1. Burn Unit admission and management protocol during COVID-19 pandemic.
- Author
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Azzena B, Perozzo FAG, De Lazzari A, Valotto G, and Pontini A
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Body Surface Area, Bronchoalveolar Lavage Fluid, Burns complications, COVID-19 complications, COVID-19 diagnosis, COVID-19 Nucleic Acid Testing, Child, Child, Preschool, Female, Humans, Infant, Infection Control methods, Intensive Care Units, Italy, Male, Mass Screening, Middle Aged, Nasopharynx, Parents, SARS-CoV-2, Young Adult, Burn Units, Burns therapy, COVID-19 prevention & control, Hospitalization, Stevens-Johnson Syndrome therapy
- Abstract
Background: The actual epidemic outbreak is the third time in the last two decades in which a coronavirus results in a major global spread with serious consequences in terms of vastity of affected patients, life losses, health system organization efforts and socio-economic implications. Lacking effective therapies and vaccinations, during viral outbreak the major and most incisive mean for viral spread control is spread prevention, especially for the fragile burn-injured patients we are called to care for in Burn Units., Methods: We developed an admission and inpatient management protocol to preserve burn patients from SARS-CoV-2 contagion, in order to avoid additional morbidity and mortality in patients with already compromised health conditions. Data from burn-injured patients admitted to our Unit following this new protocol were retrospectively analyzed in order to verify its effectiveness in prevention of viral spread., Results: From the 8th of March to the 8th of June, we admitted 18 patients in the Burn Unit ICU and semi-ICU and 17 patients in the Burn Ward. Two of them resulted positive to COVID-19 nasopharyngeal swab and bronchoalveolar lavage collected immediately on admission, for both the extension of burns and their general clinical conditions implied ICU admission. Moreover, a caregiver of an admitted child resulted positive to the nasopharyngeal swab. No other cases of SARS-CoV-2 positivity have been reported neither between hospitalized patients nor between healthcare workers., Conclusion: The evidence of high ICU admission rate and high mortality in patients affected by SARS-CoV-2 combined with the fragile clinical conditions of burn patients required the development of an admission and hospitalization management protocol., (Copyright © 2020 Elsevier Ltd and ISBI. All rights reserved.)
- Published
- 2021
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