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Pandemic drives adaptations to management guidelines for acute colitis in kids

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Reuters Health - 11/09/2020 - The management of pediatric acute severe colitis (ASC) might need to be altered in the context of the COVID-19 pandemic, according to a RAND appropriateness panel. The European Crohn's and Colitis Organization/European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ECCO/ESPGHAN) guidelines rely heavily on immunosuppression and the potential for surgery for managing pediatric ASC. The potential risks of these interventions need to be considered in light of the ongoing pandemic. Dr. Jochen Kammermeier of Evelina London Children's Hospital, in London, and colleagues evaluated the appropriateness of interventions by considering 113 clinical scenarios, of which they initially rated 30 as appropriate, 22 as uncertain and 61 as inappropriate. They agreed that all patients admitted to hospital with ASC should be tested for SARS-CoV-2 on admission, with repeat testing at the point of requiring rescue therapy and/or surg...


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