Telemedicine in the Treatment of Viral Infections in Children

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Mariana Grădinaru
Silvia Aura Mateescu Costin
Gabriela Isabela Rauta
Margareta Lepadatu
Miruna Luminita Drăgănescu

Abstract

 Background: The COVID-19 pandemic has accelerated the adoption of telemedicine, including in paediatrics, offering a safe and effective solution for diagnosis and monitoring, particularly in the management of common viral infections in children. Telemedicine has become essential for families in remote areas, reducing the burden on traditional healthcare facilities. Aim: The study investigates the impact of telemedicine on accessibility, efficiency, and quality of treatment for paediatric viral infections, compared to traditional care. Methodology: Following the PRISMA guidelines, a systematic review was conducted on 51,900 articles published between 2020 and 2024, using databases such as PubMed, Springer, and Elsevier. Of these, 23 studies were included in the analysis, focusing on telemedicine use in diagnosis, treatment, and prevention. Results: Telemedicine improves accessibility for children in rural areas, facilitates rapid diagnosis through video consultations and connected devices, reduces costs, and enhances user satisfaction. Limitations include technological barriers, data confidentiality concerns, and legislative challenges. The integration of mobile applications and remote monitoring has significantly contributed to reducing complications and recovery time. Conclusions: Telemedicine is an effective tool in paediatrics, providing modern solutions for managing viral infections, with the potential to transform healthcare by increasing accessibility, reducing costs, and optimising clinical outcomes. Investments in infrastructure and clear regulations are crucial for maximising long-term benefits.


Article Details

How to Cite
Gradinaru , M., Mateescu, S. A., Rauta, G. I., Lepadatu, M., & Draganescu, M. L. (2024). Telemedicine in the Treatment of Viral Infections in Children. Technium BioChemMed, 11, 149–161. https://doi.org/10.47577/biochemmed.v11i.12349
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References

Bîlbîie A, Puiu A-I, Mihăilă V, Burcea M. Investigating Physicians’ Adoption of Telemedicine in Romania Using Technology Acceptance Model (TAM). Healthcare. 2024;12(15):1531. doi:10.3390/healthcare12151531

Alenoghena CO, Ohize HO, Adejo AO, Onumanyi AJ, Ohihoin EE, Balarabe AI, Okoh SA, Kolo E, Alenoghena B. Telemedicine: A Survey of Telecommunication Technologies, Developments, and Challenges. J. Sens. Actuator Netw. 2023;12(2):20. doi:10.3390/jsan12020020

Al Khatib I, Shamayleh A, Ndiaye M. Healthcare and the Internet of Medical Things: Applications, Trends, Key Challenges, and Proposed Resolutions. Informatics. 2024;11(3):47. doi:10.3390/informatics11030047

Wang Q, Su M, Zhang M, Li R. Integrating Digital Technologies and Public Health to Fight Covid-19 Pandemic: Key Technologies, Applications, Challenges and Outlook of Digital Healthcare. Int. J. Environ. Res. Public Health. 2021;18(11):6053. doi:10.3390/ijerph18116053

Sarantopoulos A, Mastori Kourmpani C, Yokarasa AL, Makamanzi C, Antoniou P, Spernovasilis N, Tsioutis C. Artificial Intelligence in Infectious Disease Clinical Practice: An Overview of Gaps, Opportunities, and Limitations. Trop. Med. Infect. Dis. 2024;9(10):228. doi:10.3390/tropicalmed9100228

Sesma-Sánchez L, Ruiz-Castellano M, Romero-Roldán A, Álvarez-García L, Morrás-Gómez M, Tabar-Liberal I, Pulido-Fontes M, Salmón-García B. Continuous Temperature Telemonitoring of Patients with COVID-19 and Other Infectious Diseases Treated in Hospital-at-Home: Viture® System Validation. Sensors. 2024;24(15):5027. doi:10.3390/s24155027

Pappalardo M, Fanelli U, Chiné V, Neglia C, Gramegna A, Argentiero A, Esposito S. Telemedicine in Pediatric Infectious Diseases. Children. 2021;8(4):260. doi:10.3390/children8040260

Thacharodi A, Singh P, Meenatchi R, Tawfeeq Ahmed ZH, Kumar RR, V N, et al. Revolutionizing healthcare and medicine: The impact of modern technologies for a healthier future—A comprehensive review. Health Care Sci. 2024. doi:10.1002/hcs2.115

