An original logigramme to make safe discharge and community reintegration for COVID-19 patients.
J Prev Med Hyg
; 61(3): E313-E320, 2020 Sep.
Article
in English
| MEDLINE | ID: covidwho-881538
ABSTRACT
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is the microorganism responsible for the aggressive Coronavirus Disease (COVID-19) pandemic. During the such pandemic, discharge and community reintegration of patients are critical phases in guaranteeing public health. A review of the international and Italian experiences that represent the best available evidence was carried out, mainly focusing on the precise allocation of tasks and related responsibilities. The report provides a proposal for a systematic management pathway dedicated to COVID-19 patients. The original result is a logigramme to guide health practitioners on discharge and community reintegration of COVID-19 patients. To standardize clinical attitudes helps in ensuring quality of care and patient safety, should be a core element even during a public health emergency. The logigramme suggests, after discharge, 14 days of further isolation with regular health monitoring and, finally, the execution of a nasopharyngeal swab for identification of SARS-CoV-2 viral RNA. Home-cared patients should be placed on 7 days of further isolation after at least 2 negative RT-PCR tests for respiratory tract samples (nasopharyngeal swab). The logigramme is already used in the Department of Prevention - Local Health Agency of Lecce (Apulia) but it will be updated according to the latest research findings.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Patient Discharge
/
Pneumonia, Viral
/
Quarantine
/
Coronavirus Infections
/
Monitoring, Ambulatory
/
Pandemics
Type of study:
Diagnostic study
/
Prognostic study
/
Qualitative research
/
Systematic review/Meta Analysis
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
English
Journal:
J Prev Med Hyg
Journal subject:
Public Health
Year:
2020
Document Type:
Article
Affiliation country:
2421-4248
Similar
MEDLINE
...
LILACS
LIS