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An original logigramme to make safe discharge and community reintegration for COVID-19 patients

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 int...

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Autores principales: DONNO, FRANCESCA, FEDELE, ALBERTO
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore Srl 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595062/
https://www.ncbi.nlm.nih.gov/pubmed/33150220
http://dx.doi.org/10.15167/2421-4248/jpmh2020.61.3.1597
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author DONNO, FRANCESCA
FEDELE, ALBERTO
author_facet DONNO, FRANCESCA
FEDELE, ALBERTO
author_sort DONNO, FRANCESCA
collection PubMed
description 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.
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spelling pubmed-75950622020-11-03 An original logigramme to make safe discharge and community reintegration for COVID-19 patients DONNO, FRANCESCA FEDELE, ALBERTO J Prev Med Hyg Original Article 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. Pacini Editore Srl 2020-10-06 /pmc/articles/PMC7595062/ /pubmed/33150220 http://dx.doi.org/10.15167/2421-4248/jpmh2020.61.3.1597 Text en ©2020 Pacini Editore SRL, Pisa, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
spellingShingle Original Article
DONNO, FRANCESCA
FEDELE, ALBERTO
An original logigramme to make safe discharge and community reintegration for COVID-19 patients
title An original logigramme to make safe discharge and community reintegration for COVID-19 patients
title_full An original logigramme to make safe discharge and community reintegration for COVID-19 patients
title_fullStr An original logigramme to make safe discharge and community reintegration for COVID-19 patients
title_full_unstemmed An original logigramme to make safe discharge and community reintegration for COVID-19 patients
title_short An original logigramme to make safe discharge and community reintegration for COVID-19 patients
title_sort original logigramme to make safe discharge and community reintegration for covid-19 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595062/
https://www.ncbi.nlm.nih.gov/pubmed/33150220
http://dx.doi.org/10.15167/2421-4248/jpmh2020.61.3.1597
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