AI Article Synopsis
- - This study evaluated surgical operations performed at a COVID-19 free center in South Italy during the pandemic, finding that 800 surgeries were done between February 2020 and February 2021, with 40% being emergency cases.
- - Strict measures were implemented, including limiting patient access and using a "boing system" for isolating patients for at least 48 hours upon entry, transitioning to mandatory molecular tests for all patients by July 2020.
- - The use of serological tests indicated high specificity in identifying COVID-19 positive patients, and throughout the study, neither patients nor staff tested positive for the virus, suggesting effective safety measures.
Article Abstract
Aim: We analysed our one-year surgical activity in a spoke 'COVID-19 free' centre during the pandemic in South Italy.
Material Of Study: From Feb 2020 to Feb 2021 we performed 800 operations (40% in emergency and 60% of major surgery). We applied restrictive measures for the access of patients in our department from 15/2/2020 after several cases of unclear fever. Visitors were not allowed to stay in the ward.
Results: In the first period of lockdown, from March to June 2020, in our Region, biomolecular test was indicated only for symptomatic people. We organized the hospitalization with a sealed compartment system (that we defined "boing system") in which the patient stationed in an 'isolation room' for at least 48 hours upon the entry. From July 2020 molecular test were made to all patients before hospitalization. The boing system remains for emergency recovery.
Discussion: In the first phase of pandemia we chose to subject patients to serological examination based on the IgM assay to consider them negative. We organized the hospitalization with a sealed compartment system (that we defined "boing system") CONCLUSION: In the first phase of the pandemic the serological examination has shown high specificity in identifying positive patients for COVID 19. In that period we supposed that patients with negative serology could be considered non-contagious Neither patients or staff has been resulted positive to SarS CoV2 test.
Key Words: Covid 19, Emercency Surgery, Spoke Center, Pandemia, Serological Tests.
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