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Pediatric onco-hematological home care during COVID-19 pandemic
Matteo Amicucci1, Federico Piccioni2, Francesca Cocca2
1Department of Onco Hematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Sant'Onofrio Square, 4, 00165, Rome, Italy. matteo.amicucci@opbg.net.
Insights
This study outlines a "COVID at home" protocol for managing pediatric onco-hematology patients during the COVID-19 pandemic. It ensured continuity of care and patient safety at home.
Area of Science:
- Oncology
- Hematology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic presented significant challenges to healthcare delivery, particularly for immunocompromised pediatric patients with onco-hematological conditions.
- Maintaining continuity of care and protecting vulnerable patients and healthcare professionals were critical priorities during the emergency.
Purpose of the Study:
- To describe the protocol developed by a Home Care Service for pediatric onco-hematology patients during the COVID-19 pandemic.
- To present preliminary data on the implementation and effectiveness of this protocol.
- To outline strategies for patient safety, non-abandonment, and optimized hospital access.
Main Methods:
- Development and implementation of a specialized
- COVID at home
- protocol for managing COVID-19 positive pediatric onco-hematology patients.
- Identification of high-risk patients for COVID-19 infection.
- Facilitation of nursing and medical care in the home setting.
Main Results:
- The protocol enabled safe management of COVID-19 positive onco-hematology patients in their homes.
- Strategies were effective in ensuring continuity of care and preventing patient abandonment.
- Rationalization of hospital admissions for non-critical cases was achieved.
Conclusions:
- The
- COVID at home
- protocol is a viable strategy for safely managing pediatric onco-hematology patients during pandemics.
- Home-based care enhances patient safety and maintains treatment continuity for vulnerable populations.
- Proactive protocols are essential for healthcare system resilience during public health emergencies.
Abstract:
The aim of the work is to describe the protocol adopted by the Home Care Service in pediatric onco-hematological patients of a large cancer institute in Italy during COVID-19 pandemic and to present preliminary data. Based on our experience, we have developed strategies to ensure continuity of care, non-abandonment, and protection of patients and operators in a period of emergency like this. In this context, the "COVID at home" protocol plays a central role. It aims to be able to safely manage COVID-19 positive onco-hematological patients, allowing nursing and medical care in the home setting, identifying patients at risk for COVID-19 infection, and rationalizing improper accesses to the hospital.
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