Nephrology and Dialysis Unit - Treviglio Hospital - ASST Bergamo Ovest, Italy.
Psychology Unit - Treviglio Hospital - ASST Bergamo Ovest, Italy.
G Ital Nefrol. 2021 Apr 14;38(2):2021-vol2.
The new coronavirus disease (Covid-19) pandemic in Italy formally started on 21st February 2020, when a 38-years old man was established as the first Italian citizen with Covid-19 in Codogno, Lombardy region. In a few days, the deadly coronavirus swept beyond expectations across the city of Bergamo and its province, claiming thousands of lives and putting the hospital in Treviglio under considerable strain. Since designated Covid-dialysis hospitals to centrally manage infected hemodialysis patients were not set up in the epidemic areas, we arranged to treat all our patients. We describe the multiple strategies we had to implement fast to prevent/control Covid-19 infection and spread resources in our Dialysis Unit during the first surge of the pandemic in one of the worst-hit areas in Italy. The recommendations provided by existing guidelines and colleagues with significant experience in dealing with Covid-19 were combined with the practical judgement of our dialysis clinicians, nurses and nurse's aides.
意大利的新冠病毒病（COVID-19）大流行于 2020 年 2 月 21 日正式开始，当时一名 38 岁男子在伦巴第大区科多尼奥被确定为意大利首例 COVID-19 患者。几天后，致命的冠状病毒出人意料地席卷了贝尔加莫市及其所在的省份，夺走了数千人的生命，并使特雷维索的医院承受了相当大的压力。由于在疫区没有设立专门的 COVID-透析医院来集中管理感染的血液透析患者，我们安排治疗所有的患者。我们描述了在意大利受影响最严重的地区之一，为了在大流行的第一波疫情中防止/控制 COVID-19 感染和分散我们透析病房的资源，我们必须迅速实施的多种策略。我们将现有指南提供的建议与在处理 COVID-19 方面具有丰富经验的同事的建议相结合，并结合了我们透析临床医生、护士和护士助理的实际判断。
