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The alarm of internists: “Hospitals close to collapse, lack of staff. Increasing difficulty in treating chronically ill non-Covid patients”

The hospitals I’m “Close to collapse” because a “large number” of Covid patients in departments of internal medicine and there is “Staff shortage”. The latest alarm on the situation in health facilities, even now that the contagion curve seems to have reached the plateau around 35 thousand cases of Covid per day, comes from Federation of internists. President Dario Manfellotto, commenting on the union’s analysis Anaao-Assomed on the occupation of hospital beds, he explains that the “concerns” about “saturation” in internal medicine are confirmed.

According to the analysis of Anaao-Assomed, the largest trade union of hospital doctors, in the wards of Pneumology, Internal Medicine e Infectious diseases, according to the comparison, region by region, of the beds in 2018 and those activated in 2020 with the current number of Covid-19 hospitalizations, a “dramatic picture” emerges: the Piedmont is saturated at 191%, Valle d’Aosta al 229%, Lombardy al 129%, Liguria al 118%, Lazio al 91%, Campania all’87%. Solo Molise e Friuli Venezia Giulia are below the occupancy threshold of 40%, but still close with 34% of the beds occupied. In total, according to the report, they are on high alert 19 Regions and Autonomous Provinces.

In the departments of “Internal Medicine – assures Manfellotto – patients come guaranteed all care, even those sub-intensive, including theoxygen therapy and the various forms of non-invasive ventilation, trying to avoid getting to the intubation or to death “. At the same time, however, internists “continue to assist patients who are affected by other pathologies important, like kidney failure, chronic bronchitis, heart failure, sepsis, pneumonia “. But precisely for these sick people, he warns, “the possibility of access hospitals are shrinking ”. It is therefore clear, according to Manfellotto, “that a probable consequence will be crescent difficulty to hospitalize and guarantee the quality standards of care for the chronic exacerbated patients not Covid ”.

The cry of alarm from the trade union and the Federation of internal doctors follows the advice of the Minister of Health, Roberto Speranza, who in the past few hours recalled how the health risk remains very high, despite the report by theHigher Institute of Health yesterday recorded a drop in the Rt index to 1.18: “The first signs of a countertrend after the weeks of dizzying growth of the contagion are seen, but they still are totally insufficient – declared speaking at the conference Pharmacist More – The pressure on health services is very strong “.

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