Laboratory considerations amidst the coronavirus disease 2019 outbreak: the Spedali Civili in Brescia experience
Coronavirus disease 2019 emergency has created an enormous stress on providers that have been transformed into coronavirus disease hospitals. This article presents the experience of the clinical laboratory of Spedali Civili in Brescia (a teaching hospital in Lombardy with over 1500 beds) in managing...
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Veröffentlicht in: | Bioanalysis 2020-09, Vol.12 (17), p.1223-1230 |
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creator | Garrafa, Emirena Brugnoni, Duilio Barbaro, Mosè Andreoli, Laura Focà, Emanuele Salvetti, Massimo Castelli, Francesco Franceschini, Franco Piva, Simone Muiesan, Maria Lorenza Latronico, Nicola Levaggi, Rosella |
description | Coronavirus disease 2019 emergency has created an enormous stress on providers that have been transformed into coronavirus disease hospitals. This article presents the experience of the clinical laboratory of Spedali Civili in Brescia (a teaching hospital in Lombardy with over 1500 beds) in managing the crisis, and to offer practical considerations for laboratory testing for this cohort of patients. Our contribution is threefold: by comparing the demand for tests in two representative period before and within the crisis, we show the change in compositions of the analytes that other labs may expect; we present the new panels of tests that hospital staff can order with different advantage for wards and laboratory; and we show how to reorganize staff on the basis of changes mentioned above. |
doi_str_mv | 10.4155/bio-2020-0109 |
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This article presents the experience of the clinical laboratory of Spedali Civili in Brescia (a teaching hospital in Lombardy with over 1500 beds) in managing the crisis, and to offer practical considerations for laboratory testing for this cohort of patients. Our contribution is threefold: by comparing the demand for tests in two representative period before and within the crisis, we show the change in compositions of the analytes that other labs may expect; we present the new panels of tests that hospital staff can order with different advantage for wards and laboratory; and we show how to reorganize staff on the basis of changes mentioned above.</description><identifier>ISSN: 1757-6180</identifier><identifier>EISSN: 1757-6199</identifier><identifier>DOI: 10.4155/bio-2020-0109</identifier><identifier>PMID: 32573254</identifier><language>eng</language><publisher>England: Newlands Press Ltd</publisher><subject>Automation ; Betacoronavirus - isolation & purification ; Clinical Laboratory Services - statistics & numerical data ; Coronaviridae ; Coronavirus Infections - diagnosis ; Coronavirus Infections - epidemiology ; Coronavirus Infections - virology ; Coronaviruses ; COVID hospital ; COVID-19 ; COVID-19 emergency ; Disease Outbreaks ; Ferritins - blood ; Fibrin Fibrinogen Degradation Products - analysis ; Hospitals, Teaching ; Humans ; Italy - epidemiology ; lab organization ; Laboratories ; Pandemics ; panels for monitoring patients ; Pneumonia, Viral - diagnosis ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - virology ; reagents ; SARS-CoV-2 ; Special Report ; staff management ; Urinalysis</subject><ispartof>Bioanalysis, 2020-09, Vol.12 (17), p.1223-1230</ispartof><rights>2020 Newlands Press</rights><rights>Copyright Newlands Press Sep 2020</rights><rights>2020 Newlands Press 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-c6bffe8911e41713aadf2275640105d69d332ecd298e39cb946f3184733926653</citedby><cites>FETCH-LOGICAL-c563t-c6bffe8911e41713aadf2275640105d69d332ecd298e39cb946f3184733926653</cites><orcidid>0000-0003-4395-5379 ; 0000-0001-9420-9961 ; 0000-0002-6018-1283 ; 0000-0002-9107-3218 ; 0000-0003-4761-6892 ; 0000-0001-9161-7804 ; 0000-0003-3678-6124 ; 0000-0002-2521-5871 ; 0000-0002-5483-8007</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315825/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315825/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32573254$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garrafa, Emirena</creatorcontrib><creatorcontrib>Brugnoni, Duilio</creatorcontrib><creatorcontrib>Barbaro, Mosè</creatorcontrib><creatorcontrib>Andreoli, Laura</creatorcontrib><creatorcontrib>Focà, Emanuele</creatorcontrib><creatorcontrib>Salvetti, Massimo</creatorcontrib><creatorcontrib>Castelli, Francesco</creatorcontrib><creatorcontrib>Franceschini, Franco</creatorcontrib><creatorcontrib>Piva, Simone</creatorcontrib><creatorcontrib>Muiesan, Maria Lorenza</creatorcontrib><creatorcontrib>Latronico, Nicola</creatorcontrib><creatorcontrib>Levaggi, Rosella</creatorcontrib><title>Laboratory considerations amidst the coronavirus disease 2019 outbreak: the Spedali Civili in Brescia experience</title><title>Bioanalysis</title><addtitle>Bioanalysis</addtitle><description>Coronavirus disease 2019 emergency has created an enormous stress on providers that have been transformed into coronavirus disease hospitals. This article presents the experience of the clinical laboratory of Spedali Civili in Brescia (a teaching hospital in Lombardy with over 1500 beds) in managing the crisis, and to offer practical considerations for laboratory testing for this cohort of patients. Our contribution is threefold: by comparing the demand for tests in two representative period before and within the crisis, we show the change in compositions of the analytes that other labs may expect; we present the new panels of tests that hospital staff can order with different advantage for wards and laboratory; and we show how to reorganize staff on the basis of changes mentioned above.