Multidisciplinary Approach to the Diagnosis and In-Hospital Management of COVID-19 Infection: A Narrative Review

被引:13
|
作者
Lo Bianco, Giuliano [1 ,2 ]
Di Pietro, Santi [3 ,4 ]
Mazzuca, Emilia [5 ]
Imburgia, Aurelio [6 ]
Tarantino, Luca [7 ]
Accurso, Giuseppe [8 ]
Benenati, Vincenzo [9 ]
Vernuccio, Federica [10 ]
Bucolo, Claudio [1 ]
Salomone, Salvatore [1 ]
Riolo, Marianna [11 ]
机构
[1] Univ Catania, Sch Med, Dept Biomed & Biotechnol Sci, Catania, Italy
[2] Fdn Ist G Giglio, Anesthesiol & Pain Dept, Cefalu, Italy
[3] Univ Pavia, Emergency Med Fellowship Programme, Pavia, Italy
[4] Imperial Coll Healthcare NHS Trust, St Marys Hosp, Emergency Dept, London, England
[5] AO Osped Riuniti Villa Sofia Cervello, Unita Operat Complessa Pneumol, Palermo, Italy
[6] San Marino State Hosp, Cailungo, San Marino
[7] UO Elettrofisiol, Clin Humanitas Gavazzeni, Bergamo, Italy
[8] Univ Palermo, Sect Anaesthesia Analgesia Intens Care & Emergenc, Policlin Paolo Giaccone, Dept Surg Oncol & Oral Sci DiChirOnS, Palermo, Italy
[9] Polyclin Maine, Laval, Pays De La Loir, France
[10] Univ Palermo, Dept Biomed Neurosci & Adv Diagnost BIND, Sect Radiol, Palermo, Italy
[11] Asl TO5, Osped Santa Croce Moncalieri, Struttura Complessa Neurol, Moncalieri, TO, Italy
关键词
COVID-19; hospital care; multispecialist care; pandemic (COVID-19); hospital response capability; CLINICAL-PRACTICE GUIDELINE; DISEASE; 2019; COVID-19; CORONAVIRUS INFECTION; VENTILATION; SARS-COV-2; RECEPTOR; ASSOCIATION; PNEUMONIA; THERAPY; SOCIETY;
D O I
10.3389/fphar.2020.572168
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2 or COVID-19 disease) was declared a pandemic on 11th March 2020 by the World Health Organization. This unprecedented circumstance has challenged hospitals' response capacity, requiring significant structural and organizational changes to cope with the surge in healthcare demand and to minimize in-hospital risk of transmission. As our knowledge advances, we now understand that COVID-19 is a multi-systemic disease rather than a mere respiratory tract infection, therefore requiring holistic care and expertise from various medical specialties. In fact, the clinical spectrum of presentation ranges from respiratory complaints to gastrointestinal, cardiac or neurological symptoms. In addition, COVID-19 pandemic has created a global burden of mental illness that affects the general population as well as healthcare practitioners. The aim of this manuscript is to provide a comprehensive and multidisciplinary insight into the complexity of this disease, reviewing current scientific evidence on COVID-19 management and treatment across several medical specialties involved in the in-hospital care of these patients.
引用
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页数:17
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