BOAS PRÁTICAS NO CUIDADO AO RECÉM-NASCIDO EM TEMPOS DE COVID-19: REVISÃO INTEGRATIVA

Góes, Fernanda Garcia Bezerra; Santos, Andressa Silva Torres dos; Lucchese, Ingrid; Silva, Laura Johanson da; Silva, Liliane Faria da; Silva, Maria da Anunciação

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Seção Especial COVID-19 • Texto contexto - enferm. 29 • 2020 • https://doi.org/10.1590/1980-265X-TCE-2020-0242 copiar

BOAS PRÁTICAS NO CUIDADO AO RECÉM-NASCIDO EM TEMPOS DE COVID-19: REVISÃO INTEGRATIVA

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

identificar evidências científicas sobre boas práticas no cuidado ao recém-nascido, da sala de parto ao domicílio, em tempos de COVID-19.

Método:

revisão integrativa realizada em abril de 2020, nos recursos informacionais National Library of Medicine National Institutes of Health (PubMed), Cumulative Index to Nursing and Allied Health Literature (CINAHL) e Scopus, por meio de combinações entre os termos controlados “newborn”, “coronavirus infections” e “COVID-19”.

Resultados:

dezenove estudos compuseram a amostra final, dos quais emergiram cinco categorias analíticas sobre as boas práticas no cuidado ao recém-nascido: gestantes e puérperas com suspeita da COVID-19; gestantes e puérperas com confirmação da COVID-19; recém-nascido com suspeita da COVID-19; recém-nascido com confirmação da COVID-19; e prevenção da transmissão horizontal da COVID-19 ao recém-nascido.

Conclusão:

diversas recomendações foram divergentes, decorrentes da contemporaneidade da pandemia da COVID-19. Logo, é essencial o papel do enfermeiro para a adesão às boas práticas comprovadas e recomendadas nacionalmente e internacionalmente, levando em consideração a realidade local e a atualização constante na temática. Assim sendo, são necessárias novas pesquisas, especialmente com nível de evidência forte, para a formulação de diretrizes assistenciais a esse grupo populacional que contribuam para a redução da morbimortalidade neonatal e o desenvolvimento infantil saudável e harmonioso durante e pós-pandemia.

DESCRITORES
Recém-nascido; Pandemias; COVID-19; Infecções por coronavírus; Enfermagem

Recurso Informacional	Estratégia de Busca	Localizados nas buscas	Identificados por título e resumo
PubMed	“newborn” [MeSH Terms] AND “coronavirus infections” [MeSH Terms]	166	14
PubMed	“Newborn” [MeSH Terms] AND “COVID-19” [Title/Abstract]	22	6
CINAHL	“newborn” [Texto completo] AND “coronavirus infections” [Texto completo]	35	2
CINAHL	“newborn” [Texto completo] AND “COVID-19” [Texto completo]	14	4
Scopus	“Newborn” [Key word] AND “coronavirus infections” [Key word]	253	13
Scopus	“newborn” [Key word] AND “COVID-19” [Key word]	13	7
TOTAL		503	46

