Solórzano C, Medina-Ramos D, Vergara E, Rodríguez-Caicedo G, et al. Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2/COVID-19 en establecimientos de atención de la salud. Recomendaciones basadas en consenso de expertos e informadas en la evidencia. Asociación Colombiana de Infectología Infectio. 2020;24(3):S1.
RCN noticias. Conozca las cuatro fases del COVID-19 y en cuál está Colombia 2020 [updated Available from: https://noticias.canalrcn.com/salud/conozca-cuales-son-las-cuatro-fases-del-covid-19-y-en-cual-esta-colombia-355020.
WHO. Infection prevention and control during health care when COVID-19 is suspected. Interim guidance. WHO; 2020.
American Academy of Sleep Medicine. Summary of CDC recommendations relevant for sleep practices during COVID-19 2020 [updated septiembre 20. Available from: https://aasm.org/covid-19-resources/covid-19-mitigation-strategies-sleep-clinics-labs/.
CDC. Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic: CDC; 2020 [updated Diciembre 14. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html.
Zabala-Parra S, Venegas M, Amado-Galeano Y, Escobar-Córdoba F, Restrepo-Gualteros S, Tavera-Saldaña L, et al. Recommendations by the Asociacion Colombiana de Medicina del Sueño for the practice of sleep medicine in Colombia during the COVID-19 pandemic. Rev Fac Med. 2021;69(1).
Ministerio de Salud y la Protección Social. Manual de medidas básicas para el control de infecciones en IPS. Bogotá, DC., Colombia. 2018.
Castagnoli R, Votto M, Licari A, Brambilla I, Bruno R, Perlini S, et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Children and Adolescents: A Systematic Review. JAMA Pediatr. 2020;174(9):882-9.
Munro A, Faust S. Children are not COVID-19 super spreaders: time to go back to school. Arch Dis Child. 2020;105:618-9.
Jing Q, Liu M, Yuan J, Zhang ANE, Dean N, Luo L, et al. Household Secondary Attack Rate of COVID-19 and Associated Determinants. Lancet Infect Sis. 2020;20( ):1141-50.
Yanshan Z, Bloxham C, Hulme D, Sinclair J, Zhen M, Steele L, et al. Children are unlikely to have been the primary source of household SARS-CoV-2 infections. medRxiv. 2020.
Mizumoto K, Omori R, Nishiura H. Age specificity of cases and attack rate of novel coronavirus disease (COVID-19). . medRxiv. 2020;medRxiv 2020.03.09.20033142.
Bhopal S, Bagaria J, Bhopal R. Risks to children during the covid-19 pandemic: some essential epidemiology. BMJ. 2020;369(m2290).
Bhopal S, Bagaria J, Bhopal R. Children's mortality from COVID-19 compared with all-deaths and other relevant causes of death: epidemiological information for decision-making by parents, teachers, clinicians and policymakers. Public Health. 2020;185:19-20.
Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, et al. Epidemiology of COVID-19 Among Children in China. Pediatrics. 2020;145(6):e20200702.
Zhu Y, Bloxham C, Hulme K, Sinclair J, Marcus Z, Steele L. Children are unlikely to have been the primary source of household SARS-CoV-2 infections. medRxiv. 2020.
Danis K, Epaulard O, Benet T, Gaymard A, Campoy S, Botelho-Nevers E, et al. Cluster of Coronavirus Disease 2019 (COVID-19) in the French Alps, February 2020 Clin Infect Dis. 2020;71(15):825-32.
National Centre for Immunisation Research and Surveillance (NCIRS). National Centre for Immunization and SurveillanceCOVID-19 in schools – the experience in NSW, 2020. New South Wales office [Internet]. 2020 Abril 22. Available from: http://ncirs.org.au/sites/default/files/2020-04/NCIRS%20NSW%20Schools%20COVID_Summary_FINAL%20public_26%20April%202020.pdf.
