Coronavirus Disease-2019, Diabetes and Dialysis: An Internal Medicine Conundrum Proposal for a Suitable and Easy-to-Handle Prevention Protocol

Felice Strollo, Ersilia Satta, Carmine Romano, Carmelo Alfarone, Teresa D. Corte*, Giuseppina Guarino and Sandro Gentile

Coronavirus Disease-2019, Diabetes and Dialysis: An Internal Medicine Conundrum Proposal for a Suitable and Easy-to-Handle Prevention Protocol.

On February 20, 2020, new outbreaks were detected in Codogno, Lodi Province,
Lombardy region with 16 infected people, summing up to 60 on the following day
and causing the first deaths soon after.

Since then, the epidemic has spread throughout our country at different rates
among regions, being Northern ones devastated and Southern ones somewhat spared.

Under recommendations from the specific National Scientific and Technical Expert
Committee, the Italian Government developed population-oriented operative provisions,
and deputized the Civil Protection to organize the best possible nationwide
support against the spread of infection.

The Ministry of Health and the Istituto Superiore di Sanità provided
the general population daily with details concerning contagion patterns,
number of infected people staying in dedicated hospital wards, or
intensive care units and death rate.

They also recommended the most appropriate behavioral approach for infection
containment with an eye to an ever-changing picture in terms of epidemiology
and clinical course, including best therapeutic strategies and lethality.

One of the earliest and most frequent consequences of the pandemics’ devastating
impact on health care organizations in Italy was the conversion of
several hospital wards into COVID units.

Most wards originally meant for internal medicine were converted in fact,
as their specialists granted the high multidisciplinary competencies needed to
deal with most common COVID patients of that period, i.e., those
characterized by advanced age and several comorbidities.

Diabetes Res Open J. 2020; 6(2): 27-36. doi: 10.17140/DROJ-6-147

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