Código/Título	País/Fonte	Objetivo
P1 - Perinatal and neonatal management plan for prevention and control of 2019 novel coronavirus infection (1st Edition)1515. Working Group for the Prevention and Control of Neonatal 2019-nCoV Infection in the Perinatal Period of the Editorial Committee of Chinese Journal of Contemporary Pediatrics. Perinatal and neonatal management plan for prevention and control of 2019 novel coronavirus infection (1st ed). Chin J Contemporary Pediatr. [Internet]. 2020 [cited 2020 May 5];22(2):87-90. Available from: https://doi.org/10.7499/j.issn.1008-8830.2020.02.001 https://doi.org/10.7499/j.issn.1008-8830...	China Chin J Contemporary Pediatr	Propor recomendações para a prevenção e controle de infecções por 2019-nCoV em recém-nascidos.
P2 - Perinatal and Neonatal Management Plan for Prevention and Control of SARS-CoV-2 Infection (2nd Edition)1616. Working Group for the Prevention and Control of Neonatal 2019-nCoV Infection in the Perinatal Period of the Editorial Committee of Chinese Journal of Contemporary Pediatrics. Perinatal and neonatal management plan for prevention and control of 2019 novel coronavirus infection (2st Edition). Chin J Contemporary Pediatr. [Internet]. 2020 [cited 2020 May 5];22(3):195-8. Available from: https://doi.org/10.7499/j.issn.1008-8830.2020.03.003 https://doi.org/10.7499/j.issn.1008-8830...	China Chin J Contemporary Pediatr	Atualizar a primeira versão das recomendações para a prevenção e controle de infecções por 2019-nCoV em recém-nascidos.
P3 - Perinatal aspects on the COVID-19 pandemic: a practical resource for perinatal-neonatal specialists1717. Mimouni F, Lakshminrusimha S, Pearlman SA, Raju T, Gallagher PG, Mendlovic J. Perinatal aspects on the covid-19 pandemic: a practical resource for perinatal-neonatal specialists. J Perinatol. [Internet]. 2020 [cited 2020 May 5];40:820-6. Available from: https://doi.org/10.1038/s41372-020-0665-6 https://doi.org/10.1038/s41372-020-0665-...	Israel e EUA J Perinatol	Resumir as evidências disponíveis e fornecer aos perinatologistas e neonatologistas ferramentas práticas para gerenciar seus pacientes.
P4 - Potential maternal and infant outcomes from (Wuhan) Coronavirus 2019-nCoV infecting pregnant women: lessons from SARS, MERS, and other human coronavirus infections1818. Schwartz DA, Graham AL. Potential maternal and infant outcomes from coronavirus 2019-nCoV (SARS-CoV-2) infecting pregnant women: lessons from SARS, MERS, and other human coronavirus infections. Viruses [Internet]. 2020 [cited 2020 May 5];12(2):194. Available from: https://doi.org/10.3390/v12020194 https://doi.org/10.3390/v12020194...	EUA Viruses	Analisar os dados publicados que abordam os efeitos epidemiológicos e clínicos de SARS, MERS e outras infecções por coronavírus em mulheres grávidas e seus filhos.
P5 - Infants Born to Mothers with a New Coronavirus (COVID-19)1919. Chen Y, Peng H, Wang L, Zhao Y, Zeng L, Gao H, et al. Infants born to mothers with a new coronavirus (COVID-19). Front Pediatr [Internet]. 2020 [cited 2020 May 5];9(104):1-5. Available from: https://doi.org/10.3389/fped.2020.00104 https://doi.org/10.3389/fped.2020.00104...	China Front Pediatr	Descrever o curso clínico de quatro bebês nascidos vivos de mulheres grávidas com a infecção por COVID-19.
P6 - Managing neonates with respiratory failure due to SARS-CoV-22020. Luca DD. Managing neonates with respiratory failure due to SARS-CoV-2. Child Adolesc Health [Internet]. 2020 [cited 2020 May 5];4(4):e8. Available from: https://doi.org/10.1016/S2352-4642(20)30073-0 https://doi.org/10.1016/S2352-4642(20)30...	França Lancet Child Adolesc Health	Editorial
