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Safe Management Strategies in Clinical Forensic Autopsies of Confirmed COVID-19 Cases.
Pomara, Cristoforo; Salerno, Monica; Sessa, Francesco; Esposito, Massimiliano; Barchitta, Martina; Ledda, Caterina; Grassi, Patrizia; Liberto, Aldo; Mattaliano, Anna Rita; Rapisarda, Venerando; Ferrante, Margherita; Agodi, Antonella.
  • Pomara C; Institute of Legal Medicine, Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
  • Salerno M; Institute of Legal Medicine, Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
  • Sessa F; Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
  • Esposito M; Institute of Legal Medicine, Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
  • Barchitta M; Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
  • Ledda C; Occupazional Medicine, Department of Clinical and Experimental Medicine, University of Catania, 95121 Catania, Italy.
  • Grassi P; Director of Microbiology Section, Analysis Laboratory, San Marco Hospital, 95121 Catania, Italy.
  • Liberto A; Institute of Legal Medicine, Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
  • Mattaliano AR; Director of San Marco Hospital, 95121 Catania, Italy.
  • Rapisarda V; Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
  • Ferrante M; Environmental and Food Hygiene Laboratory (LIAA), Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
  • Agodi A; Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, 95123 Catania, Italy.
Diagnostics (Basel) ; 11(3)2021 Mar 06.
Article in English | MEDLINE | ID: covidwho-1160481
Semantic information from SemMedBD (by NLM)
1. Cessation of life PROCESS_OF Persons
Subject
Cessation of life
Predicate
PROCESS_OF
Object
Persons
2. Cadaver PART_OF Persons
Subject
Cadaver
Predicate
PART_OF
Object
Persons
3. Cessation of life PROCESS_OF Persons
Subject
Cessation of life
Predicate
PROCESS_OF
Object
Persons
4. Cadaver PART_OF Persons
Subject
Cadaver
Predicate
PART_OF
Object
Persons
ABSTRACT
To date, there is poor evidence on the transmission of infection in individuals handling the bodies of deceased persons infected with SARS-CoV-2 and in particular, during autopsies. The aim of this study was to demonstrate that when appropriate strategies are adopted autopsy is a safe procedure with a minimal infection risk for all subjects involved (pathologists, technical personnel, and others) when proper strategies are adopted. We performed 16 autopsies on cadavers of persons who had died with confirmed COVID-19 with different post-mortem intervals (PMI). To confirm the presence of SARS-CoV-2 RNA, for each autopsy, 2 swabs were sampled from lungs, while to evaluate environmental contamination, 11 swabs were taken at three different times T0 (before autopsy), T1 (at the end of the autopsy, without removing the corpse), and T2 (after cleaning and disinfecting the autopsy room). Specifically, 2 swabs were sampled on face shields used by each pathologist, and 4 swabs were collected on the autopsy table; 4 swabs were also collected from walls and 1 from floor. Lung swabs confirmed the presence of SARS-CoV-2 RNA in all cases. Environmental swabs, collected at T0 and T2 were all negative, while swabs sampled at T1 were shown to be positive. Interestingly, no association was shown between PMI length and environmental contamination. Infection control strategies for safe management of clinical forensic autopsies of bodies with suspected or confirmed COVID-19 are also described.
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Full text: Available Collection: International databases Database: MEDLINE Language: English Year: 2021 Document Type: Article Affiliation country: Diagnostics11030457

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Full text: Available Collection: International databases Database: MEDLINE Language: English Year: 2021 Document Type: Article Affiliation country: Diagnostics11030457