From the Nuclear Medicine Department, Santa Maria della Misericordia Hospital, Rovigo, Italy.
Department of Radiology, Keck School of Medicine of USC, Los Angeles, CA.
Clin Nucl Med. 2020 Nov;45(11):854-859. doi: 10.1097/RLU.0000000000003244.
Coronavirus disease (COVID-19) outbreak has profoundly changed the organization of hospital activities. We present our experience of reorganization of a nuclear medicine service settled in Northern Italy during the pandemic period of March and April 2020 characterized a government-mandated lockdown. Our service remained open during the whole period, performing approximately 80% of the routine practice, while maintaining it COVID-free despite the geographical context characterized by a high risk of infection. Reorganization involved all aspects of a nuclear medicine department, following local, national, and international guidelines for prioritizing patients, telephone and physical triages, deployment of appropriate personal protective equipment, social distancing, and logistic changes for scheduling examinations and disinfection procedures. All staff remained COVID-19-negative despite the unintentional admission of 4 patients who later turned out to be positive for the severe acute respiratory syndrome coronavirus 2. These adopted measures would serve as the basis for safe nuclear medicine services in the post-lockdown phase.
冠状病毒病(COVID-19)疫情深刻改变了医院活动的组织形式。我们介绍了我们在 2020 年 3 月和 4 月大流行期间在意大利北部重组核医学服务的经验,当时政府下令封锁。尽管地理位置具有很高的感染风险,但我们的服务在整个期间保持开放,完成了大约 80%的常规工作,同时保持无 COVID 状态。重组涉及核医学部门的所有方面,遵循了地方、国家和国际的患者优先排序指南,进行了电话和身体分诊,部署了适当的个人防护设备,保持社交距离,并对检查和消毒程序进行了后勤调整。尽管有 4 名患者后来被诊断为严重急性呼吸综合征冠状病毒 2 阳性,但所有工作人员的 COVID-19 检测结果均为阴性。这些采取的措施将为封锁后阶段的安全核医学服务提供基础。