Esposito S, Rosafio C, Antodaro F, Argentiero A, Bassi M, Becherucci P, Bonsanto F, Cagliero A, Cannata G, Capello F, et al. Information and Training on the Use of Telemedicine in Pediatric Population: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP), and of the Syndicate of Family Pediatrician Doctors (SIMPeF). J. Pers. Med. 2023;13(2):314. doi:10.3390/jpm13020314

Zuccotti G, Calcaterra V. Telemedicine and E-Health: An Innovative Challenge in Pediatric Care. Int. J. Environ. Res. Public Health. 2023;20(3):2091. doi:10.3390/ijerph20032091

Gambadauro A, Galletta F, Li Pomi A, Manti S, Piedimonte G. Immune Response to Respiratory Viral Infections. Int. J. Mol. Sci. 2024;25(11):6178. doi:10.3390/ijms25116178

Beber AAC, Benvegnú AM, da Pieve D, Dallazem LND, Neumaier LFT. Viral infections. In: Dermatology in Public Health Environments: A Comprehensive Textbook. Cham: Springer International Publishing; 2023. p. 203–91. doi:10.1007/978-3-031-13505-7_10

Green R, Webb D, Jeena PM, Wells M, Butt N, Hangoma JM, et al. Management of acute fever in children: Consensus recommendations for community and primary healthcare providers in sub-Saharan Africa. Afr. J. Emerg. Med. 2021;11(2):283–96. doi:10.1016/j.afjem.2020.11.004

Nickson A. Children's problems in the emergency department. In: RCEM Lecture Notes: Emergency Medicine. Wiley; 2023. p. 326–40. doi:10.1002/9781394323289.ch18

Fragkou PC, Moschopoulos CD, Karofylakis E, Kelesidis T, Tsiodras S. Update in viral infections in the intensive care unit. Front. Med. 2021;8:575580. doi:10.3389/fmed.2021.575580

Glynn JR, Moss PAH. Systematic analysis of infectious disease outcomes by age shows lowest severity in school-age children. Sci. Data. 2020;7(1):329. doi:10.1038/s41597-020-00668-y

Gandhi L, Maisnam D, Rathore D, Chauhan P, Bonagiri A, Venkataramana M. Respiratory illness virus infections with special emphasis on COVID-19. Eur. J. Med. Res. 2022;27(1):236. doi:10.1186/s40001-022-00874-x

Douros K, Everard ML. Time to say goodbye to bronchiolitis, viral wheeze, reactive airways disease, wheeze bronchitis and all that. Front. Pediatr. 2020;8:218. doi:10.3389/fped.2020.00218

Jefferson T, Dooley L, Ferroni E, Al-Ansary LA, van Driel ML, Bawazeer GA, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst. Rev. 2023;(1). doi:10.1002/14651858.CD006207.pub6

Fang F, Chen Y, Zhao D, Liu T, Huang Y, Qiu L, et al. Recommendations for the diagnosis, prevention, and control of coronavirus disease-19 in children—the Chinese perspectives. Front. Pediatr. 2020;8:553394. doi:10.3389/fped.2020.553394

Battineni G, Nittari G, Pallotta G, Sagaro GG, Chintalapudi N, Amenta F. Telehealth and Pharmacological Strategies of COVID-19 Prevention: Current and Future Developments. In: Modeling, Control and Drug Development for COVID-19 Outbreak Prevention. Springer; 2022. p. 897–927. doi:10.1007/978-3-030-72834-2_26

Hsu N, Monasterio E, Rolin O. Telehealth in pediatric rehabilitation. Phys. Med. Rehabil. Clin. N. Am. 2021;32(2):307–17. doi:10.1016/j.pmr.2020.12.010

Nesiama JA, McConnell J, Yen K. Emergency Medicine. In: Pediatric Board Study Guide: A Last Minute Review. Springer; 2020. p. 197–245. doi:10.1007/978-3-030-21267-4_7

Dawson T, Ratcliffe A, Onyon C. Gastroenteritis. Paediatr. Child Health. 2022;32(11):410–8. doi:10.1016/j.paed.2022.08.002

Fragkou PC, Moschopoulos CD, Karofylakis E, Kelesidis T, Tsiodras S. Update in viral infections in the intensive care unit. Front. Med. 2021;8:575580. doi:10.3389/fmed.2021.575580

Glynn JR, Moss PAH. Systematic analysis of infectious disease outcomes by age shows lowest severity in school-age children. Sci. Data. 2020;7(1):329. doi:10.1038/s41597-020-00668-y

