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“The percentage of heavy patients is increasing”

«Процент тяжелых пациентов растет»

The consequences of the cancellation of a planned hospitalization will be serious, said the chief doctor of the St. Petersburg Elizabeth hospital Sergey Petrov.

The Elisabeth hospital was included in the three city hospitals of St. Petersburg, where will take patients with COVID-19. Peritonitis, heart attack, stroke, stomach ulcers and more — exactly one third of patients with diseases that coronavirus was not “abolished”, will take on the employees of the medical facilities on the street Vavilov.

About how organized the treatment of patients in a pandemic and whether to avoid outbreaks of coronavirus infection in one of the largest urban hospitals, told the chief Elizabethan doctor hospital, doctor of medical Sciences Sergey Petrov.

— Sergey Viktorovich, in your hospital will treat all other disease that has not lost its actuality during a pandemic coronavirus?

— Yes, the city has identified three hospital, which should not enroll patients with pneumonia and suspected COVID-19. Only the municipal hospital No. 26, research Institute of emergency care. I. I. Janelidze and we will provide all emergency care to citizens without symptoms of acute respiratory infection.

— Patients became more?

We work such a way two weeks and can already see that patients became less than usual, despite the fact that the rest of the hospital is redeveloped under the SARS and coronavirus. We now have 300 available beds from 1100. Apparently, the fact that we ceased to provide routine and high-tech assistance, has closed the day hospital and outpatient consultative Department. Help only in cases of emergency, and the influx of planned patients no.

Now we have lies about 800 people, but the impression is that the percentage of heavy patients is increasing. Apparently, during isolation, people do not want to call an ambulance until symptoms are very serious. And then the situation worsens.

— What, in your opinion, will the cancellation of the planned hospitalization in the city?

The consequences will be serious, because any disease, if not treated on time, leads to complications. And now, even if the person has any severe chronic illness, we cannot to be hospitalized in a planned manner — only by ambulance. He will have to wait for the epidemiological situation in the city normalizes.

We expect all those who had to hospitalized now, get to us for a few months too late. This is a huge number of patients that are unlikely to succeed quickly to treat.

— The main task of the hospital today — to avoid the outbreak of coronavirus infection in the institution. What steps do you take?

The most important measures — the sorting of patients at the level of the receiving Department and a good contact with the city ambulance station. If we have doubts about brought the patient, we treat him in the emergency room. If discovered pneumonia or viral infection — they are transferred to the appropriate hospitals. On an average day we translate 6-8 people.

In the emergency Department we have created two insulator — one of them with separate entrance. There are placed all “suspicious.” It consists of several rooms that are constantly disinfected. There are kits with clothing, UV air recirculator, dispensary with antiseptics. Identified and intensive care-an insulator, where “suspicious” patients.

There is also the observation ward in the emergency Department for 6-8 beds, where during the day for patients transferred from other hospitals, see doctors.

— And what to do with asymptomatic carriers COVID-19?

— Baseplane patients, we, of course, reveal can not. But those contacts are supposed to examine, hand over the analysis on the coronavirus.

If the patient with COVID-19 after all we will have, we will act in the same way as other hospitals affected. Isolate it, examine all contact, close office. While it is clear that is completely closed to quarantine our hospitals, ambulance in the city will rise. Who will take people with peritonitis, heart attacks, strokes?..

— How do you feel about the idea of moving the St. Petersburg medicine at the barracks?

— I believe that close to the quarantine hospital, under a reshaped infection — the measure is incorrect, the risk increases even more. In addition, people find it hard to be separated from families. I’m sure “the infection Department” needs to do without quarantine, because that’s what they repurpose, you just need to strictly observe the necessary security measures.

— Is it possible to monitor employees who might be infected?

— We employ 2 thousand employees, some of them we sent to udalenku — mostly non-medical staff, contract service, lawyers, accounting, planning and Finance Department, IT-service. Some employees who travel abroad, stay at home in quarantine. We are also constantly getting notifications from Rospotrebnadzor in the spirit of “sick COVID-19 living in the same building with your staff.” In this case, we immediately excluded him from work and 2 weeks is sent home on isolation.

Now we employ about 1600 people. Some of the workers who previously provided planned care in the outpatient consultation Department, radioisotope laboratory and orthopaedic Department, we were sent home with the appropriate fee.

Workers Elizabethan not complaining about the lack of PPE? From the Committee on health was the supply of masks and respirators?

City Kostrov us while means of protection are not supplied. Use what yourself stocked up at the time — has purchased an additional batch of antiseptics, masks, costumes, masks. In the mode in which we are working — that is, in the area of low infection risk, just enough. The insulators on all doctors, respirators and suits, in foster duty too, respirators, caps, gloves and protective pads. In ordinary locations use caps, masks and gloves in the normal mode.

But this will be enough for two weeks to three. Further prospects are vague. We turned to the vendors that worked on contracts, they say that delivery will be centralized. We asked this question to cosgrave, and we were told that protection is, but since our hospital does not have shifted, we are not entitled. Yesterday came the decision of the Government suspending centralized delivery. What to do is unclear.

— And in the hospital with the ventilator?

— We now have 79 machines until they have enough. We plan to additionally buy them because of the ventilator in use for many years, the resource is fully developed, and patients are becoming heavier.

We know that soon the city will have a certain number of devices, but it is said, will be domestic. What are they like in quality, it was unclear until now we worked only with imported Chinese, European, American.

Because to make such a device is not easy — it takes a few months. And to buy abroad such equipment, probably difficult: not enough ventilation and by producing countries.

— In your opinion, how St. Petersburg medicine prepared for adverse scenario of development of coronavirus infection?

— We in any case will defeat the epidemic, but it all depends on the timeliness of decisions. Now the main problem is that there is no clear information about what is happening. That is why it is impossible to say whether enough of the measures taken.

Here, for example, in St. Petersburg, recorded 5 deaths from COVID-19, on a ventilator, there are about two or three dozen people. And when you try to put the resuscitation of a patient in a restructured hospital is that the seats in the intensive care unit there. In General, it is unclear how many people in the city with SARS, pneumonia, COVID-19. It is unclear how busy the hospitals and prepared the intensive care unit. Little information, hospitals do not communicate with each other, and this complicates things.

— Do you think St. Petersburg has a chance to contain the epidemic COVID-19, stretch rush?

I believe two months will be in the acute phase, I hope, after two weeks of daily growth will stop and we will reach a plateau, then two weeks later the rates will begin to decline. The cycle of infection in all countries is similar — somewhere in short, somewhere long, peak may be higher or lower, but looks about the same. I hope that in June, all over.

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