Bergamo Field Hospital Confronting COVID-19: Operating Instructions.

Disaster Medicine and Public Health Preparedness
Ornella SpagnolelloMartin Langer

Abstract

The coronavirus disease (COVID-19) pandemic represented an unprecedented challenge for health care facilities, and innovative solutions were urgently required to overcome the high volume of critically ill infectious patients, limit in-hospital outbreaks, and limit the risk of occupational infection for health care workers (HCWs). Bergamo was the hardest-hit Italian province by COVID-19, and the local health care system had to undergo a profound and prompt reorganization. A COVID-19-only field hospital was rapidly set up meeting the standards for severe acute respiratory infection (SARI) treatment centers (https://apps.who.int/iris/handle/10665/331603). A zones partition, dedicated in-hospital pathways for HCWs, strict infection prevention and control (IPC) measures, and constant staff supervision were key components of our strategy to limit the risk of occupational infection for HCWs. Herein, we present the Bergamo field hospital layout enlightening fundamental IPC measures adopted as a valuable example of a SARI treatment center confronting COVID-19.

References

May 15, 2016·Journal of the Royal Army Medical Corps·Lucy Em LambA L McCourt
Feb 13, 2020·Nature·Nahid Bhadelia
Mar 18, 2020·JAMA : the Journal of the American Medical Association·Edward Livingston, Karen Bucher
May 6, 2020·The New England Journal of Medicine·Stefano FagiuoliUNKNOWN Covid-19 Bergamo Hospital Crisis Unit

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