دورية أكاديمية
Parental access to hospitalised children during infectious disease pandemics such as COVID-19.
| العنوان: | Parental access to hospitalised children during infectious disease pandemics such as COVID-19. |
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| المؤلفون: | Goga A; South African Medical Research Council, Cape Town, South Africa; Department of Paediatrics and Child Health, School of Medicine, Faculty of Health Sciences, University of Pretoria, South Africa. ameena.goga@mrc.ac.za., Feucht U, Pillay S, Reubenson G, Jeena P, Mahdi S, Mayet NT, Velaphi S, McKerrow N, Mathivha LR, Makubalo N, Green RJ, Gray G |
| المصدر: | South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [S Afr Med J] 2021 Jan 20; Vol. 111 (2), pp. 100-105. Date of Electronic Publication: 2021 Jan 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: South African Medical Association Country of Publication: South Africa NLM ID: 0404520 Publication Model: Electronic Cited Medium: Internet ISSN: 2078-5135 (Electronic) NLM ISO Abbreviation: S Afr Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1998- : Cape Town : South African Medical Association Original Publication: Cape Town : Medical Association of South Africa, |
| مواضيع طبية MeSH: | Child Health/*standards , Child, Hospitalized/*statistics & numerical data , Hospitals/*standards , Infection Control/*standards , Patient Isolation/*standards , Visitors to Patients/*statistics & numerical data, COVID-19 ; Child ; Female ; Humans ; Infant, Newborn ; South Africa |
| مستخلص: | The COVID-19 pandemic has resulted in many hospitals severely limiting or denying parents access to their hospitalised children. This article provides guidance for hospital managers, healthcare staff, district-level managers and provincial managers on parental access to hospitalised children during a pandemic such as COVID-19. It: (i) summarises legal and ethical issues around parental visitation rights; (ii) highlights four guiding principles; (iii) provides 10 practical recommendations to facilitate safe parental access to hospitalised children; (iv) highlights additional considerations if the mother is COVID-19-positive; and (v) provides considerations for fathers. In summary, it is a child's right to have access to his or her parents during hospitalisation, and parents should have access to their hospitalised children; during an infectious disease pandemic such as COVID-19, there is a responsibility to ensure that parental visitation is implemented in a reasonable and safe manner. Separation should only occur in exceptional circumstances, e.g. if adequate in-hospital facilities do not exist to jointly accommodate the parent/caregiver and the newborn/infant/child. Both parents should be allowed access to hospitalised children, under strict infection prevention and control (IPC) measures and with implementation of non-pharmaceutical interventions (NPIs), including handwashing/sanitisation, face masks and physical distancing. Newborns/infants and their parents/caregivers have a reasonably high likelihood of having similar COVID-19 status, and should be managed as a dyad rather than as individuals. Every hospital should provide lodger/boarder facilities for mothers who are COVID-19-positive, COVID-19-negative or persons under investigation (PUI), separately, with stringent IPC measures and NPIs. If facilities are limited, breastfeeding mothers should be prioritised, in the following order: (i) COVID-19-negative; (ii) COVID-19 PUI; and (iii) COVID-19-positive. Breastfeeding, or breastmilk feeding, should be promoted, supported and protected, and skin-to-skin care of newborns with the mother/caregiver (with IPC measures) should be discussed and practised as far as possible. Surgical masks should be provided to all parents/caregivers and replaced daily throughout the hospital stay. Parents should be referred to social services and local community resources to ensure that multidisciplinary support is provided. Hospitals should develop individual-level policies and share these with staff and parents. Additionally, hospitals should ideally track the effect of parental visitation rights on hospital-based COVID-19 outbreaks, the mental health of hospitalised children, and their rate of recovery. |
| تواريخ الأحداث: | Date Created: 20210504 Date Completed: 20210512 Latest Revision: 20210512 |
| رمز التحديث: | 20240628 |
| DOI: | 10.7196/SAMJ.2021.v111i2.15388 |
| PMID: | 33944717 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2078-5135 |
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| DOI: | 10.7196/SAMJ.2021.v111i2.15388 |