{"id":37572,"date":"2022-01-21T11:39:48","date_gmt":"2022-01-21T09:39:48","guid":{"rendered":"https:\/\/buletin.de\/bucuresti\/?p=37572"},"modified":"2022-01-21T11:40:07","modified_gmt":"2022-01-21T09:40:07","slug":"bucuresti-ilfov-lista-centrelor-de-evaluare-covid","status":"publish","type":"post","link":"https:\/\/buletin.de\/bucuresti\/bucuresti-ilfov-lista-centrelor-de-evaluare-covid\/","title":{"rendered":"Bucure\u0219ti-Ilfov | Lista centrelor de evaluare COVID"},"content":{"rendered":"\n

Ministerul S\u0103n\u0103t\u0103\u021bii a publicat, ast\u0103zi, lista centrelor de evaluare Covid<\/a>, opera\u021bionalizate \u00een Bucure\u0219ti \u0219i Ilfov. \u00cen Capital\u0103 sunt 9 centre \u00een care bolnavii COVID cu forme u\u0219oare sau medii pot fi evalua\u021bi \u0219i pot primi tratament, iar \u00een Ilfov 2. Centrele de evaluare au fost \u00eenfiin\u021bate prin Ordin de ministru, la sf\u00e2r\u0219itul anului trecut, pentru a sc\u0103dea presiunea de pe spitale \u00een valul 5. <\/p>\n\n\n\n

Conform legii<\/a>, centrele de evaluare sunt structuri func\u0163ionale organizate \u00een unit\u0103\u0163i sanitare cu paturi av\u00e2nd ca structur\u0103 minim\u0103: cabinet\/cabinete de consulta\u0163ii, s\u0103li de tratamente, saloane\/rezerve cu minimum 2 paturi pentru spitalizare de zi, spa\u0163ii administrative \u015fi, dup\u0103 caz, laborator de analize medicale \u015fi laborator de radiodiagnostic.<\/em><\/em><\/p>\n\n\n\n

\u00cen Capital\u0103 au fost opera\u021bionalizate 9 astfel de centre, dup\u0103 cum urmeaz\u0103:<\/p>\n\n\n\n

Spitalul Universitar de Urgenta Militar Central Carol Davila
Adresa: Calea Plevnei 134, Bucuresti
Program de lucru: 08.00-20.00
Telefon: 213356910<\/p>\n\n\n\n

\n\n\n\n

Institutul National de Pneumoftiziologie Marius Nasta
Adresa: soseaua Viilor 90, Bucuresti
Program de lucru:
Telefon: 0765712321\/0213356910<\/p>\n\n\n\n

\n\n\n\n

Spitalul Clinic de Urgenta Sf Ioan
Adresa: soseaua Vitan-Barzesti 13, Bucuresti
Program de lucru: permenenta 24h\/7zile
Telefon: 0213345190\/1049<\/p>\n\n\n\n

\n\n\n\n

Spitalul Clinic N. Malaxa
Adresa: soseaua Vergului 12, Bucuresti
Program de lucru: luni-vineri 08.00-20.00
Telefon: 0733775598\/0212551761<\/p>\n\n\n\n

\n\n\n\n

Spitalul Clinic de Boli Infectioase si Tropicale Dr.V.Babes
Adresa: Soseaua Mihai Bravu 281, Bucuresti<\/p>\n\n\n\n

Program de lucru: permenenta 24h\/7zile
Telefon: 0786248657\/0786248654<\/p>\n\n\n\n

<\/p>\n\n\n\n

\n\n\n\n

Spitalul de Urgenta MAI Prof. Dr.Gerota
Adresa: Strada Vasile Vasilievici Stroescu, Bucuresti
Program de lucru: 08.00-20.00
Telefon: 0213037080\/0212523334\/0212523110<\/p>\n\n\n\n

<\/p>\n\n\n\n

\n\n\n\n

Institutul National Boli Infectioase Matei Bals
Adresa: Strada Doctor Calistrat Grozovici 1, Bucuresti
Judet: Bucuresti
Telefon: 212010980<\/p>\n\n\n\n

