Point of view of the Italians pediatric scientific societies about the pediatric care during the COVID-19 lockdown: what has changed and future prospects for restarting

Riccardo Lubrano, Alberto Villani, Stefano Berrettini, Paolo Caione, Alberto Chiara, Antonella Costantino, Roberto Formigari, Emilio Franzoni, Guido Castelli Gattinara, Arturo Giustardi, Giancarlo La Marca, Paolo Lionetti, Mario Lima, Claudio Maffei, Monica Malamisura, Giantonio Manzoni, Gian Luigi Marseglia, Antonio Memeo, Fabio Mosca, Giovanna PerriconeLicia Peruzzi, Giorgio Piacentini, Gabriella Pozzobon, Enrica Riva, Simonetta Tesoro, Giuseppe Zampino, Federica Zanetto, Marco Zecca, Silvia Bloise

Research output: Contribution to journalArticlepeer-review


BACKGROUND: The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting.

METHODS: We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment.

RESULTS: The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians.

CONCLUSIONS: Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.

Original languageEnglish
Pages (from-to)142
JournalItalian Journal of Pediatrics
Issue number1
Publication statusPublished - Oct 2 2020


  • Adult
  • Ambulatory Care/statistics & numerical data
  • COVID-19
  • Child
  • Coronavirus Infections/epidemiology
  • Delivery of Health Care/organization & administration
  • Emergency Service, Hospital/statistics & numerical data
  • Female
  • Hospitalization/statistics & numerical data
  • Humans
  • Infection Control/organization & administration
  • Italy
  • Male
  • Outcome Assessment, Health Care
  • Pandemics/prevention & control
  • Patient Care Planning/organization & administration
  • Pediatrics/methods
  • Pneumonia, Viral/epidemiology
  • Quarantine/organization & administration
  • Societies, Medical
  • Surveys and Questionnaires
  • Telemedicine/statistics & numerical data


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