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Tytuł:
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Burn Unit admission and management protocol during COVID-19 pandemic.
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Autorzy:
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Azzena B; Burn Unit, Plastic Surgery, Padua University Hospital, Via Giustiniani 2, Padua, Italy. Electronic address: .
Perozzo FAG; Burn Unit, Plastic Surgery, Padua University Hospital, Via Giustiniani 2, Padua, Italy. Electronic address: .
De Lazzari A; Burn Unit, Plastic Surgery, Padua University Hospital, Via Giustiniani 2, Padua, Italy. Electronic address: .
Valotto G; 1st Surgical Ward, Padua University Hospital, Via Giustiniani 2, Padua, Italy. Electronic address: .
Pontini A; Burn Unit, Plastic Surgery, Padua University Hospital, Via Giustiniani 2, Padua, Italy. Electronic address: .
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Źródło:
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Burns : journal of the International Society for Burn Injuries [Burns] 2021 Feb; Vol. 47 (1), pp. 52-57. Date of Electronic Publication: 2020 Oct 03.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Amsterdam : Elsevier
Original Publication: [Guildford, Surrey, UK] : Butterworths, [c1989-
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MeSH Terms:
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Burn Units*
Hospitalization*
Burns/*therapy
COVID-19/*prevention & control
Stevens-Johnson Syndrome/*therapy
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
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Contributed Indexing:
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Keywords: Burns; COVID-19; Epidemic control; Experience; Management strategies; Viral infections
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Entry Date(s):
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Date Created: 20201105 Date Completed: 20210125 Latest Revision: 20210125
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Update Code:
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20240105
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PubMed Central ID:
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PMC7532770
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DOI:
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10.1016/j.burns.2020.09.004
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PMID:
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33148487
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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.)
