<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2504-3145</journal-id>
<journal-title><![CDATA[Portuguese Journal of Public Health]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Public Health]]></abbrev-journal-title>
<issn>2504-3145</issn>
<publisher>
<publisher-name><![CDATA[Escola Nacional de Saúde Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2504-31452021000200088</article-id>
<article-id pub-id-type="doi">10.1159/000519499</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Departments of Pediatrics approach at the beginning of the COVID-19. Atuação dos serviços de Pediatria no início da pandemia COVID-19.]]></article-title>
<article-title xml:lang="pt"><![CDATA[Atuação dos serviços de Pediatria no início da pandemia COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vala]]></surname>
<given-names><![CDATA[Beatriz Simões]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Mariana Lopes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aquino]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Xavier]]></surname>
<given-names><![CDATA[Bilhota]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar de Leiria Department of Pediatrics ]]></institution>
<addr-line><![CDATA[Leiria ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pediatric Society of Quality and Safety  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>88</fpage>
<lpage>94</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2504-31452021000200088&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2504-31452021000200088&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2504-31452021000200088&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The novel coronavirus pandemic poses a challenge to healthcare systems&#8217; balance. Since children apparently have milder disease courses, COVID-19 guidelines were not easily adapted to pediatrics. We intend to characterize how the national departments of pediatrics adapted to the pandemic at the beginning and describe the measures that were taken to protect healthcare workers.  Methods:  An unvalidated online questionnaire was sent to all departments of pediatrics directors of Portuguese public health system hospitals regarding course of actions taken between April and May 2020 to face the new coronavirus pandemic. Neonatology units were excluded.  Results:  Thirty-eight questionnaires were included (93% of public health system departments). All departments divided the pediatric emergency unit into non-COVID-19 and COVID-19 areas: 68% in different areas, 47% divided the same space with a physical barrier and 16% with a line on the floor. Healthcare workers were divided into non-COVID-19 and COVID-19 teams in 71% of the departments. Personal protective equipment mostly used in COVID-19 areas consisted of face shield/goggles (97%) and respirators (95%). Others wore surgical masks (8%). The main clinical criteria for testing were Direção-Geral da Saúde criteria (84%). Presential appointments were maintained in 68% of departments with selected follow-up (81%) and priority-first appointments (73%).  Discussion:  National departments of pediatrics faced the pandemic differently and measures taken in the emergency department were more similar. Personal protective equipment was adequate in all wards with occasional overuse, considering national and international guidelines.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A pandemia COVID-19 constitui um desafio para os sistemas de saúde. Em Pediatria a morbimortalidade da doença é menor e as linhas de orientação não foram fáceis de adaptar. Pretendemos caracterizar a organização dos serviços de Pediatria nacionais no início da pandemia e as medidas tomadas para proteger os profissionais de saúde.  Métodos:  Elaboração de um questionário não validado sobre as medidas tomadas de abril a maio de 2020, enviado aos Diretores dos Serviços de Pediatria do Serviço Nacional de Saúde (SNS). As unidades de Neonatologia foram excluídas.  Resultados:  Incluímos 38 questionários (93% dos Serviços do SNS). Todos os serviços dividiram a urgência pediátrica em áreas COVID-19 e não-COVID-19: 68% em áreas distintas, 47% dividiram o mesmo espaço fisicamente e 16% com linha no chão. Os profissionais foram divididos em equipas COVID-19 e não-COVID-19 em 71% dos serviços. Os equipamentos de proteção individual mais usados nas áreas COVID-19 foram viseira / óculos (97%) e respiradores (95%). Outros usaram máscara cirúrgica (8%). Os critérios clínicos da Direção-Geral da Saúde foram os mais usados para testar (84%). As consultas presenciais mantiveram-se em 68% dos serviços, com consultas de seguimento selecionadas (81%) e primeiras consultas prioritárias (73%).  Discussão:  Os serviços de Pediatria adaptaram-se de forma diferente à pandemia, tendo-se verificado uma maior uniformização de atitudes a nível da urgência. O equipamento de proteção foi adequado em todas as áreas e ocasionalmente foram utilizados mais componentes que os recomendados nacional e internacionalmente.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Emergency medical services]]></kwd>
<kwd lng="en"><![CDATA[Emergency response units]]></kwd>
<kwd lng="en"><![CDATA[Response time]]></kwd>
<kwd lng="en"><![CDATA[Transport time]]></kwd>
<kwd lng="en"><![CDATA[Road traffic accidents]]></kwd>
<kwd lng="en"><![CDATA[Motor vehicles]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Pandemia]]></kwd>
<kwd lng="pt"><![CDATA[Planeamento em saúde]]></kwd>
<kwd lng="pt"><![CDATA[Portugal]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade nos cuidados de saúde]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balasubramanian]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rao]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Goenka]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Roderick]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ramanan]]></surname>
<given-names><![CDATA[AV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coronavirus disease 2019 (COVID-19) in children what we know so far and what we do not]]></article-title>
<source><![CDATA[Indian Pediatr]]></source>
<year>2020</year>
<volume>57</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>435-42</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trippella]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ciarcià]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrari]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Buzzatti]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Maccora]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Azzari]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[COVID-19 in pregnant women and neonates a systematic review of the literature with quality assessment of the studies]]></article-title>
<source><![CDATA[Pathogens]]></source>
<year>2020</year>
<volume>9</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>485-509</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pavone]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ceccarelli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Taibi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[La Rocca]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Nunnari]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outbreak of COVID-19 infection in children fear and serenity]]></article-title>
<source><![CDATA[Eur Rev Med Pharmacol Sci]]></source>
<year>2020</year>
<volume>24</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>4572-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<collab>Portugal, Ministério da Saúde, Direção-Geral da Saúde</collab>
<source><![CDATA[Relatório de situação: COVID-19]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Personal protective equipment for healthcare workers during the COVID-19 pandemic]]></article-title>
<source><![CDATA[Infect Chemother]]></source>
<year>2020</year>
<volume>52</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>165-82</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>Portugal, Ministério da Saúde, Direção-Geral da Saúde</collab>
<source><![CDATA[Programa Nacional de Prevenção e Controlo de Infeções e das Resistências aos Antimicrobianos. Orientação DGS nº 007/2020: prevenção e controlo de infeção por SARS-CoV-2 (COVID-19): Equipamentos de Proteção Individual (EPI)]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zimmermann]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Curtis]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coronavirus infections in children including COVID-19]]></article-title>
<source><![CDATA[Pediatr Infect Dis J]]></source>
<year>2020</year>
<volume>39</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>355-68</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Portugal, Ministério da Saúde, Direção-Geral da Saúde</collab>
<source><![CDATA[Orientação DGS nº 013/2020: profissionais de saúde com exposição a SARS-CoV-2 (COVID-19)]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<collab>Portugal, Ministério da Saúde, Direção-Geral da Saúde</collab>
<source><![CDATA[Orientação DGS nº 002/2020: infeção pelo novo coronavírus (2019-nCoV)]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>Portugal, Ministério da Saúde, Direção-Geral da Saúde</collab>
<source><![CDATA[Norma DGS nº 004/2020: COVID-19: fase de mitigação: abordagem do doente com suspeita ou infeção por SARS-CoV-2]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turer]]></surname>
<given-names><![CDATA[RW]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Rosenbloom]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
<name>
<surname><![CDATA[Slovis]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ward]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Electronic personal protective equipment A strategy to protect emergency department providers in the age of COVID-19]]></article-title>
<source><![CDATA[J Am Med Inform Assoc]]></source>
<year>2020</year>
<volume>27</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>967-71</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