\n\n\n\n

Spitalul Clinic Sf Maria
Adresa: Bulevardul Ion Mihalache 37, Bucuresti
Program de lucru: 08.00-20.00
Telefon: 212223550<\/p>\n\n\n\n

<\/p>\n\n\n\n

\n\n\n\n

Spitalul de Pneumoftiziologie Sf Stefan
Adresa: soseaua stefan cel Mare 11, Bucuresti
Program de lucru: luni-vineri 08.00-20.00
Telefon: 752191881<\/p>\n\n\n\n

\n\n\n\n

\u00cen Ilfov au fost \u00eenfiina\u021bate 2 astfel de centre, care nu apar \u00eens\u0103 pe harta MS ci doar pe pagina DSP Ilfov<\/a>. <\/p>\n\n\n\n

Spitalul Clinic Jude\u021bean de Urgen\u021b\u0103 Ilfov
Adresa: Bucure\u0219ti, Bul. Basarabia, nr. 49-51
Program de lucru: zilnic 07.00-15.00
Telefon: 0722210211<\/p>\n\n\n\n

Spitalul de Obstetric\u0103-Ginecologie Buftea
Adresa: Buftea, str. Studioului nr. 5
Program de lucru: luni-vineri 08.00-18.00
Telefon: 0730073444<\/p>\n\n\n\n

A fost publicat \u0219i Ghidul de evaluare \u0219i tratament la nivelul centrelor de evaluare<\/a><\/strong><\/p>\n\n\n\n

A. Categorii de poten\u021biali pacien\u021bi care ajung la evaluare1. Pacien\u021bii cu criterii de internare vor fi \u00eendruma\u021bi direct la spital, dup\u0103 evaluare clinic\u0103:<\/strong><\/p>\n\n\n\n

\u2014 pacien\u021bii cu necesar de oxigen (forme severe\/critice) cu SaO2 < 94% (pentru cei f\u0103r\u0103 afec\u021biuni pulmonare cronice preexistente) sau SaO2 < 90% la pacien\u021bii cu insuficien\u021b\u0103 respiratorie cronic\u0103;
\u2014 pacien\u021bi cu forme non-severe de COVID-19 cu SaO2 \u2265 94%, dar care au indica\u021bie de internare pentru o alt\u0103 afec\u021biune.<\/p>\n\n\n\n

2. Pacien\u021bii f\u0103r\u0103 criterii de internare vor fi evalua\u021bi astfel:<\/strong>\u2014 primele 4 zile de boal\u0103 \u2014 pacien\u021bii asimptomatici: se va efectua examen clinic \u0219i vor fi \u00eendruma\u021bi \u00een supravegherea medicului de familie. Aceast\u0103 categorie de pacien\u021bi nu are indica\u021bie de tratament antiviral la momentul evalu\u0103rii;
\u2014 primele 4 zile de boal\u0103 \u2014 pacien\u021bii simptomatici: date clinice \u00b1 biologice \u00b1 imagistic\u0103 (\u00een cazul pacien\u021bilor cu simptomatologie de tract respirator inferior);
\u2014 din ziua a 5-a de boal\u0103: date clinice, imagistic\u0103 (CT sau Rx torace), biologice, EKG, \u00een func\u021bie de comorbidit\u0103\u021bi.
Date clinice: v\u00e2rst\u0103, indice mas\u0103 corporal\u0103, antecedente personale patologice, medica\u021bie pentru afec\u021biuni preexistente, afec\u021biunea actual\u0103 (debut, simptome, tratament).
Date biologice: hemogram\u0103, biochimie (glicemie, ALT, AST, uree, creatinin\u0103, proteina C reactiv\u0103), INR; la acestea se adaug\u0103 test de sarcin\u0103 la femeile fertile \u00een cazul necesit\u0103\u021bii prescrierii tratamentului antiviral.
<\/p>\n\n\n\n