National Institute for Public Health and the Environment. Ministry of Health, Welfare and Sport In The Netherlands. Children, school and COVID-19. : Netherlands; 2020 [updated julio 1. Available from: https://www.rivm.nl/en/novel-coronavirus-covid-19/children-and-covid-19.
Secretaria de Salud de Bogotá. Apertura de servicios en COVID19: Alcaldia de Bogota; 2020 [Available from: http://www.saludcapital.gov.co/Paginas2/Noticia_Portal_Detalle.aspx?IP=1110.
Schiza S, Simonds A, Randerath W, Fanfulla F, Testelmans D, Grote L, et al. Sleep Laboratories Reopening and COVID-19: A European Perspective. Eur Respir J. 2020;17(2):2002722.
Ministerio de Salud y la Protección Social. Lineamientos generales para el uso de tapabocas convencional y máscaras de alta eficiencia. 2020.
Ministerio de Salud y la Protección Social. Recomendaciones de EPP para personal de salud según el área de atención para para COVID-19. Consenso IETS, ACIN. 2020.
Ministerio de Salud y la Protección Social. Manual de medidas básicas para el control de infecciones en IPS. . 2018.
WHO. Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19) 2020 [Available from: https://www.who.int/publications/i/item/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-and-considerations-during-severe-shortages.
Secretaría Distrital de Salud DdSP. Limpieza y desinfección de equipos y superficies ambientales en instituciones prestadoras de servicios de salud. 2011 ene 15. Available from: Bogotá, DC., Colombia. Septiembre 2011 p. 3–61. .
Barker J. COVID-19: community CPAP and NIV should be stopped unless medically necessary to support life. . Thorax. 2020;75:367.
Collop NA, Anderson WM, Boehlecke B, Claman D, Goldberg R, Gottlieb D. Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Portable Monitoring Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med. 2007;3(7):737-47.
Yoon D, Shin H. Sleep Tests in the Non-Contact Era of the COVID-19 Pandemic: Home Sleep Tests Versus In-Laboratory Polysomnography. Clin Exp Otorhinolaryngol. 2020;13(4):318-9.
Praud JP. Long-Term Non-invasive Ventilation in Children: Current Use, Indications, and Contraindications. Front Pediatr. 2020;8:584334.
Kryger MH, Thomas R. Home PAP devices in patients infected with COVID-19. J Clin Sleep Med. 2020;16(7):1217-9.
San-Juan D, Jiménez C, Camilli C, de la Cruz Reyes L, Galindo E, Burbano G, et al. Guidance for clinical neurophysiology examination throughout the COVID-19 pandemic. Latin American chapter of the IFCN task force - COVID-19. Clin Neurophysiol. 2020;131(7):1589-98.
Drummond M. Sleep labs, lung function tests and COVID-19 pandemic - Only emergencies allowed! Pulmonology. Pulmonology. 2020;26(4):244-5.
Cilea R, Guaraldi P, Barletta G, Lucchi M, Baschieri F, Baldelli L, et al. Performing sleep studies after the COVID-19 outbreak: practical suggestions from Bologna's sleep unit. Sleep Med. 2020;Nov(7):45-50.
Patel SR, Donovan LM. The COVID-19 Pandemic Presents an Opportunity to Reassess the Value of Polysomnography. Am J Respir Crit Care Med. 2020;202(3):309-10.
Patil SP, Ayappa IA, Caples SM, Kimoff RJ, Patel SR, Harrod CG. Treatment of adult obstructive sleep apnea with positive airway pressure: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. J Clin Sleep Med. 2019;15(2):301-34.
Berry R, Chediak A, Brown L, Finder J, Gozal D, Iber C, et al. Best clinical practices for the sleep center adjustment of noninvasive positive pressure ventilation (NPPV) in stable chronic alveolar hypoventilation syndromes: NPPV Titration Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med. 2010;15(5):491-509.
