Abstract
The aim of this review was threefold: (a) to retrieve all SARS-CoV-2 evidences published by Italian neonatologists working in maternity centers and NICUs during the pandemic; (b) to summarize current evidence for the management of term and preterm infants with a SARS-CoV-2-related illness; and (c) to provide an update for dealing with the second wave of COVID-19 and discuss open questions. A review was conducted using MEDLINE/PubMed and the national COVID-19 registry of the Italian Society of Neonatology including citations from December 1, 2019 to October 28, 2020. Sixty-three articles were included. Collected data were divided into the following topics: (a) antenatal management, (b) management in delivery room, (c) postnatal management, (d) mother–baby dyad and breastfeeding management, (e) neonatal emergency transport system reorganization, (f) parents’ management and perspective during SARS-CoV-2 pandemic, and (g) future perspective. Evidences have evolved over the pandemic period and the current review can be useful in the management of the mother–neonate dyad during SARS-CoV-2 future waves. Italian neonatologists have played an active role in producing official guidelines and reporting data that have contributed to improve the care of neonates. A joint European action plan is mandatory to face COVID-19 in neonates with more awareness.
Impact
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A joint European action plan is mandatory to face COVID-19 in neonates with more awareness.
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This review summarizes the available evidences from neonatal COVID-19 management in Italy analyzing all the published paper in this specific field of interest.
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The current review can be useful in the management of the mother–neonate dyad during the SARS-CoV-2 future waves.
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M.E.C. wrote the initial draft and revised the literature and approved the final manuscript as submitted. D.T. contributed to write the draft and revised the literature and approved the final manuscript as submitted. E.P. and L.M. critically reviewed the manuscript. F.M. provided relevant expertize and critically reviewed the manuscript. E.B. contributed to the study concept, study design, and writing of the manuscript and critically reviewed the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
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Cavicchiolo, M.E., Trevisanuto, D., Priante, E. et al. Italian neonatologists and SARS-CoV-2: lessons learned to face coming new waves. Pediatr Res 91, 513–521 (2022). https://doi.org/10.1038/s41390-021-01477-8
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DOI: https://doi.org/10.1038/s41390-021-01477-8
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