Private Medical Office, 6600 Locarno, Switzerland.
Clinical Nutrition and Dietetics, Department of Internal Medicine, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Clin Nutr ESPEN. 2021 Dec;46:142-146. doi: 10.1016/j.clnesp.2021.09.725. Epub 2021 Sep 29.
In the early months of 2020, Europe was confronted by a pandemic that originated in China, which initially affected its territories in different ways. Parts of northern Italy were among the regions most affected. At the same time, Ticino, a small canton of Switzerland geographically wedged into Italian territory, had an incidence rate comparable to that of hard-hit Lombardy. Home to 350,000 inhabitants and separated from the rest of Switzerland by the Alps, Ticino had to face the first part of the pandemic with little available knowledge. The cantonal authorities decided to transform two active hospitals into COVID centres, concentrating all coronavirus patients there. Since the virus was new and there were no clear guidelines for managing it, the nutritional team on site had to reorganise to provide patient care, adapting their strategy to accommodate the evolution of the pandemic and growing medical knowledge. This paper explains how one of these teams developed a model to deal with the first wave of COVID, maintaining it during the second and current third wave of the pandemic.
在 2020 年初，欧洲遭遇了一场源自中国的大流行病，其对各地区的影响起初各不相同。意大利北部部分地区是受影响最严重的地区之一。与此同时，瑞士的提契诺州是一个位于意大利领土之间的小州，其发病率与受疫情重创的伦巴第大区相当。提契诺州拥有 35 万居民，与瑞士其他地区被阿尔卑斯山隔开，它在疫情初期几乎没有可用的知识，不得不面对疫情。州当局决定将两家活跃的医院改造成 COVID 中心，将所有冠状病毒患者集中在那里。由于病毒是新的，并且没有明确的管理指南，现场的营养团队不得不进行重组，以提供患者护理，调整其策略以适应疫情的演变和不断增长的医学知识。本文解释了其中一个团队如何制定了一个模型来应对 COVID-19 的第一波疫情，并在第二波和当前的第三波疫情中保持该模型。
