Care for neonates with confirmed or suspected COVID-19: update after a year of pandemic

Advances in the knowledge of the particularities of COVID-19 in the neonatal period have led to some changes in the recommendations for clinical practice, reasons that motivated us to present this article with the aim of updating the aspects related to the care of newborns with suspected or confirmed COVID-19 after a year of pandemic. Neonatal SARS-CoV-2 infection can be congenital or intrapartum or postpartum acquired. The incidence of SARS-CoV-2 positive infants in COVID-19-positive women near delivery is 1.8-2.7%. About 55% of neonates with COVID-19 have clinical manifestations. Of special interest, due to its severity, is the fetal inflammatory response syndrome or neonatal multisystem inflammatory syndrome, of rare presentation. The possibility of occurrence of congenital and intrapartum neonatal infection justifies the implementation of actions for its diagnosis and prevention. Breastfeeding in children of women with COVID-19 should be maintained. During cardiopulmonary resuscitation and respiratory care, compliance with strict protective measures is required. COVID-19 has particularities in the newborn with respect to other ages. The clinical evaluation of the newborn with suspected COVID-19 should take into account the multiple patterns that link the various alterations that occur in the mother-child day by day in the perinatal period, with a view to optimizing the diagnosis, classification and treatment of this disease in the neonatal period. © 2021, Editorial Ciencias Medicas. All rights reserved.

Recommendations for the care of newborns suspected or confirmed of infection by sars-cov-2 in Cuba

In this work are presented recommendations on the care of newborns who are children of mothers diagnosed with COVID-19 in Cuba, and are expressed the general guidelines on the organization of the services for patients care, the main aspects related with the care in the birth moment, feeding related aspects, clinical characteristics described in this stage of life, complementary studies that must be conducted for diagnosis, the treatment to be used, and discharge and follow up criteria. The autors collected poor existent scientific evidence on the infection by coronavirus in the neonatal stage, and jointly with the National Group of Neonatology of the Ministry of Public Health are proposing these recommendations which are adapted to the characteristics of the neonatal care in Cuba with the aim of guiding the behaviours to implement in the attention to newborns suspected or with confirmed diagnosis of COVID-19.These recommendations are based in the available scientific publications and they are subject to changes since this is an emerging infection and there is scarse information of its presence in the earliest stages of life like it can be a confirmed case of just 36 hours of life. It is expected that all the personnel involved in the attention of newborns suspected or confirmed with infection by SARS-Cov-2 can analyze and add these recommendations to the care and surveillance of their patients. © 2020, Editorial Ciencias Medicas. All rights reserved.