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Annate arretrate

Rivista Italiana di Medicina Legale e del Diritto in campo sanitario

Rivista: Rivista Italiana di Medicina Legale (e del Diritto in campo sanitario)
Anno: 2020
Fascicolo: n. 2
Editore: Giuffrè Francis Lefebvre
ISSN: 1124-3376
Autori: Ventura Francesco
Titolo: FOCUS ON COVID-19 IL LAVORO IN SALA SETTORIA AL TEMPO DELL’INFEZIONE DA COVID-19
Pagine: pp. 1157-1156
Keywords: patologia forense, sala settoria, protocolli autoptici, COVID-19, SARS-COV-2

La pandemia di SARS-COV-2 ha modificato nei primi mesi della sua diffusione, l’attività nelle sale settorie italiane. Rigorosi protocolli autoptici internazionali e nazionali, hanno raccomandato l’esecuzione delle autopsie di cadaveri con infezione da COVID-19 accertata o sospetta in sale settorie con livello di biosicurezza 3 (BSL3), presenti in numero esiguo in Italia, soprattutto nei centri medico-legali di riferimento per la Procura della Repubblica. La contemporanea mancanza di forniture adeguate di DPI (soprattutto mascherine FFP2 o FFP3), ha determinato inevitabilmente una drastica riduzione del numero delle autopsie sia diagnostiche che giudiziarie. In attesa di vedere sempre più sale settorie attrezzate con livello di biosicurezza 3, alcuni centri medico-legali si sono attrezzati con procedure alternative per ottenere informazioni sia epidemiologiche che con finalità forensi, adottando, in particolare, l’esecuzione di un tampone naso-faringeo per la ricerca molecolare del SARS-COV-2 preliminare all’autopsia.