B. Situa\u021bii \u00eent\u00e2lnite \u00een evaluarea pacien\u021bilor simptomatici1. La pacien\u021bii cu factori de risc (FR):<\/strong>
a) primele 4 zile: tratament antiviral (AV) oral;
b) \u00een ziua 5:
\u2014 pacien\u021bi f\u0103r\u0103 pneumonie: AV oral \u0219i monitorizare;
\u2014 pacien\u021bi cu pneumonie: AV oral sau spitalizare pentru AV injectabil*;
c) dup\u0103 ziua a 6-a:
\u2014 pacien\u021bi f\u0103r\u0103 pneumonie: monitorizare sau indica\u021bie de internare \u00een cazul agrav\u0103rii afec\u021biunii cronice;
\u2014 pacien\u021bi cu pneumonie: recomandare de spitalizare pentru AV injectabil*.2. La pacien\u021bii f\u0103r\u0103 factori de risc (FR):<\/strong>a) primele 5 zile:
\u2014 pacien\u021bi f\u0103r\u0103 pneumonie: monitorizare;
\u2014 pacien\u021bi cu pneumonie: AV oral;
b) dup\u0103 ziua a 6-a:
\u2014 pacien\u021bi cu sau f\u0103r\u0103 pneumonie: monitorizare sau spitalizare pentru AV injectabil* (\u00een cazul
apari\u021biei unor complica\u021bii \u00een contextul COVID-19).<\/p>\n\n\n\n


3. La pacien\u021bii afla\u021bi dup\u0103 ziua a 5-a de boal\u0103, cu pneumonie \u0219i proteina C reactiv\u0103 peste 30 mg\/L:<\/strong>
– se va recomanda internare \u00een spital.
4. Peste 7 zile, alte situa\u021bii: monitorizare p\u00e2n\u0103 la vindecare.<\/strong>
Spitalizare dac\u0103 nu exist\u0103 alternativ\u0103 utilizabil\u0103 de AV oral sau pneumonie \u00eentins\u0103 sau inflama\u021bie marcat\u0103 sau nu poate fi monitorizat la domiciliu.<\/p>\n\n\n\n

C. Factori de risc (FR):<\/strong><\/p>\n\n\n\n

\u2014 obezitate (IMC > 30);
\u2014 v\u00e2rsta peste 65 de ani;
\u2014 patologii cronice preexistente: afec\u021biuni cardiace sau respiratorii cronice, imunodepresii, diabet zaharat, insuficien\u021b\u0103 renal\u0103 cronic\u0103, hepatopatii cronice;
\u2014 copiii cu v\u00e2rsta de 12\u201417 ani cu patologii severe asociate.<\/p>\n\n\n\n


Tratamentul antiviral (AV) oral se va prescrie doar dac\u0103 pacientul nu are contraindica\u021bii.
La pacien\u021bii monitoriza\u021bi la domiciliu se vor (re)aminti simptomele de alert\u0103 care s\u0103 necesite solicitarea Serviciului de Ambulan\u021b\u0103 112.<\/p>\n\n\n\n

<\/p>\n\n\n\n

D. Posologie:<\/strong><\/p>\n\n\n\n

\u2022 Favipiravir:
\u2014 1.600 mg la 12 ore \u00een prima zi, apoi 600 mg la 12 ore, timp de 10\u201414 zile sau
\u2014 1.800 mg la 12 ore \u00een prima zi, apoi 800 mg la 12 ore, timp de 10\u201414 zile.
\u2022 Molnupiravir (Lagrevio):
\u2014 4 capsule a 200 mg x 2\/zi timp de 5 zile (800 mg x 2\/zi)
\u2022 Nirmatrelvir\/Ritonavir (Paxlovid):
\u2014 Coadministrarea de 2 tablete de nirmatrelvir + 1 tablet\u0103 de ritonavir de 2 ori pe zi, timp de 5 zile.
<\/p>\n\n\n\n

