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Minerva Pediatrics 2021 May 05

DOI: 10.23736/S2724-5276.21.06325-4

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

What we learned from the Covid-19 first wave: a survey from Young Pediatric Urology Committee (YPUC) from ESPU

Aurora MARIANI ¹ ✉, Sibel TIRYAKI ², Mirjam HARMS ³, Vladimir ORLOV ⁴, Tudor ENACHE ⁵, Valeska BIDAULT-JOURDAINNE ⁶, Mieke WATERSCHOOT ⁷, Sebastien FARAJ ⁸, Rianne J. LAMMERS ⁹

¹ Department of Pediatric Urology and Pediatric Surgery, Hopital Femme Mère et Enfant, Lyon, France; ² Gaziantep Cengiz Gökçek Maternity and Children's Hospital, Gaziantep, Turkey; ³ Department of Pediatric Urology, Ordensklinikum Linz, Barmherzige Schwestern, Linz, Austria; ⁴ Department of Pediatric Urology, Regional Children’s Hospital, Rostov-on-Don, Russia; ⁵ Department of Pediatric Surgery, Grigore Alexandrescu Clinical Emergency Hospital for Children, Bucharest, Romania; ⁶ Department of Pediatric Surgery and Pediatric Urology, Robert Debré Children’s Hospital, Paris, France; ⁷ Department of Pediatric and Reconstructive Urology, Uz Ghent, Belgium; ⁸ Department of Pediatric Surgery, Centre Hospitalier Universitaire, Nantes, France; ⁹ Department of Pediatric Urology, UMC Groningen, The Netherlands

BACKGROUND: The Corona virus still has a big impact on medical work. All medical specialties have been called to confront this unexpected event, even pediatric surgery. The objective of this study is to highlight the effect of pandemic on daily work of young pediatric surgeons during the Covid-19 first wave.
METHODS: An online survey was sent via email by the Scientific Committee of YPUC in April 2020. The impact of Covid-19 was invested, by analyzing the results of answers received. The difference between young consultants and trainees (C and T) were examined to assess the effect of pandemic in 2 different categories.
RESULTS: A total of 88 participants filled out the questionnaire. Guidelines around surgeries were well arranged: clear for 98% concerning triage with no difference between T and C; clear for 84% concerning pre-operative screening and for 81% concerning surgical dressing with a significance difference between T and C in understanding (p=0.07 and p=0.06). Forty-two respondents (48%) tested all surgical patients and the 20% operated patients positive for COVID-19. Thirteen (15%) were relocated to work in other divisions on different tasks, 12 were C. 86% of T did not participate in surgeries as much as before.
CONCLUSIONS: The impact of the pandemic has been very significant for pediatric urologists and the difference between C and T confirm that the training could be impacted. After the first wave we should be careful on PPE, on pre-operative screening of surgical patients and we should protect the trainee learning curve.

KEY WORDS: Covid-19; Pandemic; SARS-CoV-2; Training; Pediatric urology fellow