FOCUS ON COVID-19 IL LAVORO IN SALA SETTORIA AL TEMPO DELL’INFEZIONE DA COVID-19


1) Cfr. Ventura F. Il lavoro in sala settoria, cosa va cambiato?. Rivista Italiana di Medicina Legale (e del diritto in campo sanitario). 41, 1487, 2019.
2) Cfr. Barranco R. and Ventura F.The role and the difficulties of Forensic Pathologist in COVID-19 infection: the importance of an interdisciplinary research. Medicine, Science and Law 2020. on line-first 21 May 2020, DOI: 10.1177/0025802420927825.
3) Cfr. https://www.simlaweb.it/2020/04/24/incontro-con-il-prof-tagliabracci-quadri-istopatologici-covid/.
4) Cfr. CDC (Center Control Disease): Coronavirus disease 2019 (COVID-19): Interim for collection an submission of postmortem specimens from deceased person under investigation (PUI) for COVID-19, February 2020, scaricabile da: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-postmortem-specimens.html.
5) Cfr. Royal College of Pathologists: Briefing on COVID-19, Autopsy practice, relating to possible cases of COVID-19 (2019-nCOV, novel coronavirus from China 2019/2020. Scaricabile da https://www.rcpath.org/uploads/assets/d5e28baf-5789-4b0f-acecfe370eee6223/fe8fa85a-f004-4a0c-81ee4b2b9cd12cbf/Briefing-on-COVID-19-autopsy-Feb-2020.pdf.
6) Cfr. Petrosillo N. et al.Procedura per l’esecuzione di riscontri diagnostici in pazienti deceduti con infezione da SARS-CoV-2-Gruppo di Lavoro ISS Cause di morte COVID-19” 23 March 2020. Scaricabile da: https://www.iss.it/documents/20126/0/Rapporto+ISS+COVID-19+n.+6_2020+autopsie.pdf/004df480-4222-6f44-bfee-0ef8b91c108a?t=1587106915706.
7) Cfr. Fineschi V. et al. on behalf of the Scienitific Society of Hospital Legal Medicine of the National Healt System (COMLAS) and the Italian Society of Anatomical Pathology and Cytology (SIAPEC):Management of the corpse, with suspect, probable of confirmed COVID-19 respirator infection - Italian interim reccomendations for personnel potentially exposed to materalia from corpes, including body fluids, in morgue structures and during autopsy practice. Pathologica Epub 2020 mar 26.
8) Cfr. Fais P. et al.: Gruppo Italiano di Patologia Forense: Raccomandazioni per l’autopsia forense nei cadaveri con sospetta infezione da SARS-COV-2, in questo numero della Rivista Italiana di Medicina Legale (e del diritto in campo sanitario) 42, 2020.
9) Cfr. OSHA 3990-03 2020 (U.S. Department of Labor, Occupational Safety and Healt Administration): Guidance on preparing workplaces for COVID-19, scaricabile da https://www.osha.gov/Publications/OSHA3990.pdf.
10) Cfr. Barranco R. and Ventura F. Covid-19 and infection in health-care workers: an emerging problem. Medico-Legal Journal. on line first, 22 may 2020, DOI: 10.1177/00258I7220923694.
11) Cfr. Lacy J. et al. COVID-19: postmortem diagnostic and biosafety consideration. The American Journal of Forensic Medicine and Pathology. on line first, post author corrections: aprile 24, 2020.
12) Cfr. Sriwijitalai W. and Wiwanitkit V. COVID-19 in forensic medicine unite personnel: observation from Thailand, in Journal of Forensci and Legal Medicine, 72, 101964, 2020.
13) Cfr. Parisi SG, Viel G, Cecchi R., Montisci M. COVID-19: the wrong target for healtcare liability claims. Legal Medicine. in press, Journal Pre-proof, available online 16 May 2020.
14) Cfr. Ventura F. and Barranco R. Cadaveric nasopharyngeal swab in COVID-19 infections: can it be useful for Medico-Legal purposes ?. The American Journal of Forensic Medicine and Pathology. 2020, in press.
15) Cfr. Li YC, Bai WX, Haskikawa T. The neuroinvasive potential of SARS-CoV2 may be at least partially responsible for the respiratory failure of COVID-19 patients. J. Med. Virol. 2020 Feb 27:10.1002/jmv.25728. doi:10.1002/jmv.25728. Online ahead of print.
16) Cfr. Asadi-Pooya AA, Simani LJ. Central nervous system manifestations of COVID-19: a systematic review. Neurol. Sci. 2020. Apr 11;413:116832. doi: 10.1016/j.jns.2020.116832. Online ahead of print.
17) Cfr. Hanley B. et. Al. Autopsy in suspected COVID-19 cases. J. Clin Pathol. 73, 239, 2020.
18) Cfr. L.M. Barton et al:COVID-19 autopsies, Oklaoma, Usa. Am J. Clin Pathol. 153, 725, 2020.
19) Cfr. Magro C. et al. Complement associated microvascular injury and thrombosis in the pathogenesis of severe COVID-19 infection: a report of five cases. J. Transl Res. 15, S1931, 2020.
20) Cfr. Bikdeli B. et al. COVID-19 and thrombotic or thromboembolic disease: implication for prevention antithrombotic therapy and follow-up. J. Am Coll Cardiol. 15, S0735, 2020.
21) Cfr. Klok FA et al. Incidence of thrombotic complications in critically ICU patients with COVID-19. Thromb Res. 2020 Apr 10; S0049-3848(20)30120-1.
22) Cfr. Wichmann D. et al.Autopsy findings and venous thromboembolism in patients with COVID-19. Ann Intern Med. 2020, May 6: M20-2003.
23) Cfr. Liu Q et al. Gross examination report of a COVID-19 death autopsy. Fa Yi Xue Za Zhi. 36, 21, 2020.
24) Cfr. https://www.simlaweb.it/2020/04/04/simla-dateci-i-mezzi-per-attrezzare-le-sale-autoptiche/.
