RT Journal Article T1 Management strategies for children with COVID-19: ESPR practical recommendations A1 Raissaki, Maria A1 Shelmerdine, Susan C. A1 Damasio, Maria Beatrice A1 Toso, Seema A1 Kvist, Ola A1 Lovrenski, Jovan A1 Hirsch, Franz Wolfgang A1 Görkem, Süreyya Burcu A1 Paterson, Anne A1 Arthurs, Owen J. A1 Rossi, Andrea A1 van Schuppen, Joost A1 Petit, Philippe A1 Argyropoulou, Maria I. A1 Offiah, Amaka C. A1 Rosendahl, Karen A1 Caro-Domínguez, Pablo K1 Children K1 Coronavirus K1 COVID-19 K1 Imaging protocol K1 Management K1 Radiology K1 Niños AB During the outbreak of the COVID-19 pandemic, guidelines have been issued by international, national and local authorities to address management and the need for preparedness. Children with COVID-19 differ from adults in that they are less often and less severely affected. Additional precautions required in the management of children address their increased radiosensitivity, need for accompanying carers, and methods for dealing with children in a mixed adult-paediatric institution. In this guidance document, our aim is to define a pragmatic strategy for imaging children with an emphasis on proven or suspected COVID-19 cases. Children suspected of COVID-19 should not be imaged routinely. Imaging should be performed only when expected to alter patient management, depending on symptoms, preexisting conditions and clinical evolution. In order to prevent disease transmission, it is important to manage the inpatient caseload effectively by triaging children and carers outside the hospital, re-scheduling nonurgent elective procedures and managing symptomatic children and carers as COVID-19 positive until proven otherwise. Within the imaging department one should consider conducting portable examinations with COVID-19 machines or arranging dedicated COVID-19 paediatric imaging sessions and performing routine nasopharyngeal swab testing before imaging under general anaesthesia. Finally, regular personal hygiene, appropriate usage of personal protective equipment, awareness of which procedures are considered aerosol generating and information on how to best disinfect imaging machinery after examinations should be highlighted to all staff members. PB Springer Nature SN 0301-0449 YR 2020 FD 2020-07-03 LK http://hdl.handle.net/10668/3274 UL http://hdl.handle.net/10668/3274 LA en NO Raissaki M, Shelmerdine SC, Damasio MB, Toso S, Kvist O, Lovrenski J, et al. Management strategies for children with COVID-19: ESPR practical recommendations. Pediatr Radiol. 2020 Aug;50(9):1313-1323. DS RISalud RD Apr 5, 2025