P7 - Novel corona virus disease (COVID-19) in pregnancy: what clinical recommendations to follow?2121. Liang H, Acharya G. Novel corona virus disease (COVID-19) in pregnancy: what clinical recommendations to follow? Acta Obstet Gynecol Scand [Internet]. 2020 [cited 2020 May 5];99:439-42. Available from: https://doi.org/10.1111/aogs.13836 https://doi.org/10.1111/aogs.13836...	China, Suécia e Noruega Acta Obstet Gynecol Scand	Editorial
P8 - Clinical characteristics of novel coronavirus disease 2019 (COVID-19) in newborns, infants and children88. Hong H, Wang Y, Chung HT, Chen CJ. Clinical characteristics of novel coronavirus disease 2019 (COVID-19) in newborns, infants and children. Pediatr Neonatol [Internet]. 2020 [cited 2020 Apr 29];61(2):131-2. Available from: https://doi.org/10.1016/j.pedneo.2020.03.001 https://doi.org/10.1016/j.pedneo.2020.03...	China e Taiwan Pediatr Neonatol	Editorial
P9 - COVID-19 virus and children: What do we know?2222. Morand A, Fabre A, Minodier P, Boutin A, Vanel N, Bosdure E, et al. COVID-19 virus and children: what do we know? Arch Pediatr [Internet]. 2020 [cited 2020 May 5];27(3):117-8. Available from: https://doi.org/10.1016/j.arcped.2020.03.001 https://doi.org/10.1016/j.arcped.2020.03...	França Arch Pediatr	Editorial
P10 - Dilemmas and Priorities in the Neonatal Intensive Care Unit during the COVID-19 Pandemic2323. Breindahl M, Zachariassen G, Christensen PS, Henriksen TB. dilemmas and priorities in the neonatal intensive care unit during the COVID-19 pandemic. Dan Med J [Internet]. 2020 [cited 2020 May 5];67(4):A205021. Available from: https://ugeskriftet.dk/files/scientific_article_files/2020-04/a205021_web.pdf https://ugeskriftet.dk/files/scientific_...	Dinamarca Dan Med J	Editorial
P11 - Emergency plan for inter-hospital transfer of newborns with SARS-CoV-2 infection2424. Chen Z, Du LZ, Fu JF, Shu Q, Chen ZM, Shi LP, et al. Emergency plan for inter-hospital transfer of newborns with SARS-CoV-2 infection. Chin J Contemporary Pediatr [Internet]. 2020 [cited 2020 May 5];22(3):226-30. Available from: https://doi.org/10.7499/j.issn.1008-8830.2020.03.009 https://doi.org/10.7499/j.issn.1008-8830...	China Chin J Contemporary Pediatr	Apresentar as indicações para transferência de recém-nascidos com COVID-19, gerenciamento da organização, estratégias de proteção para a equipe médica, procedimentos de trabalho e métodos de desinfecção dos equipamentos de transferência.
P12 - Emergency response plan for the neonatal intensive care unit during epidemic of 2019 novel coronavirus2525. Pediatric Committee, Medical Association of Chinese People′s Liberation Army; Editorial Committee of Chinese Journal of Contemporary Pediatrics. Emergency response plan for the neonatal intensive care unit during epidemic of 2019 novel coronavirus. Chin J of Contemporary Pediatr [Internet]. 2020 [cited 2020 May 5];22(2):91-5. Available from: https://doi.org/10.7499/j.issn.1008-8830.2020.02.002 https://doi.org/10.7499/j.issn.1008-8830...	China Chin J of Contemporary Pediatr	Apresentar o plano de resposta a emergências da Unidade de Terapia Intensiva Neonatal durante epidemia do novo coronavírus de 2019.
P13 - Experience of Clinical Management for Pregnant Women and Newborns with Novel Coronavirus Pneumonia in Tongji Hospital, China2626. Wang SS, Zhou X, Lin XG, Liu YY, Wu JL, Sharifu LM, et al. Experience of clinical management for pregnant women and newborns with novel coronavirus pneumonia in Tongji Hospital, China. Curr Med Sci [Internet]. 2020 [cited 2020 May 5];40(2):285-9. Available from: https://doi.org/10.1007/s11596-020-2174-4 https://doi.org/10.1007/s11596-020-2174-...	China Curr Med Sci	Apresentar o manejo clínico atualizado para mulheres grávidas e recém-nascidos com pneumonia pelo novo coronavírus.