Gandhi L, Maisnam D, Rathore D, Chauhan P, Bonagiri A, Venkataramana M. Respiratory illness virus infections with special emphasis on COVID-19. Eur. J. Med. Res. 2022;27(1):236. doi:10.1186/s40001-022-00874-x

Angurana SK, Williams V, Takia L. Acute viral bronchiolitis: A narrative review. J. Pediatr. Intensive Care. 2023;12(2):79–86. doi:10.1055/s-0040-1715852

Andrup L, Krogfelt KA, Stephansen L, Hansen KS, Graversen BK, Wolkoff P, Madsen AM. Reduction of acute respiratory infections in day-care by non-pharmaceutical interventions: A narrative review. Front. Public Health. 2024;12:1332078. doi:10.3389/fpubh.2024.1332078

Fang F, Chen Y, Zhao D, Liu T, Huang Y, Qiu L, et al. Recommendations for the diagnosis, prevention, and control of coronavirus disease-19 in children—the Chinese perspectives. Front. Pediatr. 2020;8:553394. doi:10.3389/fped.2020.553394

Abdel-Wahab M, Rosenblatt E, Prajogi B, Zubizarretta E, Mikhail M. Opportunities in telemedicine, lessons learned after COVID-19 and the way into the future. Int. J. Radiat. Oncol. Biol. Phys. 2020;108(2):438–43. doi:10.1016/j.ijrobp.2020.07.006

Kvedarienė V, Burzdikaitė P, Česnavičiūtė I. mHealth and telemedicine utility in the monitoring of allergic diseases. Front. Allergy. 2022;3:919746. doi:10.3389/falgy.2022.919746

Ezeamii VC, Okobi OE, Wambai-Sani H, Perera GS, Zaynieva S, Okonkwo CC, et al. Revolutionizing Healthcare: How telemedicine is improving patient outcomes and expanding access to care. Cureus. 2024;16(7):e63881. doi:10.7759/cureus.63881

Villafuerte N, Manzano S, Ayala P, García MV. Artificial Intelligence in Virtual Telemedicine Triage: A Respiratory Infection Diagnosis Tool with Electronic Measuring Device. Future Internet. 2023;15(7):227. doi:10.3390/fi15070227

Wittman SR, Hoberman A, Mehrotra A, Sabik LM, Yabes JG, Ray KN. Antibiotic Receipt for Pediatric Telemedicine Visits With Primary Care vs Direct-to-Consumer Vendors. JAMA Netw. Open. 2024;7(3):e242359. doi:10.1001/jamanetworkopen.2024.2359

Nageswaran S, Dailey-Farley H, Golden SL. Telehealth for Children With Medical Complexity During the COVID Pandemic: A Qualitative Study Exploring Caregiver Experiences. Clin. Pediatr. 2024;63(1):53–65. doi:10.1177/00099228231204707

Filip R, Gheorghita Puscaselu R, Anchidin-Norocel L, Dimian M, Savage WK. Global challenges to public health care systems during the COVID-19 pandemic: a review of pandemic measures and problems. J. Pers. Med. 2022;12(8):1295. doi:10.3390/jpm12081295

Tully L, Case L, Arthurs N, Sorensen J, Marcin JP, O'Malley G. Barriers and facilitators for implementing paediatric telemedicine: rapid review of user perspectives. Front. Pediatr. 2021;9:630365. doi:10.3389/fped.2021.630365

Ferro F, Tozzi AE, Erba I, Dall’Oglio I, Campana A, Cecchetti C, et al. Impact of telemedicine on health outcomes in children with medical complexity: an integrative review. Eur. J. Pediatr. 2021;180(8):2389–400. doi:10.1007/s00431-021-04164-2

Demaerschalk BM, Pines A, Butterfield R, Haglin JM, Haddad TC, Yiannias J, et al. Assessment of clinician diagnostic concordance with video telemedicine in the integrated multispecialty practice at Mayo Clinic during the beginning of COVID-19 pandemic from March to June 2020. JAMA Netw. Open. 2022;5(9):e2229958. doi:10.1001/jamanetworkopen.2022.29958

Snapiri O, Rosenberg Danziger C, Krause I, Kravarusic D, Yulevich A, Balla U, Bilavsky E. Delayed diagnosis of paediatric appendicitis during the COVID-19 pandemic. Acta Paediatr. 2020;109(8):1672–6. doi:10.1111/apa.15376

