A1: The COVID National Neonatal Registry of the Italian Society of Neonatology (SIN)
Camilla Gizzi1, Lorenza Pugni2, Elena Spada2, Claudio Bellù3
1Department of Pediatrics, Ospedale Sandro Pertini, Rome, Italy; 2NICU, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy; 3Geos Consult S.r.l., Milan, Italy
Correspondence: Camilla Gizzi (camillagizzi@gmail.com)
A2: Feeding difficulties in the very preterm infant in the first year of life
Eleonora Pontello 1,2, Federica De Osti 1, Nadia Battajon 1, Gianluca Visintin 1, Silvia Vendramin 1, Marika Buffo 1, Paola Lago 1
1Neonatal Intensive Care Unit, Ca’ Foncello Hospital, Treviso, Italy; 2Department of Woman’s and Child’s Health, University of Padova, Padova, Italy
Correspondence: Eleonora Pontello (eleonora.pontello1@gmail.com)
A3: Neonatal early onset sepsis: impact of Kaiser calculator in an italian tertiary perinatal centre
Eleonora Pontello 1,2, Nicoletta Mainini 1, Valentina Favero 1, Francesca Tormena 1, Michela Giovannini 1, Beatrice Galeazzo 1, Paola Lago 1
1Neonatal Intensive Care Unit, Ca’ Foncello Hospital, Treviso, Italy; 2Department of Woman’s and Child’s Health, University of Padova, Italy
Correspondence: Eleonora Pontello (eleonora.pontello1@gmail.com)
A4: Multi drug resistance in NICU and the rationale use of antibiotics. Donor breast milk and infection control. The experience of Meyer Children’s University Hospital
Klaus Peter Biermann (klauspeter.biermann@meyer.it)
Hospital Infection Control Committee, Meyer Children’s University Hospital, Florence, Italy
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low incidence of necrotizing enterocolitis
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reduced incidence of sepsis and other infections
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reduced incidence of bronchopulmonary dysplasia
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high food tolerance
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prevention of hypertension and insulin resistance.
A5: Management of the mother-newborn dyad in SARS-CoV-2 positive mothers: rooming-in and breastfeeding
G. Mangili1, M. Saruggia1, C. Milicia2, S. Ferrari1, M. Maino1
1 UOC Patologia Neonatale-TIN, ASST Papa Giovanni XXIII, Bergamo, Italia; 2 Dipartimento di Pediatria, UOC Patologia Neonatale-TIN, ASST Papa Giovanni XXIII, Bergamo, Italia
Correspondence: G. Mangili (gmangili@asst-pg23.it)
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Allow rooming-in and breastfeeding in asymptomatic mothers (Table1) [6-7];
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Separate symptomatic mothers from their baby until they are able to take care of her/him it;
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Expressed breast milk when possible, unpasteurised, to not reduce its biological and immunological value [8];
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Arrange differentiated intra-hospital paths, dedicated isolated rooms and use Personal Protective Equipment (PPE);
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Hospitalize premature or sick newborns of SARS-CoV-2 positive mothers in NICU isolated area, assisted by PPE-geared personnel;
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In case of SARS-CoV- 2 positive mothers, adopt strict hygiene measures: wash hands frequently and wear a surgical mask during breastfeeds and intimate contact with the newborn;
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Guarantee isolated room, prohibiting visits;
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Extend neonatal hospitalisation for 5-7 days;
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Swab test for newborns of SARS CoV-2-positive mothers at birth and before discharge; follow-up and swab test at 20 and 30 days of life.
State of the Mother | Performing the SARS-CoV-2 RNA-PCR test on throat swab in the mother | Performing the RNA-PCR test for SARS-CoV-2 on throat swab in the newborn | Isolation of the mother° | Management of the newborn during hospitalization° | Breastfeeding advice | Prevention measures on mother-child contagion § |
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Asymptomatic or paucisymptomatic mother, known to be SARS-CoV-2 positive | Already done | YES | YES, in the dedicated postnatal area | YES, in a rooming-in regime, but in an isolated area dedicated to the puerperium | YES | YES |
Paucisymptomatic mother | YES | Only if maternal test positive | YES, in a dedicated and isolated area of the puerperium waiting for the result of the laboratory test | YES, in rooming-in, isolated and dedicated area of the puerperium until the result of the laboratory test | YES | YES |
-SARS-CoV-2 under investigation | ||||||
Mom with respiratory infection symptoms (fever, cough, discharge) | YES or already in progress | Only if maternal test positive | YES, in the dedicated area of the puerperium waiting for the result of the laboratory test | Newborn isolated and separated from the mother, at least until the result of the laboratory test. He is welcomed in the dedicated area of Neonatology (if asymptomatic) or NICU (if with respiratory disease) with the possibility of isolation | NO; use of expressed milk. ^ | YES |
- SARS-CoV-2 positive or under investigation | Pasteurization is not indicated |