Sullivan S, Gurubhagavatula I. Exhaled air dispersion and use of oronasal masks with continuous positive airway pressure during COVID-19. Eur Respir Rev. 2020;29(157):200144.
Kole A. Home sleep apnea testing in the era of COVID-19: a community perspective. J Clin Sleep Med. 2020;16(9):1633.
Bonner AM DP. Technical Tips: Keeping It Clean during COVID-19. . Neurodiagn J. 2020;Sep; 60(3):195-207.
Administración Médica y Autoridad Hospitalaria. Sobre la emisión del nuevo plan de diagnóstico y tratamiento de la neumonía por coronavirus. Carta médica de la Oficina Nacional de Salud (2020) No. 184 2020 [Available from: http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml.
Gilmore G. Precauciones de aislamiento. Conceptos básicos de control de infecciones 2004 [Available from: http://theific.org/wp-content/uploads/2014/08/Spanish_ch11_PRESS.pdf.
Simonds A, Hanak A, Chatwin M, Morrell M, Hall A, Parker K, et al. Evaluation of droplet dispersion during non-invasive ventilation, oxygen therapy, nebulizer treatment and chest physiotherapy in clinical practice: Implications for management of pandemic influenza and other airborne infections. Health Technol Assess 2010;14(46):131-72.
Ministerio de Salud y la Protección Social. Ministerio de Ambiente y Desarrollo Sostenible. Manual para la Gestión Integral de Residuos Generados en la Atención en Salud y otras actividades2020.
Paruthi S. Telemedicine in Pediatric Sleep. Sleep Med Clin. 2020;15(3S):e1-e7.
Pirzada A, Awadh AA, Aleissi SA, Almeneessier AS, BaHammam AS. Reopening Sleep Medicine Services in the Conundrum of an Ongoing COVID-19 Pandemic: A Global View. Sleep Vigil. 2020;31:1-8.
Batool-Anwar S, Omobomi OS, Quan SF. Impact of the novel coronavirus disease on treatment adherence and sleep duration in patients with obstructive sleep apnea treated with positive airway pressure. J Clin Sleep Med. 2020;16(11):1917-20.
Hwang D, Chang JW, Benjafield AV, Crocker M, Kelly C, Becker K, et al. Effect of telemedicine education and telemonitoring on continuous positive airway pressure adherence. The Tele-OSA Randomized Trial. . Am J Respir Crit Care Med. 2018;197(1):117-26.
Schoch O, Baty F, Boesch M, Benz G, Niedermann J, Brutsche M. Telemedicine for continuous positive airway pressure in sleep apnea. A randomized, controlled study Ann Am Thorac Soc. 2019;16(12):1550-7.
Schwartz D, Addy N, Levine M, Smith H. Oral appliance therapy should be prescribed as a first-line therapy for OSA during the COVID-19 pandemic. J Dent Sleep Med. 2020;76(3).
Tanaka Y, Almeida F. What can a dentist and dental sleep apnea researcher do under COVID-19 lockdown. J Clin Sleep Med. 2020;16(9):1641-3.
Ramar K. The COVID-19 pandemic: reflections for the field of sleep medicine. J Clin Sleep Med. 2020;16(7):993-6.
Wilson K, Kaminsky D, Michaud G, Sharma S, Nici L, Folz R, et al. Restoring Pulmonary and sleep services as the COVID-19 Pandemic Lessens. From an Association of Pulmonary, Critical Care, and Sleep Division Directors And American Thoracic Society-coordinated Task Force. Ann Am Thorac Soc. 2020;17(11):1343-51.
Salord N, Montserrat J, Puertas F, Cano-Pumarega I, Mediano O. SEPAR - SES Recommendations in a descaling period after the COVID-19 pandemics for sleep and non-invasive mechanical ventilation. Role of Intermediate Respiratory Care Units (UCRIS)2020 Agosto 1. Available from: https://drive.google.com/file/d/1oORAlJ2lW6EPsOYvTbAYWJElQrpQP_dV/view