Dipartimento Universitario di Promozione della Salute, Materno Infantile, Medicina Interna e Specialistica di Eccellenza "G. D'Alessandro" (PROMISE), Division of Respiratory Medicine, "Paolo Giaccone" University Hospital, 18998University of Palermo, Palermo, Italy.
Chron Respir Dis. 2020 Jan-Dec;17:1479973120961843. doi: 10.1177/1479973120961843.
The spread of the SARS-CoV-2 infection among population has imposed a re-organization of healthcare services, aiming at stratifying patients and dedicating specific areas where patients with suspected COVID-related respiratory disease could receive the necessary health care assistance while waiting for the confirmation of the diagnosis of COVID-19 disease. In this scenario, the pathway defined as a "grey zone" is strongly advocated. We describe the application of rules and pathways in a regional context with low diffusion of the infection among the general population in the attempt to provide the best care to respiratory patients with suspected COVID-19. To date, this process has avoided the worst-case scenario of intra-hospital epidemic outbreak.
SARS-CoV-2 感染在人群中的传播迫使医疗服务重新组织，旨在对患者进行分层，并专门设立特定区域，以便疑似与 COVID 相关的呼吸道疾病患者在等待 COVID-19 疾病诊断确认的同时能够获得必要的医疗保健援助。在这种情况下，强烈倡导定义为“灰色地带”的途径。我们在感染在普通人群中扩散程度较低的区域背景下描述规则和途径的应用，试图为疑似 COVID-19 的呼吸道疾病患者提供最佳护理。迄今为止，这一过程避免了医院内疫情爆发的最坏情况。
