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Journal of Clinical Medicine ; 9(9):1-11, 2020.
Article | WHO COVID | ID: covidwho-963402


At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e g , number of CT examinations) and safety (COVID-19-positive healthcare workers) There was an average of 72 2 and 17 8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively A total of 176 high-risk and positive patients were examined High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed No in-hospital transmission occurred in the DDI neither among patients nor among health personnel The weekly number of in-patient CT examinations decreased by 27 4%, and the surgical procedures decreased by 29 5% Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety

Assist Inferm Ric ; 39(3):122-129, 2020.
Article | WHO COVID | ID: covidwho-881246


The reorganization of the strategies of a surgical department and the nosocomial diffusion of Covid-19 INTRODUCTION: During the SARS-CoV2 pandemic, preventive measures and patients' selection were adopted to allow the treatment of non-deferrable oncological and trauma cases and to contain hospital diffusion of the virus The reorganization of the ward management associated to the training of healthcare providers are the first available interventions AIM: To describe the interventions implemented to limit the spread of virus during the peak of pandemic in a high daily turn-over 25 beds surgical ward (9 patient admitted per day/mean duration of hospital stay 2 3 days) METHOD: Description of the interventions implemented and of the admissions from March 9 to May 18 2020, and the swab results RESULTS: 392 patients were treated in the period considered (342 were scheduled cases - 50 urgent cases;364 were adults and 28 children) All scheduled patients underwent a screening survey, 5% of those contacted showed a risk factor at the interview and were rescheduled;190 patients underwent a preoperative screening swab, all with negative results None of healthcare providers was positive to swabs CONCLUSIONS: The prompt application of preventive measures and patients screening (preoperative interview and screening swab) possibly allowed to control the spread of SARS-CoV2 in our hospital Sharing our experience would allow to find consensus to guarantee the safety for patients and healthcare workers