Management of healthcare areas for the prevention of COVID-19 emergency in an Italian teaching hospital in Pisa, Tuscany: A hospital renovation plan

Baggiani, Angelo; Luchini, Grazia; Giraldi, Mauro; Martino, Maria Carola; Totaro, Michele; Privitera, Gaetano Pierpaolo

doi:10.1017/ice.2020.177

Cited by 14 publications

(15 citation statements)

References 2 publications

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“…48,49 In highly-infected areas (such as Lombardy), hub centres were created 50 to treat only advanced symptomatic tumours 81–83 , while elective oncological surgery procedures continued to be performed in less affected regions. 50,51 This was an important issue for oncological patients, especially older ones. 85–88…”

Section: Resultsmentioning

confidence: 99%

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The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review

Lugli

Ottaviani

Botta

et al. 2020

Preprint

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Background: Italy has been one of the countries most affected by the SARS-CoV-2 pandemic and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a potential long-term impact on patient health care. We investigated the management of non-COVID-19 patients across all medical specialties during the pandemic in Italy. Methods: A PRISMA guideline-based systematic review of the available literature was performed using PubMed, Embase, and Scopus, restricting the search to the main outbreak period in Italy (from 20 February to 22 June, 2020). We selected articles in English or Italian that detailed changes in the Italian hospital care for non-COVID-19 patients due to the pandemic. Our keywords included all medical specialties in combination with our geographical focus (Italy) and COVID-19. Findings: Of the 4643 potentially eligible studies identified by the search, 247 studies were included in the systematic review. A decrease in the management of emergencies in non-COVID patients was found together with an increase in mortality. Similarly, non-deferrable conditions met a tendency toward decreased diagnosis. All specialties have been affected by the reorganization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine during the pandemic. Interpretation: Our work highlights the changes taking place in the Italian public healthcare system in order to tackle the developing health crisis due to the COVID-19 pandemic. The findings of our review may be useful to analyze future directions for the healthcare system in the case of new pandemic scenarios.

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Section: Resultsmentioning

confidence: 99%

“…52–54 For example, neoadjuvant treatments were recommended or increased 55 to defer surgical admission for as long as possible. 50,51,55,56 For other medical conditions requiring surgery under particular circumstances, such as relapse of inflammatory bowel disease, dedicated hubs were identified. 94–57…”

Section: Resultsmentioning

confidence: 99%

The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review

Lugli

Ottaviani

Botta

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…In the months of March and April 2020, hospitals in Tuscany experienced a sudden influx of COVID-19 patients, a large proportion requiring intensive care, in a short period of time. In the Pisa Teaching Hospital, the organizational structure, including the establishment of COVID designated wards, and patient management protocols were modified to address the clinical needs of the patients, as well as the concern for the protection of healthcare workers from infection by SARS-CoV-2 [ 3 ]. However, Tuscany hospital services were already facing a challenge represented by the diffusion of multidrug-resistant organisms (MDRO), especially New Delhi metallo-beta-lactamase-producing carbapenem-resistant Enterobacterales (NDM-CRE) [ 4 , 5 ].…”

Section: Short Communicationmentioning

confidence: 99%

Increased Risk of Acquisition of New Delhi Metallo-Beta-Lactamase-Producing Carbapenem-Resistant Enterobacterales (NDM-CRE) among a Cohort of COVID-19 Patients in a Teaching Hospital in Tuscany, Italy

et al. 2020

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We describe the epidemiology of New Delhi Metallo-Beta-Lactamase-Producing Carbapenem-Resistant Enterobacterales (NDM-CRE) colonization/infection in a cohort of COVID-19 patients in an Italian teaching hospital. These patients had an increased risk of NDM-CRE acquisition versus the usual patients (75.9 vs. 25.3 cases/10,000 patient days). The co-infection significantly increased the duration of hospital stay (32.9 vs. 15.8 days).

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“…Negative-pressure isolation room system (−9Pa) and HEPA15 filters were installed to contain airborne microorganisms within the room. Negative pressure isolation rooms were used for COVID-19-positive patients with respiratory failure, usually treated with aerosol-generating C-PAP therapy (C-PAP beds) [ 13 ].…”

Section: The North-west Area Setting and The Azienda Ospedaliero-umentioning

confidence: 99%

Preparedness and Response to the COVID-19 Emergency: Experience from the Teaching Hospital of Pisa, Italy

Baggiani

Luchini

Giraldi

et al. 2020

IJERPH

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In Italy, the coronavirus disease 2019 (COVID-19) emergency took hold in Lombardy and Veneto at the end of February 2020 and spread unevenly among the other regions in the following weeks. In Tuscany, the progressive increase of hospitalized COVID-19 patients required the set-up of a regional task force to prepare for and effectively respond to the emergency. In this case report, we aim to describe the key elements that have been identified and implemented in our center, a 1082-bed hospital located in the Pisa district, to rapidly respond to the COVID-19 outbreak in order to guarantee safety of patients and healthcare workers.

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Management of healthcare areas for the prevention of COVID-19 emergency in an Italian teaching hospital in Pisa, Tuscany: A hospital renovation plan

Cited by 14 publications

References 2 publications

The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review

The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review

Increased Risk of Acquisition of New Delhi Metallo-Beta-Lactamase-Producing Carbapenem-Resistant Enterobacterales (NDM-CRE) among a Cohort of COVID-19 Patients in a Teaching Hospital in Tuscany, Italy

Preparedness and Response to the COVID-19 Emergency: Experience from the Teaching Hospital of Pisa, Italy

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