P14 - Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID-19) infection2727. Chen D, Yang H, Cao Y, Cheng W, Duan T, Fan C, et al. Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID-19) infection. Int J Gynaecol Obstet [Internet]. 2020 [cited 2020 May 5];149(2):130-6. Available from: https://doi.org/10.1002/ijgo.13146 https://doi.org/10.1002/ijgo.13146...	China Int J Gynaecol Obstet	Fornecer diretrizes de gerenciamento clínico na gravidez para o novo coronavírus (COVID-19).
P15 - A contingency plan for the management of the 2019 novel coronavirus outbreak in neonatal intensive care units2828. Whan J, Qi H, Bao L, Li F, Shi Y. A contingency plan for the management of the 2019 novel coronavirus outbreak in neonatal intensive care units. Lancet Child Adolesc Health [Internet]. 2020 [cited 2020 May 5];4(4):258-9. Available from: https://doi.org/10.1016/S2352-4642(20)30040-7 https://doi.org/10.1016/S2352-4642(20)30...	China Lancet Child Adolesc Health	Obter um plano de contingência para o surto de 2019-nCoV em Unidades de Terapia Intensiva Neonatal (UTIN).
P16 - An interpretation on perinatal and neonatal management plan for prevention and control of SARS-CoV-2 infection (2^nd Edition)2929. Wang LS, Hu XJ, Zhou WH. An interpretation on perinatal and neonatal management plan for prevention and control of SARS-CoV-2 infection (2nd Edition). Chin J Contemporary Pediatr [Internet]. 2020 [cited 2020 May 5];22(3):199-204. Available from: https://doi.org/10.7499/j.issn.1008-8830.2020.03.004 https://doi.org/10.7499/j.issn.1008-8830...	China Chin J Contemporary Pediatr	Interpretar o plano de manejo perinatal e neonatal para prevenção e controle da infecção por SARS-CoV-2 (2ª Edição).
P17 - Systematic perinatal management of the pregnant women and neonates during the epidemic of COVID-193030. Pu J, Liu XX. Systematic perinatal management of the pregnant women and neonates during the epidemic of COVID-19. Chin J Obstet Gynecol [Internet]. 2020 [cited 2020 May 5];55(3):153-6. Available from: https://doi.org/10.3760/cma.j.cn112141-20200221-00123 https://doi.org/10.3760/cma.j.cn112141-2...	China Chin J Obstet Gynecol	Apresentar sugestões direcionadas sobre toda a prevenção e controle do período perinatal.
P18 - Response plan in the Neonatal intensive care unit during epidemic of SARS-CoV-2 infection (2^nd Edition)3131. Medical Association of Chinese People′s Liberation Army ; Editorial Committee of Chinese Journal of Contemporary Pediatrics; Preparatory Group of Pediatric Disaster, Pediatric Society, Chinese Medical Association. Response plan in the neonatal intensive care unit during epidemic of SARS-CoV-2 infection (2nd Edition). Chin J Contemporary Pediatr [Internet]. 2020 [cited 2020 May 5];22(3):205-10. Available from: https://doi.org/10.7499/j.issn.1008-8830.2020.03.005 https://doi.org/10.7499/j.issn.1008-8830...	China Chin J Contemporary Pediatr	Atualizar o plano de resposta na unidade de terapia intensiva neonatal durante a epidemia de SARS CoV-2.
P19 - Safe delivery for pregnancies affected byCOVID-193232. Qi H, Luo X, Zheng Y, Zhang H, Li J, Zou L, et al. Safe delivery for pregnancies affected by COVID-19. Int J Gynaecol Obstet [Internet]. 2020 [cited 2020 May 5];0:1-3. Available from: https://doi.org/10.1111/1471-0528.16231 https://doi.org/10.1111/1471-0528.16231...	China e Reino Unido Int J Gynaecol Obstet	Editorial

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[1] AUTOR CORRESPONDENTE:
Fernanda Garcia Bezerra Góes. ferbezerra@gmail.com