It is one of the most traditional in São Paulo Syrian-Lebanon Hospital he returned to offer full wings patients in Covid-19 given that hospitalization has increased. There are currently 43 people hospitalized with the disease, six of them in intensive care unit (ICU) beds. Two weeks ago, on May 24, 22 were hospitalized, four of them in ICU beds. The numbers remain below the January peak, with about 130 patients hospitalized for the disease, but more attention has been sought from the organization.
Following discharge, Sirio-Libanês began offering a full 10-bed wing of the ICU and another 24-bed nursing home exclusively to patients with the disease, a measure that had not been taken since April. If the cases continue to progress, other units may be dedicated only to covid patients, he said in an interview. Stay Manager of Hospitalized Patients and Medical Practices at Sírio-Libanês, Felipe Duarte.
How did the new rise in cases feel in Syria-Lebanon?
About two weeks ago, especially last week, the demand for emergency care was higher than we were accustomed to since February, when the Ômicron peak in January cooled. By the first fortnight of May, about 90 to 100 patients a day with flu-like symptoms were arriving in emergencies. Last week, we reached 170, 180, an increase of up to 80%. It has increased considerably.
Today, the average attendance is around 140. However, it is at least a 50% increase over the previous 100. The increase in influenza syndromes is quite significant. Of that number, about 30% are covid cases today, compared to 10% in the past. In other words, we have also noticed that the positivity of the tests for covid is increasing. When we look at the curve, the trend is upward.
Has any action been taken in this scenario?
Last week, I think it was the biggest move for these patients. This forced us to reshape our structure because we were in a lower service scenario. In emergencies we never stopped separating patients, but in units, where there are beds, he stopped doing so in April.
As we saw an increase in the number of hospitalizations of covid patients last week, we used some resources to allow patients to be treated more flexibly and to ensure everyone’s safety. It is only natural that the emergency care movement should begin before the hospitalization movement.
Monday was the first day we returned to a hospitalization unit dedicated exclusively to COVID-19 patients, with 24 beds. Last week we did it again with ZIU, with 10 dedicated beds. So there are currently 34 exclusive beds for covid patients, although these patients can also be allocated to other units.
Why did they stop working with units aimed only at covid patients in April?
We closed units dedicated to specific cases of Covid-19 in April because the number of patients was very small, less than five. That wasn’t the reason for maintaining a 24-bed care unit and a 10-bed ICU unit, for example. So in this case, we took this patient to another ICU where there were other patients with other illnesses, but we put them in a box as a precaution. Or he would be taken to a room in a ward where he had other patients with other illnesses, but he was isolated. The hospital knows this is safe.
When it came to what to do, we resisted a lot because we waited for the number of patients to be low enough, but then we did. When we leave a 24-bed unit occupied with three beds, for example, I stop receiving patients who would have to be hospitalized to provide all that space. The practice of placing positive patients with non-positive patients, but ensuring adequate isolation, as we know it is safe, we decided to do so. Not only the Syrians, but many hospitals did this because the number of patients was very low.
Medical demands continue to rise, and the population, unlike what we saw in 2020, has returned to hospitals since 2021 when it disappeared from the hospital. Diseases continue, patients need to follow treatments and people are no less afraid to covid him. .
And what exactly is the current assessment?
As the number of patients hospitalized increased over the last week, we went into a little more as the beds of negative pressure began to reach its limit. And then the strategy is to finally take dedicated units where I can receive these patients without risk to others, and to them as well. So we re-dedicated some intensive care beds and some hospital beds to these patients so that they could adapt with greater variability.
It wasn’t a big move, it wasn’t anything compared to what we experienced, especially in 2021. Sometimes the feeling we have is that the current high is slightly lower than in January, which was quite strong. But it is significant that when we talk about 30 patients who have been hospitalized with covid, hospitals are sensitive to this, as this number corresponds to more than one whole hospitalization unit.
Can more units be dedicated only to covid patients?
Syria has about 490 beds. If the case continues to increase, we will have to assign other units. This plan already exists, it is agreed between the groups, and we adapt the demand according to the needs. Maybe a little more climbing, but it’s not what we expected. We don’t expect any new avalanches. What we always need to strengthen is for the population to take the dose provided for in the vaccination schedule. This is very important to prevent covid infection and progression.
Are the cases of this new top serious?
The feeling is that the disease is getting worse. It can be blamed on the success of the immunization campaign or the evolution of the disease over time. We have seen that patients are more serious. We no longer have that demand for mechanical ventilation, which we saw in 2021. It was already much lighter in January and now it looks more like January, if not lighter.
How long has Covid’s positive test rate been today?
We are above the positivity of February. In February, it was 23%. In January, the positive rate rose to 48.6%. In March, it fell to 4%. In April, it was around 9%. Now it is reaching 30%. The increase in positivity is significant, which means that more viruses are circulating.
Is it stabilizing or growing?
The trend is still to increase the number of infected. It still can’t be said to have any stability. He has seen fewer patients with flu syndrome in the last two days in emergencies, but that doesn’t mean much yet.
Do patients have a profile of other peaks today? How are the symptoms?
It’s too early to tell, but it seems like something similar to January. They don’t have to be elderly patients, they are just older patients. Somehow on average we were watching. Now, in the hospital community, we’re seeing a lot of younger people, a lot of people. There are a lot of people with Kovid. We noticed that the search for telemonitoring in the office also increased. They are usually mild and typical flu syndromes.
About the symptoms, we are seeing a lot of people with sore throat, headache, fever, runny nose, discomfort, fatigue. We hardly see anything we saw at the beginning, the loss of taste and smell. But it is an image of sore throat with fever and flu-like symptoms in general.
Were the symptoms different from the Omicron wave earlier this year?
Not a lot. More sore throat now, which calls for attention. But nothing very different. What really stands out is the flu-like syndrome. This one looks like January. But we do not sequence variants.