Bouabida K, Lebouché B, Pomey MP. Telehealth and COVID-19 pandemic: an overview of the telehealth use, advantages, challenges, and opportunities during COVID-19 pandemic. Healthcare. 2022;10(11):2293. doi:10.3390/healthcare10112293

Eisenstein E, Kopacek C, Cavalcante SS, Neves AC, Fraga GP, Messina LA. Telemedicine: a bridge over knowledge gaps in healthcare. Curr. Pediatr. Rep. 2020;8:93–8. doi:10.1007/s40124-020-00221-w

Jadhav OP, Choure V. Telemedicine: Transforming Healthcare Delivery in the Digital Age. Int. J. Acad. Med. Pharm. 2024;6(3):565–71. doi:10.47009/jamp.2024.6.3.115

Cai Y, Zheng YJ, Gulati A, Butrymowicz A, Krauter R, Pletcher SD, et al. Patient use of low-cost digital videoscopes and smartphones for remote ear and oropharyngeal examinations. JAMA Otolaryngol. Head Neck Surg. 2021;147(4):336–42. doi:10.1001/jamaoto.2020.5223

Terrell EA, Aftab S, Babitz A, Butler L, Hernandez NG, Hornik B, et al. The evolution of telehealth from pre-COVID-19 pandemic through a hybrid virtual care delivery model: A pediatric hospital's journey. Int. J. Telerehabil. 2021;13(2). doi:10.5195/ijt.2021.6432

Raina R, Nair N, Sharma A, Chakraborty R, Rush S, Yap HK, et al. Telemedicine for pediatric nephrology: perspectives on COVID-19, future practices, and workflow changes. Kidney Med. 2021;3(3):412–25. doi:10.1016/j.xkme.2021.01.007

Choo ZY, Lenti G, Castaneda J, Hart C, Young S, Alcocer Alkureishi L. Effects of telemedicine on pediatric clinical care during COVID-19. Pediatr. Ann. 2021;50(12):e503–e508. doi:10.3928/19382359-20211110-01

Behar JA, Liu C, Kotzen K, Tsutsui K, Corino VD, Singh J, et al. Remote health monitoring and diagnosis in the time of COVID-19. arXiv Preprint. 2020. doi:10.48550/arXiv.2005.08537

Turgut M, Kutlu G. Securing Telemedicine and Remote Patient Monitoring Systems. In: Cybersecurity and Data Management Innovations for Revolutionizing Healthcare. IGI Global; 2024. p. 175–96. doi:10.4018/979-8-3693-7457-3.ch008

Graves JM, Abshire DA, Amiri S, Mackelprang JL. Disparities in technology and broadband internet access across rurality: implications for health and education. Fam. Community Health. 2021;44(4):257–65. doi:10.1097/FCH.0000000000000306

Camacho-Leon G, Faytong-Haro M, Carrera K, Molero M, Melean F, Reyes Y, et al. A Narrative Review of Telemedicine in Latin America during the COVID-19 Pandemic. Healthcare. 2022;10:1361. doi:10.3390/healthcare10081361

Madhavan VL, El Saleeby CM. So you want to start an infectious diseases telemedicine service? J. Pediatr. Infect. Dis. Soc. 2020;9(3):357–61. doi:10.1093/jpids/piaa032

Nittari G, Savva D, Tomassoni D, Tayebati SK, Amenta F. Telemedicine in the COVID-19 Era: A Narrative Review Based on Current Evidence. Int. J. Environ. Res. Public Health. 2022;19:5101. doi:10.3390/ijerph19095101

Sarti D, De Salvatore M, Pagliano E, Granocchio E, Traficante D, Lombardi E. Telerehabilitation and Wellbeing Experience in Children with Special Needs during the COVID-19 Pandemic. Children. 2021;8:988. doi:10.3390/children8110988

Solimini R, Busardò FP, Gibelli F, Sirignano A, Ricci G. Ethical and Legal Challenges of Telemedicine in the Era of the COVID-19 Pandemic. Medicina. 2021;57:1314. doi:10.3390/medicina57121314

Morelli S, D’Avenio G, Daniele C, Grigioni M, Giansanti D. Under the Tech Umbrella: Assessing the Landscape of Telemedicine Innovations (Telemechron Study). Healthcare. 2024;12:615. doi:10.3390/healthcare12060615

Halamka J, Cerrato P. The digital reconstruction of health care. NEJM Catalyst Innov. Care Deliv. 2020;1(6). doi:10.1056/CAT.20.0082

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