Medicina Nuclear en la pandemia por Covid-19

Conesa, Joan Castell

doi:10.1016/j.remn.2020.05.001

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…25 We observed up to a three-fold increase in our hospital waste that was sent to the hospital medical waste incinerator for incineration during COVID-19 Pandemic (Figure : 2) All non-urgent, elective nuclear medicine scans and nuclear medicine therapy procedures were deferred or postponed. 24,26 In addition all aerosolgenerating procedures such as physical exercise cardiac stress testing in myocardial perfusion scan were not carried out. All myocardial perfusion scans with urgent indications were performed with pharmacological stress using adenosine.…”

Section: H Hospital Waste Disposalmentioning

confidence: 99%

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Optimizing Cancer Hospital Services in the Era of COVID-19 Pandemic

Riaz

Babar

Khurshid

et al. 2022

MRAJ

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The public sector cancer hospitals in Pakistan adopted a resource constrained approach to optimize cancer care delivery to their patients owing to the challenges imposed by COVID-19 pandemic. The cancer patients are immune-deficient, with lymphopenia and neutropenia, either due to the disease process or treatment induced (chemotherapy or radiotherapy). This makes them more vulnerable to all sorts of infections including COVID-19. The smart lockdown approach and transport restrictions enforced by the government remained very effective in controlling the spread of COVID-19, however these brought numerous logistic hurdles both to the cancer patients as well as to the cancer care providers. To prevent overcrowding at the workplace and maintain social distancing, the entire hospital staff was put on staggered duties and patients’ appointments were limited and curtailed. A triage was set at hospital entry point where COVID-19 risk scoring was carried out to filter out patients as well as hospital staff suspected of COVID-19. A pass “COVID-19 risk score” of less than 3 was set to allow entry into the hospital. Awareness posters were displayed at hospital entry point, reception, registration, and waiting areas to guide patients and public about COVID-19 and the importance of adopting the preventive measures such as wearing of facemasks, hand sanitation and social distancing. The education and training of hospital staff regarding COVID-19 prevention, infection control, sanitization and disinfection of hospital building and equipment, donning and doffing of personnel protective equipment (PPEs) was carried out side by side. The cancer care services in nuclear medicine department were curtailed. All non-urgent nuclear medicine scans and aerosol generating procedures such as lung ventilation scan, cardiac stress testing and I-131 nuclear medicine therapy were cancelled or delayed. Alternate testing measures and other supportive therapies were prescribed, and patients were counseled to remain in contact with the hospital through teleconsultation. In oncology department all indoor admissions were closed and patients were put on faster “day-care metronomic chemotherapy regimens” or oral maintenance therapies. In radiotherapy department radiotherapy start (RT-Start) prioritization was adopted, after a detailed peer review of each individual patient keeping in mind the urgent or emergent clinical state of the patient without compromising the treatment outcome. During the COVID-19 pandemic, out of the 2091 cancer patients who underwent radiation treatment 27.6% were treated under priority-1 (RT-start within a week), 29.3% were treated under priority-2 (RT-start between 1-4 weeks) and 43.1% were treated under priority-3 (RT-start after 4 weeks). The radiotherapy workload volume was reduced by changing the standard of care radiation treatment protocols to quicker “hypofractionantion protocols” with similar treatment outcome, approved for pandemic situations by national and international radiation oncology societies. We found that this multifaceted optimization applied at various levels in our hospital helped in mitigating COVID-19 spread to the cancer patients along with continued and uninterrupted delivery of services by the hospital, during the era of COVID-19 pandemic.

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Section: H Hospital Waste Disposalmentioning

confidence: 99%

“…Measures taken in Nuclear Medicine Department: i. Nuclear Medicine Appointments:All non-urgent, elective nuclear medicine scans and nuclear medicine therapy procedures were deferred or postponed 24,26. In addition all aerosolgenerating procedures such as physical exercise cardiac stress testing in myocardial perfusion scan were not carried out.…”

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confidence: 99%

Optimizing Cancer Hospital Services in the Era of COVID-19 Pandemic

Riaz

Babar

Khurshid

et al. 2022

MRAJ

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“…Following the advice of different professional societies and health care authorities Nuclear Medicine Departments throughout the work adapted to the new circumstance, restructuring the planning of not only diagnostic techniques but also therapeutic procedures with radiopharmaceuticals 1 . During the first months of the pandemic health care activity related to conventional nuclear medicine drastically reduced, with this reduction being much more moderate in metabolic therapy procedures and relatively low in positron emission tomography/computerized tomography studies 2 .…”

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confidence: 99%

SARS-CoV-2 vaccination and metabolic radionuclide therapy: Document of the SEMNIM Endocrinology Working Group

Busó

Gasen

Llongarriu

et al. 2021

Revista Española de Medicina Nuclear e Imagen Molecular (Englis

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Radiofarmacia Hospitalaria en Argentina durante la pandemia de COVID-19. Criterios y fundamentos para la organización del trabajo

Rabiller

Cordoba

Poch

et al. 2020

Revista Española de Medicina Nuclear e Imagen Molecular

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En esta publicación se presentan criterios y fundamentos para la organización del trabajo en la práctica segura de la Radiofarmacia Hospitalaria, a fin de minimizar el riesgo de transmisión viral durante la pandemia de COVID-19, en una instalación de referencia de la Comisión Nacional de Energía Atómica (CNEA) de Argentina, mientras se continúan desempeñando servicios esenciales para el sistema de salud. Con este fin se consultaron como referencia documentos de la CNEA, OIEA, la OMS y otras publicaciones científicas. Estas recomendaciones se encuentran en proceso de revisión constante y son actualizadas de manera permanente. En este marco se propone el presente modelo de organización laboral para esta actividad esencial incluyendo recomendaciones generales, particulares y su fundamento epidemiológico e inmunológico.

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Medicina Nuclear en la pandemia por Covid-19

Cited by 6 publications

References 11 publications

Optimizing Cancer Hospital Services in the Era of COVID-19 Pandemic

Optimizing Cancer Hospital Services in the Era of COVID-19 Pandemic

SARS-CoV-2 vaccination and metabolic radionuclide therapy: Document of the SEMNIM Endocrinology Working Group

Radiofarmacia Hospitalaria en Argentina durante la pandemia de COVID-19. Criterios y fundamentos para la organización del trabajo

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