The COVID-19 pandemic in Perú is causing an unusual pressure in our sanitarian and critic care resources. As the pandemics have progressed in the population, an increasing of several cases and intensive care units (ICU) demand will be expected, because of that, the hospitals capacities would be exceeded in a short place. Despite the low severity of COVID-19 cases in children, we expect that the projected number of pediatric cases could overwhelm the available pediatric capacity. Under a 25% cumulative infection rate scenario, there would be approximately 891 critically ill children requiring ICU admission. We propose several strategies to handle the concerns about shortfalls in our ability to provide pediatric ventilation and critical care support during the epidemic in Perú.

The COVID-19 pandemic in Perú is causing an unusual pressure in our sanitarian and critic care resources. As the pandemics have progressed in the population, an increasing of several cases and intensive care units (ICU) demand will be expected, because of that, the hospitals capacities would be exceeded in a short place. Despite the low severity of COVID-19 cases in children, we expect that the projected number of pediatric cases could overwhelm the available pediatric capacity. Under a 25% cumulative infection rate scenario, there would be approximately 891 critically ill children requiring ICU admission. We propose several strategies to handle the concerns about shortfalls in our ability to provide pediatric ventilation and critical care support during the epidemic in Perú.

Background: Nosocomial Infections (NI) are a frequent and relevant problem. The purpose of this study was to determine the epidemiology of the three most common NI in a Pediatric Intensive Care Unit from a developing country. Methods: We performed a prospective study in a single Pediatric Intensive Care Unit during 12 months. Children were assessed for 3 NI: bloodstream infections (BSI), ventilator-associated pneumonia (VAP) and urinary tract infections (UTI), according to Center for Disease Control criteria. Use of devices (endotracheal tube [ETT], central venous catheter [CVC] and urinary catheter [UC]) was recorded. Results: Four hundred fourteen patients were admitted; 81 patients (19.5%) developed 85 NIs. Density of incidence of BSI, VAP and UTI was 18.1, 7.9 and 5.1/1000 days of use of CVC, ETT and UC respectively. BSI was more common in children with CVCs than in those without CVC...