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Sci Prog ; 104(2): 36850421998487, 2021.
Article in English | MEDLINE | ID: covidwho-1207543


The Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic had a significant impact on the Italian healthcare system, although geographical differences were present; regions in northern Italy have been the most severely affected while regions in the south of the country were relatively spared. Otolaryngologists were actively involved in the management of the pandemic. In this work, we analyzed and compared the otolaryngology surgical activity performed during the pandemic in two large public hospitals located in different Italian regions. In northern Italy, otolaryngologists were mainly involved in performing surgical tracheotomies in COVID-19 positive patients and contributed to the management of these patients in intensive care units. In central Italy, where the burden of the infection was significantly lower, otolaryngologists focused on diagnosis and treatment of emergency and oncology patients. This analysis confirms the important role of the otolaryngology specialists during the pandemic, but also highlights specific differences between two large hospitals in different Italian regions.

COVID-19/epidemiology , Medical Oncology/organization & administration , Otolaryngology/organization & administration , Pandemics , SARS-CoV-2/pathogenicity , COVID-19/pathology , COVID-19/surgery , COVID-19/virology , Geography , Hospitals , Humans , Intensive Care Units , Italy/epidemiology , Patient Admission/statistics & numerical data , Surveys and Questionnaires , Tracheotomy
Bosn J Basic Med Sci ; 21(1): 117-119, 2021 Feb 01.
Article in English | MEDLINE | ID: covidwho-1052562


Since the COVID-19 outbreak, Italy has been one of the most affected countries in Europe and the second for number of deaths. In this commentary, we discuss some lessons that we learned as health-care providers working in a large public hospital during the pandemic, with a special focus on the importance of infection containment and early diagnosis, the role of swab, serological tests, home isolation and individual protection  devices, and the available therapies and management indications to better face a possible new outbreak in the near future. These comments should stimulate a more diffused, efficient, and efficacious management of COVID-19 patients, also reducing the number of admissions to hospital emergency departments and the related spread of the infection.

COVID-19 Nucleic Acid Testing , COVID-19 Serological Testing , COVID-19/epidemiology , COVID-19/therapy , Communicable Disease Control , Critical Care , Health Personnel , Hospitalization , Hospitals, Public , Humans , Italy/epidemiology , Pandemics , Patient Admission , Physical Distancing , Quarantine , Treatment Outcome
Otolaryngol Head Neck Surg ; 163(1): 86-88, 2020 07.
Article in English | MEDLINE | ID: covidwho-306370


Otolaryngology and head and neck surgery underwent drastic changes during the COVID-19 pandemic. Since March 10, the first day of the lockdown in Italy, diagnostic and therapeutic procedures were limited to emergency and oncology cases, while outpatient procedures and clinical examinations were temporarily suspended to limit virus diffusion and to reallocate personnel into wards dedicated to COVID-19. In our otolaryngology unit, between March 10 and April 28, 2020, we performed 96 surgical procedures; they mainly consisted in diagnosis and treatment of malignant tumors of the head and neck (77%), management of acute upper airway obstruction in adults and children (14.7%), drainage of abscesses of the head and neck (6.2%), and treatment of nasal bone fractures (2.1%). When comparing these data with those of the same period in 2019 for emergency and oncology procedures, we noticed a drastic reduction of head and neck abscesses and nasal bone fractures, while oncology surgery remained stable.

Betacoronavirus , Coronavirus Infections/epidemiology , Disease Transmission, Infectious/prevention & control , Head and Neck Neoplasms/surgery , Hospitals, University , Otolaryngology/organization & administration , Otorhinolaryngologic Surgical Procedures/trends , Pneumonia, Viral/epidemiology , COVID-19 , Coronavirus Infections/complications , Coronavirus Infections/transmission , Head and Neck Neoplasms/complications , Humans , Italy , Pandemics , Pneumonia, Viral/complications , Pneumonia, Viral/transmission , SARS-CoV-2