Pediatric COVID-19 Unit Structure, Organization, and Prevention Measures

Contaminated AreaClean Area
Health care facilities5 single rooms with anteroom (no negative pressure)Meeting room
Triage areaStorage room
Undressing areaDressing room
Nurse stationNurse Station
PPERespirator: FFP2a respirator or FFP3a during invasive or aerosol-inducing proceduresbSurgical mask
Goggles and face shieldDisposable gloves
Hair net
Double disposable gloves
Waterproof gown
Leg cover boots (not waterproof)
Additional precautionary measuresRemote communication (walkie-talkie or mobile phones)Social distancingc
Dedicated medical devices in each patient’s room (ie, stethoscope, pulse oximeter, or otoscope)
Patients (if tolerated) and caregivers wearing mask
Single caregiver for each patient
  • FFP2, filtering facepiece 2; FF3, filtering facepiece 3.

  • a FFP2 provides 94% to 95% filter capacity, comparable to a N95 respirator, and FF3 provides 99% capacity, comparable to N99.

  • b Nasopharyngeal swab, high-flow oxygen delivery, suctioning of airway secretions, sputum induction, and nebulizer administration.

  • c Social distancing was defined by maintenance of a 3- to 6-feet distance between HCWs in the ward, warning for assemblies of people, and the use of web platform for journal meeting and case discussion, limiting ward access only to HCWs on duty.