Employees of the Department of Anesthesiology and Intensive Care took an active part in the work of the commissions of the Ministry of Health of Ukraine that checked Ukrainian health care institutions on readiness to provide medical care to patients with coronavirus disease (COVID-19) in accordance with the Order of the Ministry of Health of Ukraine dated 28.03.2020 No. 722 "Organization of medical care to patients with coronavirus disease (COVID-19)" (as amended).
The audit included establishing the state of hospitals' preparation for individual items on the checklist, such as indications for hospitalization (expediency of hospitalization of patients), the number and percentage of laboratory-confirmed hospitalizations, a strategy for detecting signs of infection in personnel, etc.
As a result, it was found that:
- Hospitalization of patients in blocks intended for the treatment of patients with coronavirus infection corresponded to the diagnosis. The patients were hospitalized according to the disease profile.
- All hospitalized patients underwent laboratory diagnostics at the time of admission to the hospital to confirm the presence of coronavirus infection.
- In some cases, an irrational prescription of antibacterial therapy was revealed: patients hospitalized with a diagnosis of "Acute viral pneumonia caused by SARS-CoV-2" were prescribed two antibiotics in the absence of signs of bacterial pneumonia, or its exclusion, confirmed by analysis for procalcitonin or in the presence of a negative result for procalcitonin.
- Laboratory tests describing the severity and dynamics of coronavirus pneumonia (D-dimer, C-reactive protein) were often absent. The tactics of therapy were not determined according to these tests and their dynamics.
- In clinics where deviations from the Protocols of the Ministry of Health for the treatment of coronavirus infection were detected, attention was drawn to the decrease in the age of deceased patients, compared to institutions where these protocols were the standard of therapy. This was accompanied by an increase in the mortality rate, in some hospitals up to 11.37%.
Such inspections and the involvement of experienced anesthesiologists in their composition allow us to objectively determine the status of readiness of healthcare institutions to provide medical care to patients with coronavirus disease (COVID-19).