1) Cfr. Ventura F. Il lavoro in sala settoria, cosa va cambiato?. Rivista Italiana di Medicina Legale (e del diritto in campo sanitario). 41, 1487, 2019.
2) Cfr. Barranco R. and Ventura F.The role and the difficulties of Forensic Pathologist in COVID-19 infection: the importance of an interdisciplinary research. Medicine, Science and Law 2020. on line-first 21 May 2020, DOI: 10.1177/0025802420927825.
3) Cfr. https://www.simlaweb.it/2020/04/24/incontro-con-il-prof-tagliabracci-quadri-istopatologici-covid/.
4) Cfr. CDC (Center Control Disease): Coronavirus disease 2019 (COVID-19): Interim for collection an submission of postmortem specimens from deceased person under investigation (PUI) for COVID-19, February 2020, scaricabile da: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-postmortem-specimens.html.
5) Cfr. Royal College of Pathologists: Briefing on COVID-19, Autopsy practice, relating to possible cases of COVID-19 (2019-nCOV, novel coronavirus from China 2019/2020. Scaricabile da https://www.rcpath.org/uploads/assets/d5e28baf-5789-4b0f-acecfe370eee6223/fe8fa85a-f004-4a0c-81ee4b2b9cd12cbf/Briefing-on-COVID-19-autopsy-Feb-2020.pdf.
6) Cfr. Petrosillo N. et al.Procedura per l’esecuzione di riscontri diagnostici in pazienti deceduti con infezione da SARS-CoV-2-Gruppo di Lavoro ISS Cause di morte COVID-19” 23 March 2020. Scaricabile da: https://www.iss.it/documents/20126/0/Rapporto+ISS+COVID-19+n.+6_2020+autopsie.pdf/004df480-4222-6f44-bfee-0ef8b91c108a?t=1587106915706.
7) Cfr. Fineschi V. et al. on behalf of the Scienitific Society of Hospital Legal Medicine of the National Healt System (COMLAS) and the Italian Society of Anatomical Pathology and Cytology (SIAPEC):Management of the corpse, with suspect, probable of confirmed COVID-19 respirator infection - Italian interim reccomendations for personnel potentially exposed to materalia from corpes, including body fluids, in morgue structures and during autopsy practice. Pathologica Epub 2020 mar 26.
8) Cfr. Fais P. et al.: Gruppo Italiano di Patologia Forense: Raccomandazioni per l’autopsia forense nei cadaveri con sospetta infezione da SARS-COV-2, in questo numero della Rivista Italiana di Medicina Legale (e del diritto in campo sanitario) 42, 2020.
9) Cfr. OSHA 3990-03 2020 (U.S. Department of Labor, Occupational Safety and Healt Administration): Guidance on preparing workplaces for COVID-19, scaricabile da https://www.osha.gov/Publications/OSHA3990.pdf.
10) Cfr. Barranco R. and Ventura F. Covid-19 and infection in health-care workers: an emerging problem. Medico-Legal Journal. on line first, 22 may 2020, DOI: 10.1177/00258I7220923694.
11) Cfr. Lacy J. et al. COVID-19: postmortem diagnostic and biosafety consideration. The American Journal of Forensic Medicine and Pathology. on line first, post author corrections: aprile 24, 2020.
12) Cfr. Sriwijitalai W. and Wiwanitkit V. COVID-19 in forensic medicine unite personnel: observation from Thailand, in Journal of Forensci and Legal Medicine, 72, 101964, 2020.
13) Cfr. Parisi SG, Viel G, Cecchi R., Montisci M. COVID-19: the wrong target for healtcare liability claims. Legal Medicine. in press, Journal Pre-proof, available online 16 May 2020.
14) Cfr. Ventura F. and Barranco R. Cadaveric nasopharyngeal swab in COVID-19 infections: can it be useful for Medico-Legal purposes ?. The American Journal of Forensic Medicine and Pathology. 2020, in press.
15) Cfr. Li YC, Bai WX, Haskikawa T. The neuroinvasive potential of SARS-CoV2 may be at least partially responsible for the respiratory failure of COVID-19 patients. J. Med. Virol. 2020 Feb 27:10.1002/jmv.25728. doi:10.1002/jmv.25728. Online ahead of print.
16) Cfr. Asadi-Pooya AA, Simani LJ. Central nervous system manifestations of COVID-19: a systematic review. Neurol. Sci. 2020. Apr 11;413:116832. doi: 10.1016/j.jns.2020.116832. Online ahead of print.
17) Cfr. Hanley B. et. Al. Autopsy in suspected COVID-19 cases. J. Clin Pathol. 73, 239, 2020.
18) Cfr. L.M. Barton et al:COVID-19 autopsies, Oklaoma, Usa. Am J. Clin Pathol. 153, 725, 2020.
19) Cfr. Magro C. et al. Complement associated microvascular injury and thrombosis in the pathogenesis of severe COVID-19 infection: a report of five cases. J. Transl Res. 15, S1931, 2020.
20) Cfr. Bikdeli B. et al. COVID-19 and thrombotic or thromboembolic disease: implication for prevention antithrombotic therapy and follow-up. J. Am Coll Cardiol. 15, S0735, 2020.
21) Cfr. Klok FA et al. Incidence of thrombotic complications in critically ICU patients with COVID-19. Thromb Res. 2020 Apr 10; S0049-3848(20)30120-1.
22) Cfr. Wichmann D. et al.Autopsy findings and venous thromboembolism in patients with COVID-19. Ann Intern Med. 2020, May 6: M20-2003.
23) Cfr. Liu Q et al. Gross examination report of a COVID-19 death autopsy. Fa Yi Xue Za Zhi. 36, 21, 2020.
24) Cfr. https://www.simlaweb.it/2020/04/04/simla-dateci-i-mezzi-per-attrezzare-le-sale-autoptiche/.
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