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Background COVID-19 pandemic had a great impact over all elective neurosurgical activity and important implications in management of neurosurgical urgencies. During the pandemic, some pediatric hospitals reported their experiences. After the emergency phase of the COVID-19 pandemic, the health-care system needs to be reorganized in order to manage again all non-urgent activities, while ensuring safety of both patients and HCW. Material and Methods We developed preventive measures to limit any possibility of COVID-19 spread, according to the principles of epidemiological prevention and suggestions from recent literature. In order to evaluate the efficacy of these measures, we retrospectively reviewed the neurosurgical activity at our Institution from May 4th to July 15th, 2020. Results 119 patients were admitted in the Neurosurgical ward and 80 surgical procedures were performed. Furthermore, 130 outpatient clinics were scheduled. A total of 258 nasopharyngeal swabs and 249 specific interview were performed. In our series, no cases of positivity for SARS-CoV-2 infection were found and no surgical cases were postponed. Discussion We present the management of the neurosurgical activity after the emergency phase at the Neurosurgical Department of Giannina Gaslini Children’s Hospital of Genoa, Italy. Conclusion Italian healthcare system is undertaking a process of reorganization of resources, in an attempt to restore all non urgent activities while ensuring safety. After the emergency phase, we are learning to live together with COVID-19 and, although epidemiological data are encouraging, we must be prepared for an eventual second peak.
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10.1016/j.wneu.2020.11.088
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document_parses/pdf_json/7c9177bf2f9358bd84538c0e39dc9d42eb9524f3.json
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Pediatric neurosurgery after the COVID-19 pandemic: management strategies from a single pediatric hospital in Italy.
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