Data di Pubblicazione:
2023
Citazione:
Italian good practice recommendations on management of persons with Long-COVID / M. Giuliano, D. Tiple, P. Agostoni, B. Armocida, L. Biardi, A.R. Bonfigli, A. Campana, M. Ciardi, F. Di Marco, M. Floridia, P. Gnerre, T. Grassi, I. Grattagliano, P. Kruger, M. Leonardi, R. Liguori, E. Pagani, E. Perger, F. Pricci, M. Ruggeri, A. Silenzi, F. Spannella, C. Tascini, G. Teté, M. Tosato, S. Vecchi, M. Villa, G. Onder. - In: FRONTIERS IN PUBLIC HEALTH. - ISSN 2296-2565. - 11:(2023), pp. 1122141.1-1122141.9. [10.3389/fpubh.2023.1122141]
Abstract:
A significant number of people, following acute SARS-CoV-2 infection, report
persistent symptoms or new symptoms that are sustained over time, often affecting
different body systems. This condition, commonly referred to as Long-COVID,
requires a complex clinical management. In Italy new health facilities specifically
dedicated to the diagnosis and care of Long-COVID were implemented. However,
the activity of these clinical centers is highly heterogeneous, with wide variation in
the type of services provided, specialistic expertise and, ultimately, in the clinical
care provided. Recommendations for a uniform management of Long-COVID
were therefore needed. Professionals from different disciplines (including general
practitioners, specialists in respiratory diseases, infectious diseases, internal
medicine, geriatrics, cardiology, neurology, pediatrics, and odontostomatology)
were invited to participate, together with a patient representative, in a
multidisciplinary Panel appointed to draft Good Practices on clinical
management of Long-COVID. The Panel, after extensive literature review, issued
recommendations on 3 thematic areas: access to Long-COVID services, clinical
evaluation, and organization of the services. The Panel highlighted the importance
of providing integrated multidisciplinary care in the management of patients after
SARS-CoV-2 infection, and agreed that a multidisciplinary service, one-stop clinic
approach could avoid multiple referrals and reduce the number of appointments.
In areas where multidisciplinary services are not available, services may be provided
through integrated and coordinated primary, community, rehabilitation and mental
health services. Management should be adapted according to the patient’s needs
and should promptly address possible life-threatening complications. The present
recommendations could provide guidance and support in standardizing the care
provided to Long-COVID patients.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
COVID-19; Long COVID; good clinical practices (GCP); Italy; health care systems; guideline
Elenco autori:
M. Giuliano, D. Tiple, P. Agostoni, B. Armocida, L. Biardi, A.R. Bonfigli, A. Campana, M. Ciardi, F. Di Marco, M. Floridia, P. Gnerre, T. Grassi, I. Grattagliano, P. Kruger, M. Leonardi, R. Liguori, E. Pagani, E. Perger, F. Pricci, M. Ruggeri, A. Silenzi, F. Spannella, C. Tascini, G. Teté, M. Tosato, S. Vecchi, M. Villa, G. Onder
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