Covid-19 infection in cancer patients: the management in a diagnostic unit
, , , , , , , , oraz | 05 mar 2021
O artykule
Article Category: Review
Data publikacji: 05 mar 2021
Zakres stron: 121 - 129
Otrzymano: 17 wrz 2020
Przyjęty: 19 gru 2020
DOI: https://doi.org/10.2478/raon-2021-0010
© 2021 Vincenza Granata, Roberta Fusco, Francesco Izzo, Sergio Venanzio Setola, Michele Coppola, Roberta Grassi, Alfonso Reginelli, Salvatore Cappabianca, Roberto Grassi, Antonella Petrillo, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
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Recommendations for second scenario – suspected COVID-19 cancer patient, according to Italian Society of Radiology and Interventional Radiology (SIRM) guidelines10
| Patients | Healthcare staff |
|---|---|
| Isolated, controlled, and diagnostic confirmation should be as quick as possible | |
| Wear • N95 mask [strong recommendation] | Wear • N95 mask [strong recommendation] |
| • or surgical mask [weak recommendation] | • goggles or face shield [strong recommendation] |
| • gloves [strong recommendation] | |
| • surgical cap [weak recommendation] | |
| • shoe covers [weak recommendation] | |
| Stay away from other people (at least 6 feet of distance) [strong recommendation] | Clean and disinfect with 500 mg/L chlorine-containing disinfectant the radiological equipment used, clean their hands properly, and the room should be opened for appropriate ventilation [strong recommendation] |
| Diagnostic tool | |
| • Chest radiography (CXR; not very sensitive), with portable equipment in the isolation room [strong recommendation] | |
| • Computed tomography (CT; greater sensitivity) for early pneumonic change, disease progression, and alternative diagnoses; | |
| the administration of the intravenous contrast medium for the diagnosis of pulmonary thromboembolism |
Fourth scenario -Cancer Patients with incidental COVID-19 diagnosis, according to Italian Society of Radiology and Interventional Radiology (SIRM) guidelines10
| Patients | Healthcare staff |
|---|---|
| Controlled | |
| • diagnostic confirmation should be as quick as possible [strong recommendation] | |
| Wear | Wear |
| • N95 mask [strong recommendation] | • N95 mask [strong recommendation] |
| • or surgical mask [weak recommendation] | • goggles or face shield [strong recommendation] |
| • gloves [strong recommendation] | |
| • surgical cap [weak recommendation] | |
| • shoe covers [weak recommendation] | |
| Stay away from other people (at least 6 feet of distance) [strong recommendation] | Clean and disinfect with 500 mg/L chlorine-containing disinfectant the radiological equipment used, clean their hands properly, and the room should be opened for appropriate ventilation [strong recommendation] |
Recommendations for third scenario - confirmed Covid-19 cancer patient, according to Italian Society of Radiology and Interventional Radiology (SIRM) guidelines10
| Patients | Healthcare staff |
|---|---|
| Isolated and controlled | Medical personnel enter into the isolation area through |
| • treated in designated hospitals with isolation and protection conditions [strong recommendation] | designated channels (strongrecommendation] |
| Wear | |
| • N95 mask (strong recommendation] | |
| Wear | • goggles or face shield (strong recommendation] |
| • N95 mask [strong recommendation] | • gloves (strong recommendation] |
| • or surgical mask [weak recommendation] | • surgical cap (weak recommendation] |
| • shoe covers(weak recommendation] | |
| Stay away from other people (at least 6 feet of distance) [strong recommendation] | Clean and disinfect with 500 mg/L chlorine-containing disinfectant the radiological equipment used, clean their hands properly, and the room should be opened for appropriate ventilation [strong recommendation] |
| Diagnostic tool | |
| • daily chest radiographs are not indicated | |
| • CT scan is indicated for the evaluation of the stage of | |
| infection, for defining complications and for a correct | |
| differential diagnosis | |
| • The chest ultrasound (POCUS – point-of-care ultrasound) a | |
| monitoring tool to evaluate the effectiveness of the prono- | |
| supination manoeuvres |
Recommendations for first scenario – non COVID-19 cancer patient, according to Italian Society of Radiology and Interventional Radiology (SIRM) guidelines10
| Patients | Health care staff |
|---|---|
| Wear | Wear |
| • N95 mask [strong recommendation] | • N95 mask [strong recommendation] |
| • or surgical mask [weak recommendation] | • goggles or face shield [strong recommendation] |
| • gloves [strong recommendation] | |
| • surgical cap [weak recommendation] | |
| • shoe covers [weak recommendation] | |
| Stay away from other people (at least 6 feet of distance) [strong recommendation] | Clean and disinfect with 500 mg/L chlorine-containing disinfectant the radiological equipment used, clean their hands properly, and the room should be opened for appropriate ventilation [strong recommendation] |