E. Situa\u021bii \u00een care AV orale nu pot fi utilizate<\/strong><\/p>\n\n\n\n

\u2022 Favipiravir:<\/strong>
\u2014 Nu este indicat la copii.
\u2014 La paciente din grupe de v\u00e2rst\u0103 fertil\u0103 doar dac\u0103 exist\u0103 testul de sarcin\u0103 negativ \u0219i \u00eentotdeauna asociat cu medica\u021bie contraceptiv\u0103 pe durata tratamentului \u0219i minimum 7 zile dup\u0103 oprirea acestuia.
\u2014 Pentru b\u0103rba\u021bi se recomand\u0103 de asemenea utilizarea de metode contraceptive pentru cel pu\u021bin o s\u0103pt\u0103m\u00e2n\u0103 dup\u0103 \u00eencheierea tratamentului cu favipiravir.
\u2022 Molnupiravir:<\/strong>
\u2014 Nu este indicat la pacien\u021bi cu v\u00e2rste sub 18 ani.
\u2014 Nu este indicat la gravide \u0219i la femei care al\u0103pteaz\u0103.
\u2014 Nu este indicat la pacien\u021bi cu insuficien\u021b\u0103 renal\u0103 sever\u0103.
\u2014 Nu este indicat la femei de v\u00e2rst\u0103 fertil\u0103 care nu utilizeaz\u0103 metode de contracep\u021bie eficient\u0103.
\u2014 Nu este indicat dup\u0103 a 5-a zi de la debutul clinic al afec\u021biunii.
\u2022 Paxlovid (nirmatrelvir\/ritonavir):<\/strong>
\u2014 Nu este indicat la pacien\u021bi cu v\u00e2rste sub 18 ani.
\u2014 Nu este indicat la gravide \u0219i la femei care al\u0103pteaz\u0103.
\u2014 Nu este indicat la pacien\u021bi cu insuficien\u021b\u0103 renal\u0103 sau hepatic\u0103 sever\u0103.
\u2014 Nu este indicat la pacien\u021bi cu infec\u021bie HIV f\u0103r\u0103 tratament.
\u2014 Nu este indicat la pacien\u021bi care utilizeaz\u0103 medicamente care sunt interzise concomitent cu Paxlovid.
\u2014 Nu este indicat la femei de v\u00e2rst\u0103 fertil\u0103 care nu utilizeaz\u0103 metode de contracep\u021bie eficient\u0103.
\u2014 Aten\u021bie la reducerea efectului paxlovid de c\u0103tre unele medicamente.
\u2014 Nu este indicat dup\u0103 a 5-a zi de la debutul clinic al afec\u021biunii.<\/p>\n\n\n\n


Indica\u021biile celor dou\u0103 tratamente \u0219i posibile interac\u021biuni medicamentoase pot fi consultate aici:
1. https:\/\/www.fda.gov\/media\/155054\/download (Molnupiravir)
2. https:\/\/www.fda.gov\/media\/155050\/download (Paxlovid)
3. https:\/\/www.covid-19-druginteractions.org\/checker (Paxlovid).<\/p>\n","protected":false},"excerpt":{"rendered":"

Ministerul S\u0103n\u0103t\u0103\u021bii a publicat, ast\u0103zi, lista centrelor de evaluare Covid, opera\u021bionalizate \u00een Bucure\u0219ti \u0219i Ilfov. \u00cen Capital\u0103 sunt 9 centre \u00een care bolnavii COVID cu forme u\u0219oare sau medii pot fi evalua\u021bi \u0219i pot primi tratament, iar \u00een Ilfov 2. Centrele de evaluare au fost \u00eenfiin\u021bate prin Ordin de ministru, la sf\u00e2r\u0219itul anului trecut, pentru […]<\/p>\n","protected":false},"author":18,"featured_media":37579,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[62],"tags":[9,3852,820],"ppma_author":[22579],"class_list":["post-37572","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stiri","tag-bucuresti","tag-centre-de-evaluare","tag-ilfov"],"acf":[],"yoast_head":"\nBucure\u0219ti-Ilfov | Lista centrelor de evaluare COVID - Buletin de Bucure\u0219ti<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/buletin.de\/bucuresti\/bucuresti-ilfov-lista-centrelor-de-evaluare-covid\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bucure\u0219ti-Ilfov | Lista centrelor de evaluare COVID\" \/>\n<meta property=\"og:description\" content=\"Ministerul S\u0103n\u0103t\u0103\u021bii a publicat, ast\u0103zi, lista centrelor de evaluare Covid, opera\u021bionalizate \u00een Bucure\u0219ti \u0219i Ilfov. \u00cen Capital\u0103 sunt 9 centre \u00een care bolnavii COVID cu forme u\u0219oare sau medii pot fi evalua\u021bi \u0219i pot primi tratament, iar \u00een Ilfov 2. 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