Résumé
La crise sanitaire de la Covid-19 du printemps 2020 a peu touché les enfants avec peu d'hospitalisations dans les hôpitaux pédiatriques. Le défi a été d'apporter une aide aux hôpitaux adultes avec un personnel principalement formé à la pédiatrie tout en maintenant la permanence des soins urgents pour les enfants atteints ou non de la Covid-19. À l'hôpital universitaire Armand-Trousseau, nous avons créé des unités dédiées pour les enfants atteints de la Covid-19, identifié les spécificités des enfants atteints de la Covid-19 et notamment les formes de Kawasaki like ou PIMS (paediatric multisystem inflammatory syndrome), créé une unité de réanimation adulte au pic de l'épidémie pour augmenter les capacités en lits de réanimation dans notre région, mutualisé notre centre de dépistage pour le personnel d'hôpitaux adultes. Enfin, nous avons envoyé plus de 140 personnels médicaux et paramédicaux dans les hôpitaux adultes de notre groupe hospitalier. Cette aide a pu être organisée grâce aux liens étroits établis par des cellules de crises communes avec les hôpitaux adultes de notre groupe hospitalier. Nous rapportons ainsi un retour d'expérience d'un hôpital pédiatrique au cours de la crise de la Covid-19 en Île-de-France.Alternate : Children were relatively spared by the COVID-19 health crisis during spring 2020, with few hospitalizations in pediatric hospitals. For that reason, one of themain challenges for pediatric hospitals was to provide staff support to adult hospitals with health workers mainly trained in pediatrics. In our hospital, we created dedicated units for children with COVID-19, identified the specificities of children with COVID-19 and more specifically of children with "Kawasaki like” or PIMS-TS (Pediatric Multisystem Inflammatory Syndrome temporally associated with COVID-19), created an adult intensive care unit at the peak of the outbreak to increase adult resuscitation capacity in our region and pooled our staff screening center with the other adult hospitals. Finally, we have sent more than 140 health workers to other adult hospitals. This support was provided thanks to the close links established between our pediatric hospital crisis unit and those from the other adult hospitals included in our Hospital Group. We report here a feedback from a pediatric hospital during the COVID-19 crisis in the region of Ile-de-France.
Résumé
Children were relatively spared by the COVID-19 health crisis during spring 2020, with few hospitalizations in pediatric hospitals. For that reason, one of the main challenges for pediatric hospitals was to provide staff support to adult hospitals with health workers mainly trained in pediatrics. In our hospital, we created dedicated units for children with COVID-19, identified the specificities of children with COVID-19 and more specifically of children with "Kawasaki like" or PIMS-TS (Pediatric Multisystem Inflammatory Syndrome temporally associated with COVID-19), created an adult intensive care unit at the peak of the outbreak to increase adult resuscitation capacity in our region and pooled our staff screening center with the other adult hospitals. Finally, we have sent more than 140 health workers to other adult hospitals. This support was provided thanks to the close links established between our pediatric hospital crisis unit and those from the other adult hospitals included in our Hospital Group. We report here a feedback from a pediatric hospital during the COVID-19 crisis in the region of Ile-de-France. Copyright © SFMU et Lavoisier SAS 2020