COVID-19 and self-care strategies for women with gestational diabetes mellitus Transmission Dynamics of COVID-19 Outbreaks Associated with Child Care Facilities - Salt Lake City, Utah, April-July 2020

BACKGROUND AND AIM: The outbreak of the emerging coronavirus disease 2019 (COVID-19) is a global public health emergency According to the findings, women with gestational diabetes mellitus (GDM) are at increased risk of this virus Due to the need for quarantine and social distancing in the current disease situation and need to receive repeated medical care in GDM patients, this review study aimed to evaluate the self-care strategies for women with GDM during COVID-19 pandemic METHODS: 25 related articles from 2011 to 2020 and 3 guidelines were reviewed with the keywords of gestational diabetes mellitus, diabetes, pregnancy and COVID-19 in combination with self-care and self-management in PubMed, Google Scholar, Scopus, Science Direct, Elsevier, Springer, Wiley Online Library and SID RESULTS: According to the results of the studies, face-to-face visits should be limited and instead, telemedicine services recommended Self-care throughout telemedicine services were improved maternal and neonatal outcomes in women with GDM CONCLUSION: Although self-care program through telemedicine services is beneficial for women with GDM, performing clinical trials are recommended to assess maternal and neonatal outcomes in this condition Reports suggest that children aged ≥10 years can efficiently transmit SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1,2) However, limited data are available on SARS-CoV-2 transmission from young children, particularly in child care settings (3) To better understand transmission from young children, contact tracing data collected from three COVID-19 outbreaks in child care facilities in Salt Lake County, Utah, during April 1-July 10, 2020, were retrospectively reviewed to explore attack rates and transmission patterns A total of 184 persons, including 110 (60%) children had a known epidemiologic link to one of these three facilities Among these persons, 31 confirmed COVID-19 cases occurred;13 (42%) in children Among pediatric patients with facility-associated confirmed COVID-19, all had mild or no symptoms Twelve children acquired COVID-19 in child care facilities Transmission was documented from these children to at least 12 (26%) of 46 nonfacility contacts (confirmed or probable cases) One parent was hospitalized Transmission was observed from two of three children with confirmed, asymptomatic COVID-19 Detailed contact tracing data show that children can play a role in transmission from child care settings to household contacts Having SARS-CoV-2 testing available, timely results, and testing of contacts of persons with COVID-19 in child care settings regardless of symptoms can help prevent transmission CDC guidance for child care programs recommends the use of face masks, particularly among staff members, especially when children are too young to wear masks, along with hand hygiene, frequent cleaning and disinfecting of high-touch surfaces, and staying home when ill to reduce SARS-CoV-2 transmission (4)