Early experience of an infectious and tropical diseases unit during the coronavirus disease (COVID-19) pandemic, Florence, Italy, February to March 2020

被引:37
作者
Lagi, Filippo [1 ,2 ]
Piccica, Matteo [1 ]
Graziani, Lucia [1 ]
Vellere, Iacopo [1 ]
Botta, Annarita [1 ]
Tilli, Marta [1 ]
Ottino, Letizia [1 ]
Borchi, Beatrice [2 ]
Pozzi, Marco [2 ]
Bartalesi, Filippo [2 ]
Mencarini, Jessica [1 ,2 ]
Spinicci, Michele [1 ,2 ]
Zammarchi, Lorenzo [1 ,2 ]
Pieralli, Filippo [3 ]
Zagli, Giovanni [4 ]
Nozzoli, Carlo [5 ]
Romagnoli, Stefano [4 ,6 ]
Bartoloni, Alessandro [1 ,2 ]
机构
[1] Univ Florence, Dept Expt & Clin Med, Florence, Italy
[2] Azienda Osped Univ Careggi, Infect & Trop Dis Unit, Florence, Italy
[3] Azienda Osped Univ Careggi, Intermediate Care Unit, Florence, Italy
[4] Azienda Osped Univ Careggi, Dept Anesthesiol & Intens Care, Florence, Italy
[5] Azienda Osped Univ Careggi, Dept Internal Med, Florence, Italy
[6] Univ Florence, Hlth Sci Dept, Sect Anesthesiol Intens Care & Pain Med, Florence, Italy
关键词
D O I
10.2807/1560-7917.ES.2020.25.17.2000556
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We analysed the first 84 coronavirus disease (COVID-19) patients hospitalised in an infectious and tropical disease unit in Florence, Italy, over 30 days after the start of the COVID-19 outbreak in Italy. A 12% reduction in the rate of intensive care unit transfer was observed after the implementation of intensity care measures in the regular ward such as increasing the nurse/patient ratio, presence of critical care physicians and using high flow nasal cannulae oxygenation.
引用
收藏
页码:6 / 11
页数:6
相关论文
共 9 条
[1]   Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance [J].
不详 .
PEDIATRIA I MEDYCYNA RODZINNA-PAEDIATRICS AND FAMILY MEDICINE, 2020, 16 (01) :9-26
[2]  
[Anonymous], CLIN INFECT DIS
[3]   Clinical Characteristics of Coronavirus Disease 2019 in China [J].
Guan, W. ;
Ni, Z. ;
Hu, Yu ;
Liang, W. ;
Ou, C. ;
He, J. ;
Liu, L. ;
Shan, H. ;
Lei, C. ;
Hui, D. S. C. ;
Du, B. ;
Li, L. ;
Zeng, G. ;
Yuen, K. -Y. ;
Chen, R. ;
Tang, C. ;
Wang, T. ;
Chen, P. ;
Xiang, J. ;
Li, S. ;
Wang, Jin-lin ;
Liang, Z. ;
Peng, Y. ;
Wei, L. ;
Liu, Y. ;
Hu, Ya-hua ;
Peng, P. ;
Wang, Jian-ming ;
Liu, J. ;
Chen, Z. ;
Li, G. ;
Zheng, Z. ;
Qiu, S. ;
Luo, J. ;
Ye, C. ;
Zhu, S. ;
Zhong, N. .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (18) :1708-1720
[4]   Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study [J].
Lechien, Jerome R. ;
Chiesa-Estomba, Carlos M. ;
De Siati, Daniele R. ;
Horoi, Mihaela ;
Le Bon, Serge D. ;
Rodriguez, Alexandra ;
Dequanter, Didier ;
Blecic, Serge ;
El Afia, Fahd ;
Distinguin, Lea ;
Chekkoury-Idrissi, Younes ;
Hans, Stephane ;
Lopez Delgado, Irene ;
Calvo-Henriquez, Christian ;
Lavigne, Philippe ;
Falanga, Chiara ;
Barillari, Maria Rosaria ;
Cammaroto, Giovanni ;
Khalife, Mohamad ;
Leich, Pierre ;
Souchay, Christel ;
Rossi, Camelia ;
Journe, Fabrice ;
Hsieh, Julien ;
Edjlali, Myriam ;
Carlier, Robert ;
Ris, Laurence ;
Lovato, Andrea ;
De Filippis, Cosimo ;
Coppee, Frederique ;
Fakhry, Nicolas ;
Ayad, Tareck ;
Saussez, Sven .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2020, 277 (08) :2251-2261
[5]   Hypothesis for potential pathogenesis of SARS-CoV-2 infection-a review of immune changes in patients with viral pneumonia [J].
Lin, Ling ;
Lu, Lianfeng ;
Cao, Wei ;
Li, Taisheng .
EMERGING MICROBES & INFECTIONS, 2020, 9 (01) :727-732
[6]   COVID-19: consider cytokine storm syndromes and immunosuppression [J].
Mehta, Puja ;
McAuley, Daniel F. ;
Brown, Michael ;
Sanchez, Emilie ;
Tattersall, Rachel S. ;
Manson, Jessica J. .
LANCET, 2020, 395 (10229) :1033-1034
[7]   Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy [J].
Onder, Graziano ;
Rezza, Giovanni ;
Brusaferro, Silvio .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (18) :1775-1776
[8]   On the use of corticosteroids for 2019-nCoV pneumonia [J].
Shang, Lianhan ;
Zhao, Jianping ;
Hu, Yi ;
Du, Ronghui ;
Cao, Bin .
LANCET, 2020, 395 (10225) :683-684
[9]  
World Health Organization (WHO), 2020, SITUATION REPORT 98