Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19
The COVID-19 pandemic influenced the normal course of clinical practice leading to significant delays in the delivery of healthcare services for patients non affected by COVID-19. In the near future, it will be crucial to identify facilities capable of providing health care in compliance with the s...
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2020-04-01
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doaj-2ee7561ac1a64105bfcf13a9194eca052020-11-25T02:05:46ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972020-04-0192110.4081/aiua.2020.2.67Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19Rosario Leonardi0Piera Bellinzoni1Luigi Broglia2Renzo Colombo3Davide De Marchi4Lorenzo Falcone5Guido Giusti6Vincenzo Grasso7Guglielmo Mantica8Giovanni Passaretti9Silvia Proietti10Antonio Russo11Giuseppe Saitta12Salvatore Smelzo13Nazareno Suardi14Franco Gaboardi15Musumeci GECAS Clinic, Gravina di Catania, CataniaDepartment of Urology, San Raffaele Turro Hospital, MilanDepartment of Urology, San Raffaele Turro Hospital, MilanDepartment of Urology, San Raffaele Hospital, MilanDepartment of Urology, San Raffaele Turro Hospital, MilanMusumeci GECAS Clinic, Gravina di Catania, CataniaDepartment of Urology, San Raffaele Turro Hospital, MilanMusumeci GECAS Clinic, Gravina di Catania, CataniaDepartment of Urology, IRCCS Policlinico San Martino Hospital, University of Genova, GenovaDepartment of Urology, San Raffaele Turro Hospital, MilanDepartment of Urology, San Raffaele Turro Hospital, MilanDepartment of Urology, San Raffaele Turro Hospital, MilanDepartment of Urology, San Raffaele Turro Hospital, MilanDepartment of Urology, San Raffaele Turro Hospital, MilanDepartment of Urology, IRCCS Policlinico San Martino Hospital, University of Genova, GenovaDepartment of Urology, San Raffaele Turro Hospital, Milan The COVID-19 pandemic influenced the normal course of clinical practice leading to significant delays in the delivery of healthcare services for patients non affected by COVID-19. In the near future, it will be crucial to identify facilities capable of providing health care in compliance with the safety of healthcare professionals, administrative staff and patients. All the staff involved in the project of a COVID-free hospital should be subjected to a diagnostic swab for COVID-19 before the beginning of healthcare activity and then periodically in order to avoid the risk of contamination of patients during the process of care. The modifications of various activities involved in the process of care are described: outpatient care, reception of inpatients, inpatient ward and operating room. For outpatient care, modality of appointment procedure, characteristics of waiting room and personal protective equipment (PPE) for healthcare professionals and administrative staff are presented. Reception of inpatients shall be conditional on a negative swab for COVID-19 obtained with a drive-in procedure. The management of the operating room represents the most crucial step of the patient's care process. The surgical team should be restricted and monitored with periodic swabs; surgical procedures should be performed by experienced surgeons according to standard procedures; surgical training experimental treatments and research protocols should be suspended. Adequate personal protective equipment and measures to reduce aerosolization in the operating room (closed circuits, continuous cycle insufflators, fume extraction) should be adopted. Prevention of possible transmission of the virus during procedures in open, laparoscopic and endoscopic surgery is to use a multi-tactic approach, which includes correct filtration and ventilation of the operating room, the use of appropriate PPE (FFP3 plus surgical mask and protective visor for all the staff working in the operating room) and smoke evacuation devices with a suction and filter system. *for the UrOP Executive Committee Giuseppe Ludovico, Angelo Cafarelli, Ottavio De Cobelli, Ferdinando De Marco, Giovanni Ferrari, Stefano Pecoraro, Angelo Porreca, Domenico Tuzzolo https://www.pagepressjournals.org/index.php/aiua/article/view/9033Covid 19; Pandemy; Surgery; Endoscopy; Filtration |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rosario Leonardi Piera Bellinzoni Luigi Broglia Renzo Colombo Davide De Marchi Lorenzo Falcone Guido Giusti Vincenzo Grasso Guglielmo Mantica Giovanni Passaretti Silvia Proietti Antonio Russo Giuseppe Saitta Salvatore Smelzo Nazareno Suardi Franco Gaboardi |
spellingShingle |
Rosario Leonardi Piera Bellinzoni Luigi Broglia Renzo Colombo Davide De Marchi Lorenzo Falcone Guido Giusti Vincenzo Grasso Guglielmo Mantica Giovanni Passaretti Silvia Proietti Antonio Russo Giuseppe Saitta Salvatore Smelzo Nazareno Suardi Franco Gaboardi Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19 Archivio Italiano di Urologia e Andrologia Covid 19; Pandemy; Surgery; Endoscopy; Filtration |
author_facet |
Rosario Leonardi Piera Bellinzoni Luigi Broglia Renzo Colombo Davide De Marchi Lorenzo Falcone Guido Giusti Vincenzo Grasso Guglielmo Mantica Giovanni Passaretti Silvia Proietti Antonio Russo Giuseppe Saitta Salvatore Smelzo Nazareno Suardi Franco Gaboardi |
author_sort |
Rosario Leonardi |
title |
Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19 |
title_short |
Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19 |
title_full |
Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19 |
title_fullStr |
Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19 |
title_full_unstemmed |
Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19 |
title_sort |
hospital care in departments defined as covid-free: a proposal for a safe hospitalization protecting healthcare professionals and patients not affected by covid-19 |
publisher |
PAGEPress Publications |
series |
Archivio Italiano di Urologia e Andrologia |
issn |
1124-3562 2282-4197 |
publishDate |
2020-04-01 |
description |
The COVID-19 pandemic influenced the normal course of clinical practice leading to significant delays in the delivery of healthcare services for patients non affected by COVID-19. In the near future, it will be crucial to identify facilities capable of providing health care in compliance with the safety of healthcare professionals, administrative staff and patients. All the staff involved in the project of a COVID-free hospital should be subjected to a diagnostic swab for COVID-19 before the beginning of healthcare activity and then periodically in order to avoid the risk of contamination of patients during the process of care. The modifications of various activities involved in the process of care are described: outpatient care, reception of inpatients, inpatient ward and operating room. For outpatient care, modality of appointment procedure, characteristics of waiting room and personal protective equipment (PPE) for healthcare professionals and administrative staff are presented. Reception of inpatients shall be conditional on a negative swab for COVID-19 obtained with a drive-in procedure. The management of the operating room represents the most crucial step of the patient's care process. The surgical team should be restricted and monitored with periodic swabs; surgical procedures should be performed by experienced surgeons according to standard procedures; surgical training experimental treatments and research protocols should be suspended. Adequate personal protective equipment and measures to reduce aerosolization in the operating room (closed circuits, continuous cycle insufflators, fume extraction) should be adopted. Prevention of possible transmission of the virus during procedures in open, laparoscopic and endoscopic surgery is to use a multi-tactic approach, which includes correct filtration and ventilation of the operating room, the use of appropriate PPE (FFP3 plus surgical mask and protective visor for all the staff working in the operating room) and smoke evacuation devices with a suction and filter system.
*for the UrOP Executive Committee
Giuseppe Ludovico, Angelo Cafarelli, Ottavio De Cobelli, Ferdinando De Marco, Giovanni Ferrari, Stefano Pecoraro, Angelo Porreca, Domenico Tuzzolo
|
topic |
Covid 19; Pandemy; Surgery; Endoscopy; Filtration |
url |
https://www.pagepressjournals.org/index.php/aiua/article/view/9033 |
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