Pathways for urology patients during the COVID-19 pandemic.
Pathways for urology patients during the COVID-19 pandemic.
复制标题
COVID-19 大流行期间泌尿科患者的治疗途径。
DOI：
--
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
V. Ficarra
中科院分区：
文献类型：
--
作者：
A. Simonato;G. Giannarini;A. Abrate;R. Bartoletti;A. Crestani;C. de Nunzio;A. Gregori;G. Liguori;G. Novara;N. Pavan;C. Trombetta;A. Tubaro;F. Porpiglia;V. Ficarra
2019年冠状病毒病(新冠肺炎)大流行造成的公共卫生紧急情况导致卫生资源的重大重新分配，随之而来的是几个泌尿中心的临床活动也进行了重组。一个由意大利泌尿科医生组成的小组就新冠肺炎疫情期间接受紧急手术或不可推迟的肿瘤干预的泌尿外科患者的术前、术中和术后护理路径达成了一系列建议。必须优先简化诊断和分期路径，以减少医院就诊，从而减少传染的风险。在没有严格的统一规定强制执行鼻咽拭子的情况下，我们建议在住院前和住院时通过家里的电话对可能的新冠肺炎症状进行准确的分诊。我们建议，在住院期间，应为病人提供尽可能多的指导，以便于他们回到家中并呆在家里。患者应在稳定的良好条件下出院，以最大限度地减少再次入院的风险。建议减少或重新安排出院后的控制，并实施适当的通信系统来远程监测出院患者，以减少就诊次数。
The public health emergency caused by the Coronavirus Disease 2019 (COVID-19) pandemic has resulted in a significant reallocation of health resources with a consequent reorganization of the clinical activities also in several urological centers. A panel of Italian urologists has agreed on a set of recommendations on pathways of pre-, intra- and post-operative care for urological patients undergoing urgent procedures or non-deferrable oncological interventions during the COVID-19 pandemic. Simplification of the diagnostic and staging pathway has to be prioritized in order to reduce hospital visits and consequently the risk of contagion. In absence of strict uniform regulations that impose the implementation of nasopharyngeal swabs, we recommend that an accurate triage for possible COVID-19 symptoms be performed both by telephone at home before hospitalization and at the time of hospitalization. We recommend that during hospital stay patients should be provided with as many instructions as possible to facilitate their return to, and stay at, home. Patients should be discharged under stable good conditions in order to minimize the risk of readmission. It is advisable to reduce or reschedule post-discharge controls and implement an adequate system of communication for telemonitoring discharged patients in order to reduce hospital visits.