Tumori Journal Abstract Book - October 2020 - 94

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instead of monthly to patients in stabilized therapy: 14 receiving enzalutamide therapy, 5 patients in imatinib (3 GIST and
2 CML), 2 patients in sunitinib, 4 patients on pazopanib, 2
patients on osimertinib, 4 patients on alectinib. However, telephone contact was made in the event of any problem.
Results: All 21 patients showed no relevant toxicity (no G
3 or G 4) and no cases of Covid infection 19 occurred.
Conclusions: In consideration of the absence of significant toxicity, it could be thought to test this outpatient
practice on a greater number of patients, perhaps by setting
up surveillance by telematic means and not only by telephone, also in anticipation of future epidemic outbreaks.

Tumori Journal 106(2S)
Results: With the provisions, no one became infected during work in the last 3 months. Only 1 nurse was Covid+,
due to her husband. By contrast, 44 patients were Covid+
and 21/44 have died. 3/44 were diagnosed as Covid19 +
as hospitalized patients. These data testifies our daily risk.
No patient produced written complaints to the hospital
management for our new rules.
Discussion: In Sondrio's Province there've been 1,480
infections. Almost 400/1,480 were health employers, a
doctor has died. The most serious pandemic of the last 50
years was managed initially with a lack of tampons, delay
in the use of serology, ostracism towards the use of personal protective equipment.
The provisions of Oncology Unit Director ensured:

D55
What about a medical oncology
unit during the Covid19 pandemic?
Activity maintained thanks
to timely decisions: Sondrio's
experience
Bertolini A.1, Doria A.2, Orsini B.2
1

ASST della Valtellina e Alto Lario -Oncologia Medica, Sondrio; 2ASST della
Valtellina e Alto Lario-Oncologia Medica, Sondrio

Background: On February 21, 2020 the first Italian
Covid19 patient was diagnosed. From that day the pandemic begins, which spreads with an impressive growth.
The Oncology Unit Director has responsibilities, which
obliged him to execute orders dropped by the Hospital
Management in a top-down manner. Above all, he has
direct responsibilities towards his collaborators and
patients. It's not allowed to entrench behind the sentence:
I've no provisions. For this reason, it is necessary to deal
with the emergency with clinical intelligence, notwithstanding specific provisions.
Method: Since March 9, the Sondrio's Medical Oncology
team received specific provisions from its Director, more
restrictive than that developed by the hospital summarized in:
- obligation to measure body temperature (BT) before
leaving home
- light protection during work: surgical mask, gloves, cap.
- complete protection in case of suspect Covid19 patient
- placement of active treatments on at least 2 distinct time
slots to avoid gatherings.
- sanitization of the chairs after each patient
- from 3 April 2020 obligation for all staff to use KN95
masks, purchased directly.
- obligation for each patient:
o to stay at home if BT > 37.5 ° C.
o to monitor BT at home before going out.
o to detect BT before entering in day hospital.
o it's always forbidden to have accompanying persons.
o at least surgical mask
o to disinfect hands using gloves

- protection of staff
- guaranteed treatment for all patients
At 31 May 2020, the out-inpatients hospitalization activity
was comparable to 2019. We used our knowledge for them
without deserting.
On 9 April and 9 May, 2020 all staff underwent rapid qualitative serological tests purchased directly by our decision.
All were negative.

D56
VOLUNTEERING AND COMPLEMENTARY
SERVICES IN ONCOLOGY DURING THE
COVID-19 EMERGENCY
Bazza T.1, Cantini S.1, Pastorini A.1, Maiolani M.1, Fusco O.1, Menatti
E.1, Caponigro G.1, Deligiannis P.1, Cubeddu A.1, Doria A.1, Bertolini A.1
1

ASST della Valtellina e Alto Lario-Oncologia Medica, Sondrio

Background: Volunteering in oncology has been a wellknown and consolidated reality for decades. Alongside
this fundamental component, complementary services
that deal with providing image consultancy, wigs and
onco-aesthetic services to women who undergo oncological surgery and chemotherapy treatments, have been integrated for years
Material (patients) and methods: In the context of the
emergency we are going through, within the containment
measures of the covid-19 pandemic, volunteering and
complementary services have been suspended.
Volunteers are people who for sensitivity devote their time
to those who are experiencing a situation of suffering.
They follow a specific training path and their activity is
supervised by the psychoncologist.
Despite their absence, enhancement of the group and their
role, they have been supported through periodic supervisions conducted by the psycho-oncologist online and
through the creation of a chat that represents a physical
and psychological space for the group.

Tumori Journal Abstract Book - October 2020

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