</description><subject>Automation</subject><subject>Betacoronavirus - isolation & purification</subject><subject>Clinical Laboratory Services - statistics & numerical data</subject><subject>Coronaviridae</subject><subject>Coronavirus Infections - diagnosis</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - virology</subject><subject>Coronaviruses</subject><subject>COVID hospital</subject><subject>COVID-19</subject><subject>COVID-19 emergency</subject><subject>Disease Outbreaks</subject><subject>Ferritins - blood</subject><subject>Fibrin Fibrinogen Degradation Products - analysis</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>lab organization</subject><subject>Laboratories</subject><subject>Pandemics</subject><subject>panels for monitoring patients</subject><subject>Pneumonia, Viral - diagnosis</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - virology</subject><subject>reagents</subject><subject>SARS-CoV-2</subject><subject>Special Report</subject><subject>staff management</subject><subject>Urinalysis</subject><issn>1757-6180</issn><issn>1757-6199</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kc9u1DAQxi1U1Falx15RJM4p_p-4h0qwKgVpJQ7A2XLsCZ2yG2_tZNW-Dc_Ck9XplhUcasmaGfnnz-P5CDlj9Fwypd53GGtOOa0po-YVOWaNamrNjDnY5y09Iqc539KyBG-NNIfkSHDVlC2Pyd3SdTG5MaaHyschY4BSYckqt8aQx2q8gXKS4uC2mKZcBczgMlScMvPnd5zGLoH7dfHEfdtAcCusFrjFEnCoPibIHl0F9xtICIOHN-R171YZTp_jCfnx6er74nO9_Hr9ZfFhWXulxVh73fU9tIYxkKxhwrnQc94oLctfVdAmCMHBB25aEMZ3RupesFY2QhiutRIn5HKnu5m6NQQPw5jcym4Srl16sNGh_f9kwBv7M25tI5hq-Szw7lkgxbsJ8mhv45SG0rPlUkndKCZkoeod5VPMOUG_f4FRO5tki0l2NsnOJhX-7b9t7em_lhTA7IB-Gqen6c1Ts7uq3ECPA7wg_ggyEaKo</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Garrafa, Emirena</creator><creator>Brugnoni, Duilio</creator><creator>Barbaro, Mosè</creator><creator>Andreoli, Laura</creator><creator>Focà, Emanuele</creator><creator>Salvetti, Massimo</creator><creator>Castelli, Francesco</creator><creator>Franceschini, Franco</creator><creator>Piva, Simone</creator><creator>Muiesan, Maria Lorenza</creator><creator>Latronico, Nicola</creator><creator>Levaggi, Rosella</creator><general>Newlands Press Ltd</general><general>Newlands Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4395-5379</orcidid><orcidid>https://orcid.org/0000-0001-9420-9961</orcidid><orcidid>https://orcid.org/0000-0002-6018-1283</orcidid><orcidid>https://orcid.org/0000-0002-9107-3218</orcidid><orcidid>https://orcid.org/0000-0003-4761-6892</orcidid><orcidid>https://orcid.org/0000-0001-9161-7804</orcidid><orcidid>https://orcid.org/0000-0003-3678-6124</orcidid><orcidid>https://orcid.org/0000-0002-2521-5871</orcidid><orcidid>https://orcid.org/0000-0002-5483-8007</orcidid></search><sort><creationdate>20200901</creationdate><title>Laboratory considerations amidst the coronavirus disease 2019 outbreak: the Spedali Civili in Brescia experience</title><author>Garrafa, Emirena ; Brugnoni, Duilio ; Barbaro, Mosè ; Andreoli, Laura ; Focà, Emanuele ; Salvetti, Massimo ; Castelli, Francesco ; Franceschini, Franco ; Piva, Simone ; Muiesan, Maria Lorenza ; Latronico, Nicola ; Levaggi, Rosella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-c6bffe8911e41713aadf2275640105d69d332ecd298e39cb946f3184733926653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Automation</topic><topic>Betacoronavirus - 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This article presents the experience of the clinical laboratory of Spedali Civili in Brescia (a teaching hospital in Lombardy with over 1500 beds) in managing the crisis, and to offer practical considerations for laboratory testing for this cohort of patients. Our contribution is threefold: by comparing the demand for tests in two representative period before and within the crisis, we show the change in compositions of the analytes that other labs may expect; we present the new panels of tests that hospital staff can order with different advantage for wards and laboratory; and we show how to reorganize staff on the basis of changes mentioned above.</abstract><cop>England</cop><pub>Newlands Press Ltd</pub><pmid>32573254</pmid><doi>10.4155/bio-2020-0109</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4395-5379</orcidid><orcidid>https://orcid.org/0000-0001-9420-9961</orcidid><orcidid>https://orcid.org/0000-0002-6018-1283</orcidid><orcidid>https://orcid.org/0000-0002-9107-3218</orcidid><orcidid>https://orcid.org/0000-0003-4761-6892</orcidid><orcidid>https://orcid.org/0000-0001-9161-7804</orcidid><orcidid>https://orcid.org/0000-0003-3678-6124</orcidid><orcidid>https://orcid.org/0000-0002-2521-5871</orcidid><orcidid>https://orcid.org/0000-0002-5483-8007</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Automation Betacoronavirus - isolation & purification Clinical Laboratory Services - statistics & numerical data Coronaviridae Coronavirus Infections - diagnosis Coronavirus Infections - epidemiology Coronavirus Infections - virology Coronaviruses COVID hospital COVID-19 COVID-19 emergency Disease Outbreaks Ferritins - blood Fibrin Fibrinogen Degradation Products - analysis Hospitals, Teaching Humans Italy - epidemiology lab organization Laboratories Pandemics panels for monitoring patients Pneumonia, Viral - diagnosis Pneumonia, Viral - epidemiology Pneumonia, Viral - virology reagents SARS-CoV-2 Special Report staff management Urinalysis |
title | Laboratory considerations amidst the coronavirus disease 2019 outbreak: the Spedali Civili in Brescia experience |
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