A new paradigm of hospital care for SARS-COV-2 patients in the post-emergency phase in Italy
Keywords:
Healthcare workers, health care model, nosocomial infection, COVIDAbstract
In Italy, at the beginning of the SARS-CoV-2 pandemic, the main organizational model of hospital care was represented by the physical or functional division of hospitals and wards into COVID and non-COVID areas, in order to separate SARS-CoV-2-infected patients from the others. Now that the emergency phase has reached its long-awaited end, it is necessary to develop a new hospital care paradigm that may deal with SARS-CoV-2-positive patients discriminating between those who are hospitalized because of COVID-19 and those who are diagnosed with SARS-CoV-2 infection immediately before or after the first access to healthcare facilities.
References
1. Bianchi FP, Stefanizzi P, Germinario CA, et al. Medium-to-Long-Term Immunogenicity of BNT162b2 mRNA COVID-19 Vaccine: A Retrospective Cohort Study. Vaccines (Basel). 2022 Mar 10; 10(3): 417. doi: 10.3390/vaccines10030417. PMID: 35335049; PMCID: PMC8949567.2. Wake RM, Morgan M,
Choi J, Winn S. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage
A new phase of care management of COVID19 pandemic 253
system. Clin Med (Lond). 2020 Sep; 20(5): e141-e145. doi: 10.7861/clinmed.2020-0411. Epub 2020 Aug 11. PMID: 32788160; PMCID: PMC7539706.
3. Tauffer J, Konstantyner TCRO, de Almeida MCS, Medeiros EA. Hospital-Acquired SARS-CoV-2 infection among patients admitted to a university hospital. Braz J Infect Dis. 2021 Nov-Dec; 25(6):101637. doi: 10.1016/j.bjid.2021.101637. Epub 2021 Oct 28. PMID: 34767781; PMCID: PMC8552664.
4. Rhee C, Baker MA, Klompas M. Prevention of SARS-CoV-2 and respiratory viral infections in healthcare settings: current and emerging concepts. Curr Opin Infect Dis. 2022 Aug 1; 35(4): 353-62. doi: 10.1097/ QCO.0000000000000839. Epub 2022 Jul 5. PMID: 35849526.
5. Italian Government. Law Decree n. 18 of 17.03.2020. Strengthening measures for the National Health Service and economic support for families, workers and businesses related to the epidemiological emergency from COVID-19. Available on: https://www.gazzettaufficiale.it/eli/id/2020/03/17/20G00034/sg [Last accessed: 2022 Sep 1].
6. Bianchi FP, Stefanizzi P, Migliore G, et al. A COVID-19 nosocomial cluster in a university hospital in southern Italy: a social network analysis. Ann Ig. 2022 Apr 19. doi: 10.7416/ai.2022.2519. Epub ahead of print. PMID: 35442385.
7. Lo Vecchio A, Pierri L, Poeta M, et al. Risk of SARS-CoV-2 Transmission in Health Care Personnel Working in a Pediatric COVID-19 Unit. Hosp Pediatr. 2021 Mar; 11(3): e42-e47. doi: 10.1542/hpeds.2020-003855. Epub 2020 Dec 23. PMID: 33361399.
8. European Centre for Disease Prevention and Control (ECDC). Latest risk assessment: further spread and potential impact of the SARS-CoV-2 Omicron variant of concern in the EU/EEA, 27 January 2022. Available on: https://www.ecdc.europa.eu/en/current-risk-assessment-novel-coronavirus-situation [Last accessed: 2022 Sep 21].
9. Andrews N, Stowe J, Kirsebom F, et al. Covid-19 Vaccine Effectiveness against the Omicron (B.1.1.529) Variant. N Engl J Med. 2022 Apr 21; 386(16): 1532-46. doi: 10.1056/NEJMoa2119451. Epub 2022 Mar 2. PMID: 35249272; PMCID: PMC8908811.
10. FIASO (Federazione Italiana Aziende Sanitarie Ospedaliere) Study Center. Report ospedali sentinella – 26 luglio 2022. Available on: https://www.fiaso.it/category/data-room/ [Last accessed: 2022 Jul 28].
11. Ministry of Health, Italy. Circular Prot. n. 0037615-31/08/2022-DGPRE-DGPRE-P. Update of case management methods and close contacts of COVID-19 case. Available on: https://www.trovanorme.salute.gov. it/norme/renderNormsanPdf?anno=2022&codLeg=88744&parte=1%20&serie=null [Last accessed: 2022 Sep 2].
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